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Segment Financial Information (Notes)
 9 Months Ended
Sep. 30, 2021
Segment Reporting [Abstract]  
Segment Reporting Disclosure Segment Financial Information
The Company’s four reportable segments are UnitedHealthcare, OptumHealth, OptumInsight and OptumRx. For more information on the Company’s segments see Part I, Item I, “Business” and Note 14 of Notes to the Consolidated Financial Statements in Part II, Item 8, “Financial Statements” in the 2020 10-K.
The following tables present reportable segment financial information:
  Optum  
(in millions)UnitedHealthcareOptumHealthOptumInsightOptumRxOptum EliminationsOptumCorporate and
Eliminations		Consolidated
Three Months Ended September 30, 2021
Revenues - unaffiliated customers:
Premiums$53,345 $3,622 $— $— $— $3,622 $— $56,967 
Products— 8 37 8,658 — 8,703 — 8,703 
Services2,407 2,515 970 272 — 3,757 — 6,164 
Total revenues - unaffiliated customers
55,752 6,145 1,007 8,930 — 16,082 — 71,834 
Total revenues - affiliated customers
— 7,441 2,037 14,400 (503)23,375 (23,375)— 
Investment and other income
175 226 95 7 — 328 — 503 
Total revenues$55,927 $13,812 $3,139 $23,337 $(503)$39,785 $(23,375)$72,337 
Earnings from operations$2,651 $1,143 $906 $1,012 $— $3,061 $— $5,712 
Interest expense— — — — — — (422)(422)
Earnings before income taxes
$2,651 $1,143 $906 $1,012 $— $3,061 $(422)$5,290 
Three Months Ended September 30, 2020
Revenues - unaffiliated customers:
Premiums$48,121 $2,742 $— $— $— $2,742 $— $50,863 
Products— 10 34 8,733 — 8,777 — 8,777 
Services2,075 1,834 974 241 — 3,049 — 5,124 
Total revenues - unaffiliated customers
50,196 4,586 1,008 8,974 — 14,568 — 64,764 
Total revenues - affiliated customers
— 5,748 1,755 13,102 (424)20,181 (20,181)— 
Investment and other income
177 165 4 5 — 174 — 351 
Total revenues$50,373 $10,499 $2,767 $22,081 $(424)$34,923 $(20,181)$65,115 
Earnings from operations$2,068 $835 $785 $963 $— $2,583 $— $4,651 
Interest expense— — — — — — (395)(395)
Earnings before income taxes
$2,068 $835 $785 $963 $— $2,583 $(395)$4,256 
  Optum  
(in millions)UnitedHealthcareOptumHealthOptumInsightOptumRxOptum EliminationsOptumCorporate and
Eliminations		Consolidated
Nine Months Ended September 30, 2021
Revenues - unaffiliated customers:
Premiums$158,761 $9,925 $— $— $— $9,925 $— $168,686 
Products— 25 107 25,344 — 25,476 — 25,476 
Services7,197 7,312 2,861 811 — 10,984 — 18,181 
Total revenues - unaffiliated customers
165,958 17,262 2,968 26,155 — 46,385 — 212,343 
Total revenues - affiliated customers
— 21,614 5,779 41,196 (1,456)67,133 (67,133)— 
Investment and other income
557 639 201 114 — 954 — 1,511 
Total revenues$166,515 $39,515 $8,948 $67,465 $(1,456)$114,472 $(67,133)$213,854 
Earnings from operations$9,854 $3,233 $2,447 $2,895 $— $8,575 $— $18,429 
Interest expense— — — — — — (1,229)(1,229)
Earnings before income taxes
$9,854 $3,233 $2,447 $2,895 $— $8,575 $(1,229)$17,200 
Nine Months Ended September 30, 2020
Revenues - unaffiliated customers:
Premiums$143,753 $7,144 $— $— $— $7,144 $— $150,897 
Products— 26 90 25,339 — 25,455 — 25,455 
Services6,248 4,607 2,629 781 — 8,017 — 14,265 
Total revenues - unaffiliated customers
150,001 11,777 2,719 26,120 — 40,616 — 190,617 
Total revenues - affiliated customers
— 16,623 5,140 38,843 (1,275)59,331 (59,331)— 
Investment and other income
547 430 34 46 — 510 — 1,057 
Total revenues$150,548 $28,830 $7,893 $65,009 $(1,275)$100,457 $(59,331)$191,674 
Earnings from operations$11,963 $2,388 $1,882 $2,655 $— $6,925 $— $18,888 
Interest expense— — — — — — (1,262)(1,262)
Earnings before income taxes
$11,963 $2,388 $1,882 $2,655 $— $6,925 $(1,262)$17,626