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Accounts Receivable, Net (Details) - USD ($)
$ in Millions
Sep. 30, 2019
Dec. 31, 2018
Accounts Receivable, Net [Abstract]    
Insurance customer receivables $ 2,433 $ 1,888
Noninsurance customer receivables 4,891 4,988
Pharmaceutical manufacturer receivable 3,953 3,321
Other receivables 442 276
Total accounts receivable, net 11,719 10,473
Pharmaceutical manufacturer receivables under noninsurance customer contracts 330 406
Allowance for doubtful accounts, customer credit allowances and contractual allowances $ 720 $ 217