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10-Q Medical Claims Payable (Reconciliation Of The Beginning And Ending Balances For Medical Claims Payable) (Details) - USD ($)
$ in Millions
3 Months Ended 9 Months Ended 12 Months Ended
Sep. 30, 2023
Jun. 30, 2023
Mar. 31, 2023
Sep. 30, 2022
Jun. 30, 2022
Mar. 31, 2022
Sep. 30, 2023
Sep. 30, 2022
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Medical Claims Payable [Line Items]                      
Gross medical claims payable, beginning of period     $ 15,348     $ 13,282 $ 15,348 $ 13,282 $ 13,282 $ 11,135 $ 8,647
Ceded medical claims payable, beginning of period     (6)     (21) (6) (21) (21) (46) (33)
Net medical claims payable, beginning of period     15,342     13,261 15,342 13,261 13,261 11,089 8,614
Business combinations and purchase adjustments             0 133      
Current period net incurred medical claims             91,058 84,177 113,414 100,440 85,094
Prior periods redundancies             (1,342) (901) (869) (1,703) (637)
Total net incurred medical claims $ 29,538 $ 30,495 $ 29,683 $ 28,511 $ 27,634 $ 27,131 89,716 83,276 112,545 98,737 84,457
Net payments attributable to current period medical claims             77,048 70,453 98,997 88,156 74,629
Net payments attributable to prior periods medical claims             12,097 11,219 11,600 8,829 7,692
Total net payments             89,145 81,672 110,597 96,985 82,321
Net medical claims payable, end of period 15,913     14,998     15,913 14,998 15,342 13,261 11,089
Ceded medical claims payable, end of period 4     3     4 3 6 21 46
Gross medical claims payable, end of period $ 15,917     $ 15,001     $ 15,917 $ 15,001 $ 15,348 $ 13,282 $ 11,135