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Significant Accounting Policies - Receivables (Details) - USD ($) $ in Millions	Dec. 31, 2021	Dec. 31, 2020
Statutory Accounting Practices [Line Items]
Total receivables	$ 2,177	$ 1,672
Government receivables
Statutory Accounting Practices [Line Items]
Total receivables	1,566	969
Pharmacy rebate receivables
Statutory Accounting Practices [Line Items]
Total receivables	276	178
Health insurer fee reimbursement receivables
Statutory Accounting Practices [Line Items]
Total receivables	0	104
Other
Statutory Accounting Practices [Line Items]
Total receivables	335	255
Magellan Complete Care acquisition opening balance
Statutory Accounting Practices [Line Items]
Total receivables	$ 0	$ 166

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