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Medical Claims and Benefits Payable - Reconciliation of Claims Development (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Insurance [Abstract]        
Incurred claims and allocated claims adjustment expenses $ 80,136      
Less: cumulative paid claims and allocated claims adjustment expenses (76,560)      
All outstanding liabilities before 2021 3      
Acquired balances 96      
Non-risk and other provider payables 529      
Medical claims and benefits payable $ 4,204 $ 3,528 $ 3,363 $ 2,696