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Percentage of Net Revenue and Total Accounts Receivable (Detail) | 3 Months Ended | 9 Months Ended | 12 Months Ended
--- | --- | --- | ---
Sep. 30, 2018 | Sep. 30, 2017 | Sep. 30, 2018 | Sep. 30, 2017 | Dec. 31, 2017
Sales Revenue, Net [Member] | Payor A [Member] |  |  |  |  |  |  |
Accounts Receivable And Net Revenue [Line Items] |  |  |  |  |  |  |
Concentration Risk, Percentage | 15.70% |  | 13.50% | 14.00% |  | 13.30% |
Sales Revenue, Net [Member] | Payor B [Member] |  |  |  |  |  |  |
Accounts Receivable And Net Revenue [Line Items] |  |  |  |  |  |  |
Concentration Risk, Percentage | 22.60% |  | 14.90% | 19.20% |  | 18.60% |
Sales Revenue, Net [Member] | Payor C [Member] |  |  |  |  |  |  |
Accounts Receivable And Net Revenue [Line Items] |  |  |  |  |  |  |
Concentration Risk, Percentage |  | [1] | 10.20% |  | [1] | 11.30% |
Sales Revenue, Net [Member] | Payor D [Member] |  |  |  |  |  |  |
Accounts Receivable And Net Revenue [Line Items] |  |  |  |  |  |  |
Concentration Risk, Percentage | 14.80% |  | 10.00% | 14.00% |  | 11.50% |
Accounts Receivable [Member] | Payor E [Member] |  |  |  |  |  |  |
Accounts Receivable And Net Revenue [Line Items] |  |  |  |  |  |  |
Concentration Risk, Percentage |  |  |  | 19.60% |  |  | 23.80%
Accounts Receivable [Member] | Payor F [Member] |  |  |  |  |  |  |
Accounts Receivable And Net Revenue [Line Items] |  |  |  |  |  |  |
Concentration Risk, Percentage |  |  |  | 48.80% |  |  | 30.50%
[1] | Less than 10% of total net revenues

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