Consolidated Statement of Operations - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2022	Sep. 30, 2021	Sep. 30, 2022	Sep. 30, 2021
Income Statement [Abstract]
Revenues	$ 233,760	$ 181,667	$ 659,170	$ 504,612
Claims Expense	171,112	125,058	473,654	353,210
Other Cost of Services Sold	32,589	28,443	96,980	77,591
Cost of Revenue	203,701	153,501	570,634	430,801
Technology and Development Expense	6,553	4,391	18,178	12,201
General and Administrative Expense	10,314	8,246	28,907	22,897
Selling and Marketing Expense	22,434	19,708	67,043	58,802
Depreciation, Depletion and Amortization	2,600	2,944	8,024	9,195
Operating Expenses	41,901	35,289	122,152	103,095
Income (Loss) from Equity Method Investments	(57)	(69)	(168)	(149)
Operating Income (Loss), Total	(11,899)	(7,192)	(33,784)	(29,433)
Interest Expense	1,408	0	2,680	1
Other Nonoperating Income (Expense)	(889)	(61)	(1,568)	(222)
Income (Loss) from Continuing Operations before Income Taxes, Noncontrolling Interest	(12,418)	(7,131)	(34,896)	(29,212)
Income Tax Expense (Benefit)	496	(312)	491	(724)
Net Income (Loss) Available to Common Stockholders, Basic, Total	$ (12,914)	$ (6,819)	$ (35,387)	$ (28,488)
Earnings Per Share, Basic and Diluted [Abstract]
Earnings Per Share, Basic	$ (0.32)	$ (0.17)	$ (0.87)	$ (0.71)
Earnings Per Share, Diluted	$ (0.32)	$ (0.17)	$ (0.87)	$ (0.71)
Weighted Average Number of Shares Outstanding, Basic	40,799,819	40,283,818	40,707,677	40,044,518
Weighted Average Number of Shares Outstanding, Diluted	40,799,819	40,283,818	40,707,677	40,044,518