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Revenue, Deferred Revenue, Contract Balances and Performance Obligations
9 Months Ended
Sep. 30, 2020
Revenue from Contract with Customer [Abstract]  
Revenue, Deferred Revenue, Contract Balances and Performance Obligations Revenue, Deferred Revenue, Contract Balances and Performance Obligations
The Company sells to customers based in the United States. Starting January 1, 2020, the effective date of the Anthem enterprise license agreement, the Company began treating Anthem as a direct health plan customer rather than a channel partner. As a result, substantially all of the Company's revenues are generated through direct sales.

Deferred revenue as of September 30, 2020 and December 31, 2019 was $10.6 million and $10.7 million, respectively. Contract assets as of September 30, 2020 and December 31, 2019 were $7.0 million and $0.4 million, respectively. The increase in contract assets is primarily due to the Anthem enterprise license agreement that results in revenue recognized ahead of invoicing.

Revenue of $7.8 million and $11.3 million was recognized during the three months ended September 30, 2020 and 2019, respectively, that was included in the Company’s deferred revenue balances at the beginning of the respective periods. Revenue of $9.8 million and $18.5 million was recognized during the nine months ended September 30, 2020 and 2019, respectively, that was included in the Company’s deferred revenue balances at the beginning of the respective periods.

The Company recorded favorable cumulative catch-up adjustments to revenue of $0.2 million during the three months ended September 30, 2020 and unfavorable cumulative catch-up adjustments of $0.1 million during the three months ended September 30, 2019, arising from changes in estimates of transaction price. The Company recorded favorable cumulative catch-up adjustments to revenue of $2.3 million and $1.8 million during the nine months ended September 30, 2020 and 2019, respectively, arising from changes in estimates of transaction price.
The aggregate balance of remaining performance obligations from non-cancelable contracts with customers as of September 30, 2020 was $171.0 million. The Company expects to recognize approximately 60% of this balance over the next 12 months, with the remaining balance recognized thereafter. Remaining performance obligations are defined as deferred revenue and amounts yet to be billed for the non-cancelable portion of contracts.