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Medical Claims and Benefits Payable - Reconciliation of Claims Development (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Insurance [Abstract]        
Incurred claims and allocated claims adjustment expenses $ 90,773      
Less: cumulative paid claims and allocated claims adjustment expenses (86,970)      
All outstanding liabilities before 2022 2      
Acquired balances 476      
Non-risk and other provider payables 359      
Medical claims and benefits payable $ 4,640 $ 4,204 $ 3,528 $ 3,363