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General Information and Basis of Accounting - Disaggregation of Revenue (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2021	Sep. 30, 2020	Sep. 30, 2021	Sep. 30, 2020
Disaggregation of Revenue [Line Items]
Revenues	$ 288,212	$ 223,517	$ 819,348	$ 682,419
Network-Based Services
Disaggregation of Revenue [Line Items]
Revenues	66,966	65,323	208,404	200,448
Network-Based Services | PSAV
Disaggregation of Revenue [Line Items]
Revenues	51,361	49,721	160,900	153,127
Network-Based Services | PEPM
Disaggregation of Revenue [Line Items]
Revenues	14,094	13,772	41,671	41,643
Network-Based Services | Other
Disaggregation of Revenue [Line Items]
Revenues	1,511	1,830	5,833	5,678
Analytics-Based Services
Disaggregation of Revenue [Line Items]
Revenues	185,812	133,119	513,765	407,216
Analytics-Based Services | PSAV
Disaggregation of Revenue [Line Items]
Revenues	181,701	132,541	501,381	405,849
Analytics-Based Services | PEPM
Disaggregation of Revenue [Line Items]
Revenues	4,111	578	12,384	1,367
Payment and Revenue Integrity Services
Disaggregation of Revenue [Line Items]
Revenues	35,434	25,075	97,179	74,755
Payment and Revenue Integrity Services | PSAV
Disaggregation of Revenue [Line Items]
Revenues	35,357	25,054	96,904	74,690
Payment and Revenue Integrity Services | PEPM
Disaggregation of Revenue [Line Items]
Revenues	$ 77	$ 21	$ 275	$ 65

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