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Summary of Significant Accounting Policies - Revenue by Major Payers (Details) - Customer Concentration Risk
3 Months Ended 12 Months Ended
Mar. 31, 2020
Dec. 31, 2020
Dec. 31, 2019
Medicare | Revenue Benchmark      
Disaggregation of Revenue [Line Items]      
Percent of total revenue   20.00% 25.00%
Janssen (SIMPONI) | Revenue Benchmark      
Disaggregation of Revenue [Line Items]      
Percent of total revenue   12.00%  
Janssen (SIMPONI) | Accounts Receivable      
Disaggregation of Revenue [Line Items]      
Percent of total revenue   35.00% 19.00%
Blue Shield | Revenue Benchmark      
Disaggregation of Revenue [Line Items]      
Percent of total revenue   11.00% 12.00%
Blue Shield | Accounts Receivable      
Disaggregation of Revenue [Line Items]      
Percent of total revenue 15.00% 11.00%  
Medicare Advantage | Revenue Benchmark      
Disaggregation of Revenue [Line Items]      
Percent of total revenue   11.00% 11.00%
United Healthcare | Revenue Benchmark      
Disaggregation of Revenue [Line Items]      
Percent of total revenue     11.00%
United Healthcare | Accounts Receivable      
Disaggregation of Revenue [Line Items]      
Percent of total revenue 22.00%