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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, 2021
Mar. 31, 2020
Dec. 31, 2020
Medicare | Revenue Benchmark      
Disaggregation of Revenue [Line Items]      
Percent of total revenue 18.00% 25.00%  
Blue Shield | Revenue Benchmark      
Disaggregation of Revenue [Line Items]      
Percent of total revenue 12.00% 12.00%  
Blue Shield | Accounts Receivable      
Disaggregation of Revenue [Line Items]      
Percent of total revenue 13.00%   11.00%
Medicare Advantage | Revenue Benchmark      
Disaggregation of Revenue [Line Items]      
Percent of total revenue 12.00% 13.00%  
United Healthcare | Revenue Benchmark      
Disaggregation of Revenue [Line Items]      
Percent of total revenue   10.00%  
Janssen (SIMPONI) | Accounts Receivable      
Disaggregation of Revenue [Line Items]      
Percent of total revenue 25.00%   35.00%