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Acquisition - Summary of new impact due to acquisition (Details) - USD ($)
12 Months Ended
Apr. 17, 2015
Dec. 31, 2015
Dec. 31, 2014
Dec. 31, 2013
Business Acquisition [Line Items]        
Cash consideration   $ (4,000,000) $ 0 $ 0
Debt discount associated with Warrant   (2,785,000)    
Additional paid-in capital: fair value of Warrant   $ 2,656,000    
Common stock, par value (in usd per share)   $ 0.04 $ 0.04  
Accountable Health Solutions, Inc Asset Purchase Agreement [Member]        
Business Acquisition [Line Items]        
Cash consideration $ (4,000,000)      
Common Stock (6,500,000 shares at $0.04 par) 3,000,000      
Additional paid-in capital: issuance of shares 2,740,000      
Additional paid-in capital: fair value of Warrant 2,656,000      
Net increase to APIC with Acquisition $ 5,396,000      
Common stock issued for acquisition (shares) 6,500,000      
Common stock, par value (in usd per share) $ 0.04      
Accountable Health Solutions, Inc Asset Purchase Agreement [Member] | Common Stock [Member]        
Business Acquisition [Line Items]        
Common Stock (6,500,000 shares at $0.04 par) $ 260,000      
Contingently issuable warrant [Member]        
Business Acquisition [Line Items]        
Derivative liability with additional warrant feature (908,000)      
Term Loan [Member]        
Business Acquisition [Line Items]        
Loan amount   $ 5,000,000    
Term Loan [Member] | 2015 Credit Agreement [Member]        
Business Acquisition [Line Items]        
Loan amount 5,000,000      
Net proceeds from Credit Agreement 1,000,000      
Net debt recorded with Acquisition 1,436,000      
Term Loan [Member] | Warrant one [Member] | 2015 Credit Agreement [Member]        
Business Acquisition [Line Items]        
Debt discount associated with Warrant $ (2,656,000)