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Goodwill and Intangible Assets Changes in the Carrying Amount of Goodwill by Reporting Segment (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Goodwill [Line Items]    
Goodwill, Beginning Balance $ 75,795 $ 71,337
Acquisitions 17,710 4,804
Foreign currency effects and adjustments, net (153) (346)
Goodwill, Ending Balance 93,352 75,795
UnitedHealthcare    
Goodwill [Line Items]    
Goodwill, Beginning Balance 27,389 27,785
Acquisitions 19 60
Foreign currency effects and adjustments, net (13) (456)
Goodwill, Ending Balance 27,395 27,389
Optum Health    
Goodwill [Line Items]    
Goodwill, Beginning Balance 24,224 19,844
Acquisitions 5,158 4,648
Foreign currency effects and adjustments, net (144) (268)
Goodwill, Ending Balance 29,238 24,224
Optum Insight    
Goodwill [Line Items]    
Goodwill, Beginning Balance 8,619 8,173
Acquisitions 8,623 96
Foreign currency effects and adjustments, net 2 350
Goodwill, Ending Balance 17,244 8,619
Optum Rx    
Goodwill [Line Items]    
Goodwill, Beginning Balance 15,563 15,535
Acquisitions 3,910 0
Foreign currency effects and adjustments, net 2 28
Goodwill, Ending Balance $ 19,475 $ 15,563