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Segments (Details) Business Segment - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2016
Mar. 31, 2015
Segment Reporting Information [Line Items]    
Revenue $ 42,699 $ 33,310
Claims expenses 30,604 23,351
Other cost of revenue 4,791 4,377
Gross profit 7,304 5,582
Sales and marketing 3,840 3,651
Technology Services Costs 2,287 2,798
General and administrative 3,722 3,697
Operating loss (2,545) (4,564)
Subscription business    
Segment Reporting Information [Line Items]    
Revenue 39,143 30,056
Claims expenses 28,510 21,502
Other cost of revenue 3,693 3,264
Gross profit 6,940 5,290
Sales and marketing 3,802 3,625
Other business    
Segment Reporting Information [Line Items]    
Revenue 3,556 3,254
Claims expenses 2,094 1,849
Other cost of revenue 1,098 1,113
Gross profit 364 292
Sales and marketing $ 38 $ 26