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Revenue from Contracts with Customers
12 Months Ended
Dec. 31, 2020
Revenue from Contract with Customer [Abstract]  
Revenue from Contracts with Customers Revenue from Contracts with Customers
Disaggregation of Revenue
The following table summarizes revenue from contracts with customers by principal service line (in millions):
Years ended December 31
202020192018
Commercial Risk Solutions$4,690 $4,673 $4,652 
Reinsurance Solutions1,814 1,686 1,563 
Retirement Solutions1,753 1,817 1,865 
Health Solutions1,655 1,667 1,596 
Data & Analytic Services1,171 1,184 1,105 
Elimination(17)(14)(11)
Total revenue$11,066 $11,013 $10,770 
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):
Years ended December 31
202020192018
U.S.$5,032 $5,016 $4,677 
Americas other than U.S.911 919 940 
U.K.1,579 1,502 1,555 
Ireland84 75 80 
Europe, Middle East, & Africa other than U.K. and Ireland2,236 2,263 2,333 
Asia Pacific1,224 1,238 1,185 
Total revenue$11,066 $11,013 $10,770 

Contract Costs

Changes in the net carrying amount of costs to fulfill contracts with customers are as follows (in millions):
20202019
Balance at beginning of period$335 $329 
Additions1,360 1,453 
Amortization(1,360)(1,447)
Impairment— — 
Foreign currency translation and other— 
Balance at end of period$339 $335 
Changes in the net carrying amount of costs to obtain contracts with customers are as follows (in millions):
20202019
Balance at beginning of period$171 $156 
Additions61 58 
Amortization(47)(44)
Impairment— — 
Foreign currency translation and other(1)
Balance at end of period$184 $171