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Revenue from Contracts with Customers (Tables)
9 Months Ended
Sep. 30, 2020
Revenue from Contract with Customer [Abstract]  
Schedule of Disaggregation of Revenue
The following table summarizes revenue from contracts with customers by principal service line (in millions):
Three Months Ended September 30,Nine Months Ended September 30,
2020201920202019
Commercial Risk Solutions$1,042 $1,057 $3,314 $3,342 
Reinsurance Solutions321 291 1,617 1,499 
Retirement Solutions468 484 1,258 1,323 
Health Solutions282 279 1,042 1,082 
Data & Analytic Services278 271 883 893 
Elimination(6)(3)(13)(11)
Total revenue$2,385 $2,379 $8,101 $8,128 
Consolidated revenue from contracts with customers by geographic area, which is attributed on the basis of where the services are performed, is as follows (in millions):
Three Months Ended September 30,Nine Months Ended September 30,
2020201920202019
United States$1,169 $1,209 $3,503 $3,516 
Americas other than United States200 256 647 723 
United Kingdom332 358 1,276 1,210 
Ireland19 17 63 59 
Europe, Middle East, & Africa other than United Kingdom and Ireland372 266 1,731 1,734 
Asia Pacific293 273 881 886 
Total revenue$2,385 $2,379 $8,101 $8,128 
Schedule of Capitalized Contract Cost
An analysis of the changes in the net carrying amount of costs to fulfill contracts with customers are as follows (in millions):
Three Months Ended September 30,Nine Months Ended September 30,
2020201920202019
Balance at beginning of period$193 $216 $335 $329 
Additions291 326 883 1,008 
Amortization(266)(299)(995)(1,095)
Impairment— — — — 
Foreign currency translation and other(4)(3)(3)
Balance at end of period$220 $239 $220 $239 

An analysis of the changes in the net carrying amount of costs to obtain contracts with customers are as follows (in millions):
Three Months Ended September 30,Nine Months Ended September 30,
2020201920202019
Balance at beginning of period$172 $161 $171 $156 
Additions15 14 43 40 
Amortization(12)(11)(35)(33)
Impairment— — — — 
Foreign currency translation and other(1)(3)— 
Balance at end of period$176 $163 $176 $163