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Health Care Costs Payable (Tables)
9 Months Ended
Sep. 30, 2022
Health Care and Other Insurance Liabilities [Abstract]  
Schedule of Liability for Unpaid Claims and Claims Adjustment Expense
The following table shows the components of the change in health care costs payable during the nine months ended September 30, 2022 and 2021:
Nine Months Ended
September 30,
In millions20222021
Health care costs payable, beginning of the period$8,808 $7,936 
Less: Reinsurance recoverables10 
Health care costs payable, beginning of the period, net8,800 7,926 
Add: Components of incurred health care costs
  Current year53,311 48,243 
  Prior years(670)(771)
Total incurred health care costs (1)
52,641 47,472 
Less: Claims paid
  Current year43,632 39,887 
  Prior years7,468 6,639 
Total claims paid51,100 46,526 
Add: Premium deficiency reserve
Health care costs payable, end of the period, net10,346 8,873 
Add: Reinsurance recoverables
Health care costs payable, end of the period$10,351 $8,877 
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(1)Total incurred health care costs for the nine months ended September 30, 2022 and 2021 in the table above exclude (i) $5 million and $1 million, respectively, for premium deficiency reserves related to the Company’s Medicaid products, (ii) $56 million and $45 million, respectively, of benefit costs recorded in the Health Care Benefits segment that are included in other insurance liabilities on the unaudited condensed consolidated balance sheets and (iii) $274 million and $168 million, respectively, of benefit costs recorded in the Corporate/Other segment that are included in other insurance liabilities on the unaudited condensed consolidated balance sheets.