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Revenue from Contracts with Customers (Tables)
3 Months Ended
Mar. 31, 2021
Revenue from Contract with Customer [Abstract]  
Schedule of Disaggregation of Revenue
The following table summarizes revenue from contracts with customers by principal service line (in millions):
Three Months Ended March 31,
20212020
Commercial Risk Solutions$1,289 $1,146 
Reinsurance Solutions922 848 
Retirement Solutions434 397 
Health Solutions536 502 
Data & Analytic Services351 331 
Elimination(7)(5)
Total revenue$3,525 $3,219 
Consolidated revenue from contracts with customers by geographic area, which is attributed on the basis of where the services are performed, is as follows (in millions):
Three Months Ended March 31,
20212020
United States$1,308 $1,227 
Americas other than United States250 228 
United Kingdom530 500 
Ireland33 23 
Europe, Middle East, & Africa other than United Kingdom and Ireland1,091 955 
Asia Pacific313 286 
Total revenue$3,525 $3,219 
Schedule of Capitalized Contract Cost
An analysis of the changes in the net carrying amount of costs to fulfill contracts with customers are as follows (in millions):
Three Months Ended March 31,
20212020
Balance at beginning of period$339 $335 
Additions346 318 
Amortization(443)(416)
Impairment— — 
Foreign currency translation and other(1)(8)
Balance at end of period$241 $229 

An analysis of the changes in the net carrying amount of costs to obtain contracts with customers are as follows (in millions):
Three Months Ended March 31,
20212020
Balance at beginning of period$184 $171 
Additions13 12 
Amortization(12)(12)
Impairment— — 
Foreign currency translation and other— (4)
Balance at end of period$185 $167