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Segment Information (Tables)
9 Months Ended
Sep. 30, 2020
Segment Reporting [Abstract]  
Financial Data By Reportable Segment
Financial data by reportable segment for the three and nine months ended September 30, 2020 and 2019 is as follows:
Commercial
& Specialty
Business
Government
Business
IngenioRxOtherEliminationsTotal
Three Months Ended September 30, 2020
Operating revenue - unaffiliated$9,326 $18,101 $2,598 $624 $— $30,649 
Operating revenue - affiliated— — 2,984 1,174 (4,158)— 
Operating (loss) gain(234)246 345 (156)— 201 
Three Months Ended September 30, 2019
Operating revenue - unaffiliated$9,284 $15,955 $774 $431 $— $26,444 
Operating revenue - affiliated— — 1,148 155 (1,303)— 
Operating gain (loss)924 616 — (12)— 1,528 
Nine Months Ended September 30, 2020
Operating revenue - unaffiliated$27,476 $52,809 $7,485 $1,505 $— $89,275 
Operating revenue - affiliated— — 8,563 2,772 (11,335)— 
Operating gain (loss)2,558 2,275 998 (76)— 5,755 
Nine Months Ended September 30, 2019
Operating revenue - unaffiliated$28,093 $46,419 $880 $617 $— $76,009 
Operating revenue - affiliated— — 1,290 1,063 (2,353)— 
Operating gain (loss)3,505 1,470 — (74)— 4,901 
Major Product Revenue by Segment
The major product revenues for each of the reportable segments for the three and nine months ended September 30, 2020 and 2019 are as follows:
Three Months Ended 
 September 30
Nine Months Ended 
 September 30
2020201920202019
Commercial & Specialty Business
Managed care products
$7,523 $7,542 $22,209 $22,806 
Managed care services
1,391 1,330 4,036 4,049 
Dental/Vision products and services
318 325 917 975 
Other
94 87 314 263 
Total Commercial & Specialty Business
9,326 9,284 27,476 28,093 
Government Business
Managed care products
17,999 15,847 52,523 46,111 
Managed care services
102 108 286 308 
Total Government Business
18,101 15,955 52,809 46,419 
IngenioRx
Pharmacy products and services5,582 1,922 16,048 2,170 
Total IngenioRx
5,582 1,922 16,048 2,170 
Other
Other
1,798 586 4,277 1,680 
Eliminations
Eliminations
(4,158)(1,303)(11,335)(2,353)
Total product revenues
$30,649 $26,444 $89,275 $76,009 
Reconciliation Of Reportable Segments Operating Revenues To Total Revenues Reported In The Consolidated Statements Of Income
A reconciliation of reportable segments’ operating revenue to the amounts of total revenues included in our consolidated statements of income for the three and nine months ended September 30, 2020 and 2019 is as follows:
 Three Months Ended 
 September 30
Nine Months Ended 
 September 30
 2020201920202019
Reportable segments’ operating revenue$30,649 $26,444 $89,275 $76,009 
Net investment income280 242 591 737 
Net realized gains on financial instruments247 241 90 
Impairment losses recognized in income(18)(13)(64)(30)
Total revenues$31,158 $26,674 $90,043 $76,806 
Reconciliation Of Reportable Segments Operating Gain To Income Before Income Tax Expense Included In The Consolidated Statements Of Income
A reconciliation of reportable segments’ operating gain to income before income tax expense included in our consolidated statements of income for the three and nine months ended September 30, 2020 and 2019 is as follows:
 Three Months Ended 
 September 30
Nine Months Ended 
 September 30
 2020201920202019
Reportable segments’ operating gain$201 $1,528 $5,755 $4,901 
Net investment income280 242 591 737 
Net realized gains on financial instruments247 241 90 
Impairment losses recognized in income(18)(13)(64)(30)
Interest expense(198)(185)(593)(556)
Amortization of other intangible assets(93)(84)(269)(256)
(Loss) gain on extinguishment of debt(30)— (34)
Income before income tax expense$389 $1,489 $5,627 $4,887