Quarterly Financial Information (Details) - USD ($) $ / shares in Units, $ in Thousands	3 Months Ended								12 Months Ended
	Dec. 31, 2019	Sep. 30, 2019	Jun. 30, 2019	Mar. 31, 2019	Dec. 31, 2018	Sep. 30, 2018	Jun. 30, 2018	Mar. 31, 2018	Dec. 31, 2019	Dec. 31, 2018	Dec. 31, 2017
Revenue	$ 105,483	$ 99,276	$ 92,199	$ 86,978	$ 82,640	$ 78,164	$ 73,392	$ 69,760	$ 383,936	$ 303,956	$ 242,667
Gross profit	17,734	17,445	14,713	15,032	14,205	13,744	12,353	11,064	64,924	51,366	43,050
Net loss	$ 636	$ 782	$ (1,931)	$ (1,296)	$ (275)	$ 1,205	$ (377)	$ (1,480)	(1,809)	(927)	(1,503)
Earnings Per Share, Diluted	$ 0.02	$ 0.02	$ (0.06)	$ (0.04)	$ (0.01)	$ 0.03	$ (0.01)	$ (0.05)
Earnings Per Share, Basic	$ 0.02	$ 0.02	$ (0.06)	$ (0.04)	$ (0.01)	$ 0.04	$ (0.01)	$ (0.05)
Weighted Average Number of Shares Outstanding, Basic	34,876,438	34,876,782	34,610,709	34,292,367	33,716,975	33,129,416	30,721,037	30,246,585
Weighted Average Number of Shares Outstanding, Diluted	36,354,620	36,399,136	34,610,709	34,292,367	33,716,975	36,385,360	30,721,037	30,246,585
Claims Expense	$ 58,343	$ 54,303,000	$ 51,780	$ 50,113	$ 46,473	$ 43,453,000	$ 41,009	$ 39,187	270,947	214,539	170,122
Other Cost of Services Sold	10,092	10,117,000	9,259,000	8,583	8,335	7,858,000	6,915,000	6,387	48,065	38,051	29,495
Other Segments [Member]
Revenue									62,773	40,218	24,313
Gross profit									5,900	3,620	1,579
Claims Expense	7,160	6,018,000	5,334	4,976	4,667	3,692,000	3,345	2,864	38,532	23,488	14,568
Other Cost of Services Sold	3,383	3,649,000	3,372,000	2,706	2,311	2,404,000	1,988,000	1,464	18,341	13,110	8,166
Subscription business [Member]
Revenue									321,163	263,738	218,354
Gross profit									59,024	47,746	41,471
Claims Expense	51,183	48,285,000	46,446	45,137	41,806	39,761,000	37,664	36,323	232,415	191,051	155,554
Other Cost of Services Sold	$ 6,709	$ 6,468,000	$ 5,887,000	$ 5,877	$ 6,024	$ 5,454,000	$ 4,927,000	$ 4,923	$ 29,724	$ 24,941	$ 21,329