XML 133 R115.htm IDEA: XBRL DOCUMENT v3.20.4
Segment Reporting - Narrative (Details) - Segment
12 Months Ended
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
Concentration Risk [Line Items]      
Number of operating segments 3    
Aetna Inc. | Customer Concentration Risk | Revenues      
Concentration Risk [Line Items]      
Concentration risk, percentage ("Less than" - 2018 Federal Government)     9.80%
US Federal Government | Customer Concentration Risk | Revenues      
Concentration Risk [Line Items]      
Concentration risk, percentage ("Less than" - 2018 Federal Government) 14.00% 13.00% 10.00%