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Medical Claims Payable (Reconciliation Of The Beginning And Ending Balances For Medical Claims Payable) (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Medical Claims Payable [Line Items]      
Gross medical claims payable, beginning of year $ 13,282 $ 11,135 $ 8,647
Ceded medical claims payable, beginning of year (21) (46) (33)
Net medical claims payable, beginning of year 13,261 11,089 8,614
Business combinations and purchase adjustments 133 420 339
Current Year Claims and Claims Adjustment Expense 113,414 100,440 85,094
Net incurred medical claims in prior years redundancies (869) (1,703) (637)
Total net incurred medical claims 112,545 98,737 84,457
Net payments attributable to current year medical claims 98,997 88,156 74,629
Net payments attributable to prior years medical claims 11,600 8,829 7,692
Total net payments 110,597 96,985 82,321
Net medical claims payable, end of year 15,342 13,261 11,089
Ceded medical claims payable, end of year 6 21 46
Gross medical claims payable, end of year 15,348 13,282 11,135
Commercial and Specialty Business Segment [Member]      
Medical Claims Payable [Line Items]      
Gross medical claims payable, beginning of year 3,847 3,294 3,039
Ceded medical claims payable, beginning of year (13) (13) (14)
Net medical claims payable, beginning of year 3,834 3,281 3,025
Business combinations and purchase adjustments 3 0  
Current Year Claims and Claims Adjustment Expense 30,067 28,132 24,894
Net incurred medical claims in prior years redundancies (154) (465) (375)
Total net incurred medical claims 29,913 27,667 24,519
Net payments attributable to current year medical claims 26,274 24,502 21,736
Net payments attributable to prior years medical claims 3,362 2,612 2,527
Total net payments 29,636 27,114 24,263
Net medical claims payable, end of year 4,114 3,834 3,281
Ceded medical claims payable, end of year 5 13 13
Gross medical claims payable, end of year 4,119 3,847 3,294
Government Business Segment [Member]      
Medical Claims Payable [Line Items]      
Gross medical claims payable, beginning of year 9,157 7,646 5,608
Ceded medical claims payable, beginning of year (8) (33) (19)
Net medical claims payable, beginning of year 9,149 7,613 5,589
Business combinations and purchase adjustments 130 375 141
Current Year Claims and Claims Adjustment Expense 81,795 70,670 58,912
Net incurred medical claims in prior years redundancies (630) (1,222) (262)
Total net incurred medical claims 81,165 69,448 58,650
Net payments attributable to current year medical claims 71,463 62,233 51,602
Net payments attributable to prior years medical claims 8,052 6,054 5,165
Total net payments 79,515 68,287 56,767
Net medical claims payable, end of year 10,929 9,149 7,613
Ceded medical claims payable, end of year 1 8 33
Gross medical claims payable, end of year 10,930 9,157 7,646
Other Segment [Member]      
Medical Claims Payable [Line Items]      
Gross medical claims payable, beginning of year 278 195 0
Ceded medical claims payable, beginning of year 0 0 0
Net medical claims payable, beginning of year 278 195 0
Business combinations and purchase adjustments 0 45 198
Current Year Claims and Claims Adjustment Expense 1,552 1,638 1,288
Net incurred medical claims in prior years redundancies (85) (16) 0
Total net incurred medical claims 1,467 1,622 1,288
Net payments attributable to current year medical claims 1,260 1,421 1,291
Net payments attributable to prior years medical claims 186 163 0
Total net payments 1,446 1,584 1,291
Net medical claims payable, end of year 299 278 195
Ceded medical claims payable, end of year 0 0 0
Gross medical claims payable, end of year $ 299 $ 278 $ 195