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v3.22.4

Reserves for Claims and Performance-Based Arrangements (Details) - USD ($) $ in Thousands | 12 Months Ended
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Dec. 31, 2022 | Dec. 31, 2021
Liability for Unpaid Claims and Claims Adjustment Expense [Roll Forward] |  |
Balance, beginning of period | $ 171,294 | $ 178,828
Incurred health care costs: |  |
Current year to date period | 605,757 | 457,804
Prior year to date period | (11,512) | 7,109
Total claims incurred | 594,245 | 464,913
Claims paid related to: |  |
Current year to date period | (427,994) | (346,828)
Prior year to date period | (137,815) | (125,619)
Total claims paid | (565,809) | (472,447)
Balance, end of period | 199,730 | 171,294
Evolent Health Services |  |
Liability for Unpaid Claims and Claims Adjustment Expense [Roll Forward] |  |
Balance, beginning of period | 25,618 | 56,296
Incurred health care costs: |  |
Current year to date period | 0 | 8,632
Prior year to date period | (8,176) | 7,036
Total claims incurred | (8,176) | 15,668
Claims paid related to: |  |
Current year to date period | 0 | (20,802)
Prior year to date period | (12,911) | (25,544)
Total claims paid | (12,911) | (46,346)
Balance, end of period | 4,531 | 25,618
Clinical Solutions |  |
Liability for Unpaid Claims and Claims Adjustment Expense [Roll Forward] |  |
Balance, beginning of period | 145,676 | 122,532
Incurred health care costs: |  |
Current year to date period | 605,757 | 449,172
Prior year to date period | (3,336) | 73
Total claims incurred | 602,421 | 449,245
Claims paid related to: |  |
Current year to date period | (427,994) | (326,026)
Prior year to date period | (124,904) | (100,075)
Total claims paid | (552,898) | (426,101)
Balance, end of period | $ 195,199 | $ 145,676

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- Definition The amount needed to reflect the estimated ultimate cost of settling claims relating to insured events that have occurred on or before the balance sheet date, whether or not reported to the insurer at that date. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 40 -Section 50 -Paragraph 3 -Subparagraph (a) -URI https://asc.fasb.org/extlink&oid=116884095&loc=d3e14764-158437 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 40 -Section 50 -Paragraph 3 -Subparagraph (cc) -URI https://asc.fasb.org/extlink&oid=116884095&loc=d3e14764-158437 + Details
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- Definition Amount, after effects of reinsurance, of payments to settle claims incurred in the current period and related claims settlement costs. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 40 -Section 50 -Paragraph 3 -Subparagraph (c) -URI https://asc.fasb.org/extlink&oid=116884095&loc=d3e14764-158437 + Details
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- Definition Amount, after effects of reinsurance, of payments to settle claims incurred in prior periods and related claims settlement costs. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 40 -Section 50 -Paragraph 3 -Subparagraph (c) -URI https://asc.fasb.org/extlink&oid=116884095&loc=d3e14764-158437 + Details
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- Definition Amount, after effects of reinsurance, of expense (reversal of expense) for claims incurred and costs incurred in the claim settlement process. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 40 -Section 50 -Paragraph 3 -Subparagraph (b) -URI https://asc.fasb.org/extlink&oid=116884095&loc=d3e14764-158437 + Details
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- Definition Amount, after effects of reinsurance, of expense for claims incurred in the current reporting period and related claims settlement costs. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 40 -Section 50 -Paragraph 3 -Subparagraph (b) -URI https://asc.fasb.org/extlink&oid=116884095&loc=d3e14764-158437 + Details
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