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Revenue from Contracts with Customers
9 Months Ended
Sep. 30, 2023
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):
Three Months Ended September 30,Nine Months Ended September 30,
2023202220232022
Commercial Risk Solutions$1,585 $1,482 $5,137 $4,893 
Reinsurance Solutions465 396 2,149 1,909 
Health Solutions552 494 1,670 1,546 
Wealth Solutions352 326 1,054 1,014 
Eliminations(1)(2)(9)(13)
Total revenue$2,953 $2,696 $10,001 $9,349 
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,
2023202220232022
United States$1,400 $1,338 $4,322 $4,094 
Americas other than United States281 250 890 814 
United Kingdom396 331 1,456 1,348 
Ireland24 22 82 76 
Europe, Middle East, & Africa other than United Kingdom and Ireland479 403 2,093 1,930 
Asia Pacific373 352 1,158 1,087 
Total revenue$2,953 $2,696 $10,001 $9,349 
Contract Costs
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,
2023202220232022
Balance at beginning of period$242 $239 $355 $361 
Additions357 320 1,074 1,022 
Amortization(321)(291)(1,156)(1,109)
Impairment— — — — 
Foreign currency translation and other(5)(12)— (18)
Balance at end of period$273 $256 $273 $256 
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,
2023202220232022
Balance at beginning of period$186 $182 $185 $179 
Additions14 37 35 
Amortization(13)(12)(38)(36)
Impairment— — — — 
Foreign currency translation and other(1)(2)(2)
Balance at end of period$186 $176 $186 $176