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Medical Claims and Benefits Payable - Cumulative Paid Claims and Allocated Claims Adjustment Expenses (Details) - USD ($)
$ in Millions
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Product Information [Line Items]      
Claims paid $ 76,560    
Benefit Year 2021      
Product Information [Line Items]      
Claims paid 23,894 $ 23,871 $ 21,148
Benefit Year 2022      
Product Information [Line Items]      
Claims paid 27,051 $ 24,345  
Benefit Year 2023      
Product Information [Line Items]      
Claims paid $ 25,615