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Commitments and Contingencies - Legal and Other Matters (Details) - Unfavorable action - Centers for Medicare and Medicaid Services (CMS) - USD ($)
$ in Thousands
1 Months Ended
Jul. 01, 2015
Aug. 31, 2014
Sep. 30, 2017
Loss contingency      
Settlement on original claim amount offered by CMS to allow providers to remove eligible claims pending in appeals process (as a percent)   68.00%  
RAC contract contingency fee on original amount of settled claims under CMS July 1, 2015 Technical Direction Letter (as a percent) 32.00%    
Maximum possible additional amount of refund payable in excess of amount accrued     $ 13,000
Estimated liability for refunds and appeals      
Loss contingency      
Estimated refund liability on settled claims     $ 22,308