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Summary of Significant Accounting Policies - Concentration of Credit Risk (Details) - Medicare
3 Months Ended 9 Months Ended 12 Months Ended
Sep. 30, 2023
Sep. 30, 2022
Sep. 30, 2023
Sep. 30, 2022
Dec. 31, 2022
Revenue Benchmark | Customer Concentration Risk          
Concentration Risk [Line Items]          
Concentration risk percentage 36.00% 53.00% 41.00% 54.00%  
Accounts Receivable | Credit Concentration Risk          
Concentration Risk [Line Items]          
Concentration risk percentage     36.00%   27.00%