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Revenue | 9 Months Ended
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Sep. 30, 2019
Revenue from Contract with Customer [Abstract] |
Revenue | 3. Revenue Disaggregated revenue The following table disaggregates revenue by service (in thousands):
|  | Three Months Ended |  | Nine Months Ended
|  | September 30, |  | September 30,
|  | 2019 |  | 2018 |  | 2019 |  | 2018
Fertility benefit services revenue |  | $ | 50,024 |  | $ | 26,389 |  | $ | 136,085 |  | $ | 72,004
Pharmacy benefit services revenue |  |  | 11,172 |  |  | 1,409 |  |  | 28,476 |  |  | 4,209
Total revenue |  | $ | 61,196 |  | $ | 27,798 |  | $ | 164,561 |  | $ | 76,213
Concentration of Major Clients For the nine months ended September 30, 2019 and 2018, each of our largest four clients represented 10% or more of our total revenue. One of our clients accounted for 16% and 24%, respectively. Another client accounted for 10% and 15%, respectively. A third client accounted for less than 10% and 10%, respectively. Lastly, a fourth client accounted for 12% for the nine months ended September 30, 2019. There are no material contract asset or contract liability balances as of September 30, 2019 and December 31, 2018.

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- Definition The entire disclosure of revenue from contract with customer to transfer good or service and to transfer nonfinancial asset. Includes, but is not limited to, disaggregation of revenue, credit loss recognized from contract with customer, judgment and change in judgment related to contract with customer, and asset recognized from cost incurred to obtain or fulfill contract with customer. Excludes insurance and lease contracts. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 606 -URI http://asc.fasb.org/topic&trid=49130388 + Details
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