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General Information and Basis of Accounting - Schedule of Disaggregation Revenues by Services (Details) - USD ($)
$ in Thousands
 3 Months Ended
Mar. 31, 2026
Mar. 31, 2025
Disaggregation of Revenue [Line Items]    
Revenues $ 244,678 $ 231,330
PSAV | Revenue Benchmark | Contract Type    
Disaggregation of Revenue [Line Items]    
Customer concentration risk (as a percent) 83.60% 85.80%
PEPM | Revenue Benchmark | Contract Type    
Disaggregation of Revenue [Line Items]    
Customer concentration risk (as a percent) 9.60% 10.10%
Other | Revenue Benchmark | Contract Type    
Disaggregation of Revenue [Line Items]    
Customer concentration risk (as a percent) 6.80% 4.10%
Claims Intelligence Solutions    
Disaggregation of Revenue [Line Items]    
Revenues $ 166,305 $ 153,430
Claims Intelligence Solutions | PSAV    
Disaggregation of Revenue [Line Items]    
Revenues 147,297 138,744
Claims Intelligence Solutions | PEPM    
Disaggregation of Revenue [Line Items]    
Revenues 11,839 10,731
Claims Intelligence Solutions | Other    
Disaggregation of Revenue [Line Items]    
Revenues 7,169 3,955
Network Solutions    
Disaggregation of Revenue [Line Items]    
Revenues 47,476 46,890
Network Solutions | PSAV    
Disaggregation of Revenue [Line Items]    
Revenues 26,379 28,882
Network Solutions | PEPM    
Disaggregation of Revenue [Line Items]    
Revenues 11,650 12,448
Network Solutions | Other    
Disaggregation of Revenue [Line Items]    
Revenues 9,447 5,560
Payment and Revenue Integrity Solutions    
Disaggregation of Revenue [Line Items]    
Revenues 30,897 31,010
Payment and Revenue Integrity Solutions | PSAV    
Disaggregation of Revenue [Line Items]    
Revenues 30,802 30,889
Payment and Revenue Integrity Solutions | PEPM    
Disaggregation of Revenue [Line Items]    
Revenues $ 95 $ 121