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Details of Intangible Assets Included in Other Long-Term Assets (Detail) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2015
Dec. 31, 2014
Acquired Finite-Lived Intangible Assets [Line Items]    
Weighted Average Life 9 years 9 months 18 days  
Cost $ 753 $ 865
Accumulated Amortization 396 425
Net $ 357 440
Customer contracts/relationships    
Acquired Finite-Lived Intangible Assets [Line Items]    
Weighted Average Life 9 years 9 months 18 days  
Cost $ 566 657
Accumulated Amortization 292 326
Net $ 274 331
Trade names and technology    
Acquired Finite-Lived Intangible Assets [Line Items]    
Weighted Average Life 8 years 3 months 18 days  
Cost $ 104 115
Accumulated Amortization 54 50
Net $ 50 65
Provider contracts    
Acquired Finite-Lived Intangible Assets [Line Items]    
Weighted Average Life 14 years 7 months 6 days  
Cost $ 51 52
Accumulated Amortization 24 21
Net $ 27 31
Noncompetes and other    
Acquired Finite-Lived Intangible Assets [Line Items]    
Weighted Average Life 8 years 2 months 12 days  
Cost $ 32 41
Accumulated Amortization 26 28
Net $ 6 $ 13