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Summary Of Significant Accounting Policeies - Revenue by Major Payers (Details)
3 Months Ended 12 Months Ended
Mar. 31, 2020
Mar. 31, 2019
Dec. 31, 2019
Medicare | Revenue Benchmark | Customer Concentration Risk      
Disaggregation of Revenue [Line Items]      
Percent of total revenue 25.00% 26.00%  
Blue Shield | Revenue Benchmark | Customer Concentration Risk      
Disaggregation of Revenue [Line Items]      
Percent of total revenue 12.00% 13.00%  
Blue Shield | Accounts Receivable | Customer Concentration Risk      
Disaggregation of Revenue [Line Items]      
Percent of total revenue 14.00%   15.00%
United Healthcare | Revenue Benchmark | Customer Concentration Risk      
Disaggregation of Revenue [Line Items]      
Percent of total revenue 10.00% 11.00%  
United Healthcare | Accounts Receivable | Customer Concentration Risk      
Disaggregation of Revenue [Line Items]      
Percent of total revenue 22.00%   22.00%
Medicare Advantage | Revenue Benchmark | Customer Concentration Risk      
Disaggregation of Revenue [Line Items]      
Percent of total revenue 13.00% 10.00%  
Janssen (SIMPONI) | Accounts Receivable | Customer Concentration Risk      
Disaggregation of Revenue [Line Items]      
Percent of total revenue     19.00%
AVISE CTD Test | Revenue Benchmark | Product Concentration Risk      
Disaggregation of Revenue [Line Items]      
Percent of total revenue 83.00% 85.00%