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Insurance and Contractholder Liabilities - Unpaid Claims and Claim Expenses - Cigna Healthcare - Activity (Details) - Cigna Healthcare - USD ($)
$ in Millions
3 Months Ended
Mar. 31, 2023
Mar. 31, 2022
Liability for Claims and Claims Adjustment Expense [Line Items]    
Total of incurred but not reported liabilities plus expected claim development on reported claims, including reported claims in process $ 4,600 $ 4,200
Liability for Unpaid Claims and Claims Adjustment Expense [Roll Forward]    
Beginning balance 4,176 4,261
Less: Reinsurance and other amounts recoverable 221 261
Beginning balance, net 3,955 4,000
Incurred costs related to:    
Current year 9,041 8,024
Prior years (144) (276)
Total incurred 8,897 7,748
Paid costs related to:    
Current year 5,316 4,634
Prior years 2,795 2,822
Total paid 8,111 7,456
Ending balance, net 4,741 4,292
Add: Reinsurance and other amounts recoverable 218 199
Ending balance $ 4,959 $ 4,491