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Medical Claims Payable (Reconciliation Of The Beginning And Ending Balances For Medical Claims Payable By Segment) (Details) - USD ($)
$ in Millions
3 Months Ended
Mar. 31, 2020
Mar. 31, 2019
Medical Claims Payable [Line Items]    
Gross medical claims payable, beginning of period $ 8,647 $ 7,266
Ceded medical claims payable, beginning of period (33) (34)
Net medical claims payable, beginning of period 8,614 7,232
Business combinations and purchase adjustments 339  
Current period net incurred medical claims 21,230 18,794
Prior periods redundancies (700) (455)
Total net incurred medical claims 20,530 18,339
Net payments attributable to current period medical claims 13,744 12,163
Net payments attributable to prior periods medical claims 6,109 5,414
Total net payments 19,853 17,577
Short duration contract liability for unpaid claims and adjustment expense, Net 9,630 7,994
Ceded medical claims payable, end of period 60 34
Gross medical claims payable, end of period 9,690 8,028
Commercial Specialty Business Segment [Member]    
Medical Claims Payable [Line Items]    
Gross medical claims payable, beginning of period 3,039 2,586
Ceded medical claims payable, beginning of period (14) (10)
Net medical claims payable, beginning of period 3,025 2,576
Business combinations and purchase adjustments 0  
Current period net incurred medical claims 6,090 6,053
Prior periods redundancies (293) (197)
Total net incurred medical claims 5,797 5,856
Net payments attributable to current period medical claims 3,908 3,898
Net payments attributable to prior periods medical claims 1,875 1,766
Total net payments 5,783 5,664
Short duration contract liability for unpaid claims and adjustment expense, Net 3,039 2,768
Ceded medical claims payable, end of period 37 8
Gross medical claims payable, end of period 3,076 2,776
Government Business Segment [Member]    
Medical Claims Payable [Line Items]    
Gross medical claims payable, beginning of period 5,608 4,680
Ceded medical claims payable, beginning of period (19) (24)
Net medical claims payable, beginning of period 5,589 4,656
Business combinations and purchase adjustments 141  
Current period net incurred medical claims 15,010 12,741
Prior periods redundancies (407) (258)
Total net incurred medical claims 14,603 12,483
Net payments attributable to current period medical claims 9,698 8,265
Net payments attributable to prior periods medical claims 4,234 3,648
Total net payments 13,932 11,913
Short duration contract liability for unpaid claims and adjustment expense, Net 6,401 5,226
Ceded medical claims payable, end of period 23 26
Gross medical claims payable, end of period 6,424 5,252
Other Segment [Member]    
Medical Claims Payable [Line Items]    
Gross medical claims payable, beginning of period 0 0
Ceded medical claims payable, beginning of period 0 0
Net medical claims payable, beginning of period 0 0
Business combinations and purchase adjustments 198  
Current period net incurred medical claims 130 0
Prior periods redundancies 0 0
Total net incurred medical claims 130 0
Net payments attributable to current period medical claims 138 0
Net payments attributable to prior periods medical claims 0 0
Total net payments 138 0
Short duration contract liability for unpaid claims and adjustment expense, Net 190 0
Ceded medical claims payable, end of period 0 0
Gross medical claims payable, end of period $ 190 $ 0