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Concentrations of Credit Risk (Details) - institution
3 Months Ended 9 Months Ended 12 Months Ended
Sep. 30, 2021
Dec. 31, 2020
Sep. 30, 2021
Sep. 30, 2020
Sep. 30, 2021
Sep. 30, 2020
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
Concentration Risk [Line Items]                  
Number of institutions in which company holds its cash and cash equivalents 2           2    
Revenue Benchmark | Customer Concentration Risk                  
Concentration Risk [Line Items]                  
Concentration risk percentage     100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00%
Revenue Benchmark | Customer Concentration Risk | Six Payers                  
Concentration Risk [Line Items]                  
Concentration risk percentage     84.00% 85.00% 82.00% 82.00% 75.00% 74.00% 69.00%
Accounts Receivable | Customer Concentration Risk | Six Payers                  
Concentration Risk [Line Items]                  
Concentration risk percentage 71.00% 70.00%         70.00% 69.00% 68.00%