Consolidated Statement of Operations - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2024	Mar. 31, 2023
Income Statement [Abstract]
Revenues	$ 306,121	$ 256,329
Claims Expense	233,569	194,137
Other Cost of Services Sold	36,325	35,846
Cost of Revenue	269,894	229,983
Technology and Development Expense	6,960	4,900
General and Administrative Expense	14,673	21,017
Selling and Marketing Expense	16,843	21,642
Depreciation, Depletion and Amortization	3,785	3,202
Operating Expenses	42,261	50,761
Income (Loss) from Equity Method Investments	(103)	(71)
Operating Income (Loss), Total	(6,137)	(24,486)
Interest Expense	3,596	2,387
Other Nonoperating Income (Expense)	(2,843)	(1,902)
Income (Loss) from Continuing Operations before Income Taxes, Noncontrolling Interest	(6,890)	(24,971)
Income Tax Expense (Benefit)	(38)	(191)
Net Income (Loss) Available to Common Stockholders, Basic, Total	$ (6,852)	$ (24,780)
Earnings Per Share, Basic and Diluted [Abstract]
Earnings Per Share, Basic	$ (0.16)	$ (0.60)
Earnings Per Share, Diluted	$ (0.16)	$ (0.60)
Weighted Average Number of Shares Outstanding, Basic	41,917,094	41,107,889
Weighted Average Number of Shares Outstanding, Diluted	41,917,094	41,107,889