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Medical Claims and Benefits Payable - Cumulative Paid Claims and Allocated Claims Adjustment Expenses (Details) - USD ($)
$ in Millions
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Product Information [Line Items]      
Claims paid $ 64,189    
Benefit Year 2020      
Product Information [Line Items]      
Claims paid 15,973 $ 16,004 $ 13,871
Benefit Year 2021      
Product Information [Line Items]      
Claims paid 23,871 $ 21,148  
Benefit Year 2022      
Product Information [Line Items]      
Claims paid $ 24,345