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Health Care Costs Payable - Incurred and Paid Health Care Claims Development (Details) - Health Insurance Product Line - USD ($)
$ in Millions
Dec. 31, 2022
Dec. 31, 2021
Claims Development [Line Items]    
Incurred Health Care Claims, Net of Reinsurance $ 131,444  
Cumulative Paid Health Care Claims, Net of Reinsurance 121,714  
All outstanding liabilities for health care costs payable prior to 2021, net of reinsurance 196  
Total outstanding liabilities for health care costs payable, net of reinsurance 9,926  
2021    
Claims Development [Line Items]    
Incurred Health Care Claims, Net of Reinsurance 62,259 $ 62,830
Cumulative Paid Health Care Claims, Net of Reinsurance 62,144 $ 54,600
2022    
Claims Development [Line Items]    
Incurred Health Care Claims, Net of Reinsurance 69,185  
Cumulative Paid Health Care Claims, Net of Reinsurance $ 59,570