XML 64 R51.htm IDEA: XBRL DOCUMENT v3.22.1
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, 2022
Mar. 31, 2021
Medical Claims Payable [Line Items]    
Gross medical claims payable, beginning of period $ 13,282 $ 11,135
Ceded medical claims payable, beginning of period (21) (46)
Net medical claims payable, beginning of period 13,261 11,089
Business combinations and purchase adjustments 3  
Current period net incurred medical claims 28,064 24,215
Prior periods redundancies (933) (1,488)
Total net incurred medical claims 27,131 22,727
Net payments attributable to current period medical claims 17,116 15,031
Net payments attributable to prior periods medical claims 8,826 6,748
Total net payments 25,942 21,779
Net medical claims payable, end of period 14,453 12,037
Ceded medical claims payable, end of period 17 39
Gross medical claims payable, end of period 14,470 12,076
Commercial & Specialty Business Segment [Member]    
Medical Claims Payable [Line Items]    
Gross medical claims payable, beginning of period 3,847 3,294
Ceded medical claims payable, beginning of period (13) (13)
Net medical claims payable, beginning of period 3,834 3,281
Business combinations and purchase adjustments 3  
Current period net incurred medical claims 7,070 6,575
Prior periods redundancies (236) (503)
Total net incurred medical claims 6,834 6,072
Net payments attributable to current period medical claims 4,571 4,164
Net payments attributable to prior periods medical claims 2,232 1,746
Total net payments 6,803 5,910
Net medical claims payable, end of period 3,868 3,443
Ceded medical claims payable, end of period 9 9
Gross medical claims payable, end of period 3,877 3,452
Government Business Segment [Member]    
Medical Claims Payable [Line Items]    
Gross medical claims payable, beginning of period 9,157 7,646
Ceded medical claims payable, beginning of period (8) (33)
Net medical claims payable, beginning of period 9,149 7,613
Business combinations and purchase adjustments 0  
Current period net incurred medical claims 20,586 17,289
Prior periods redundancies (643) (970)
Total net incurred medical claims 19,943 16,319
Net payments attributable to current period medical claims 12,331 10,650
Net payments attributable to prior periods medical claims 6,457 4,856
Total net payments 18,788 15,506
Net medical claims payable, end of period 10,304 8,426
Ceded medical claims payable, end of period 8 30
Gross medical claims payable, end of period 10,312 8,456
Other Segment [Member]    
Medical Claims Payable [Line Items]    
Gross medical claims payable, beginning of period 278 195
Ceded medical claims payable, beginning of period 0 0
Net medical claims payable, beginning of period 278 195
Business combinations and purchase adjustments 0  
Current period net incurred medical claims 408 351
Prior periods redundancies (54) (15)
Total net incurred medical claims 354 336
Net payments attributable to current period medical claims 214 217
Net payments attributable to prior periods medical claims 137 146
Total net payments 351 363
Net medical claims payable, end of period 281 168
Ceded medical claims payable, end of period 0 0
Gross medical claims payable, end of period $ 281 $ 168