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Goodwill and Intangible Assets (Notes) | 12 Months Ended
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Dec. 31, 2020
Goodwill [Line Items] |
Goodwill Disclosure [Text Block] | Goodwill and Other Intangible Assets Changes in the carrying amount of goodwill, by reportable segment, were as follows:
(in millions) |  | UnitedHealthcare |  | OptumHealth |  | OptumInsight |  | OptumRx |  | Consolidated
Balance at January 1, 2019 |  | $ | 26,400 |  |  | $ | 11,947 |  |  | $ | 5,772 |  |  | $ | 14,791 |  |  | $ | 58,910 |
Acquisitions |  | 1,022 |  |  | 3,395 |  |  | 2,521 |  |  | 6 |  |  | 6,944 |
Foreign currency effects and other adjustments, net |  | (194) |  |  | — |  |  | (1) |  |  | — |  |  | (195) |
Balance at December 31, 2019 |  | 27,228 |  |  | 15,342 |  |  | 8,292 |  |  | 14,797 |  |  | 65,659 |
Acquisitions |  | 1,180 |  |  | 4,500 |  |  | — |  |  | 699 |  |  | 6,379 |
Foreign currency effects and other adjustments, net |  | (623) |  |  | 2 |  |  | (119) |  |  | 39 |  |  | (701) |
Balance at December 31, 2020 |  | $ | 27,785 |  |  | $ | 19,844 |  |  | $ | 8,173 |  |  | $ | 15,535 |  |  | $ | 71,337 |
The gross carrying value, accumulated amortization and net carrying value of other intangible assets were as follows:
|  | December 31, 2020 |  | December 31, 2019
(in millions) |  | Gross Carrying Value |  | Accumulated Amortization |  | Net Carrying Value |  | Gross Carrying Value |  | Accumulated Amortization |  | Net Carrying Value
Customer-related |  | $ | 13,428 |  |  | $ | (4,575) |  |  | $ | 8,853 |  |  | $ | 12,968 |  |  | $ | (4,319) |  |  | $ | 8,649 |
Trademarks and technology |  | 1,597 |  |  | (624) |  |  | 973 |  |  | 1,186 |  |  | (525) |  |  | 661 |
Trademarks and other indefinite-lived |  | 680 |  |  | — |  |  | 680 |  |  | 726 |  |  | — |  |  | 726 |
Other |  | 606 |  |  | (256) |  |  | 350 |  |  | 541 |  |  | (228) |  |  | 313 |
Total |  | $ | 16,311 |  |  | $ | (5,455) |  |  | $ | 10,856 |  |  | $ | 15,421 |  |  | $ | (5,072) |  |  | $ | 10,349 |
The acquisition date fair values and weighted-average useful lives assigned to finite-lived intangible assets acquired in business combinations consisted of the following by year of acquisition:
|  | 2020 |  | 2019
(in millions, except years) |  | Fair Value |  | Weighted-Average Useful Life |  | Fair Value |  | Weighted-Average Useful Life
Customer-related |  | $ | 1,113 |  |  | 11 years |  | $ | 1,750 |  |  | 13 years
Trademarks and technology |  | 514 |  |  | 10 years |  | 163 |  |  | 5 years
Other |  | 95 |  |  | 10 years |  | 119 |  |  | 11 years
Total acquired finite-lived intangible assets |  | $ | 1,722 |  |  | 11 years |  | $ | 2,032 |  |  | 13 years
Estimated full year amortization expense relating to intangible assets for each of the next five years ending December 31 is as follows:
(in millions) |  |
2021 |  | $ | 1,105 |
2022 |  | 998 |
2023 |  | 933 |
2024 |  | 887 |
2025 |  | 850 |
Amortization expense relating to intangible assets for the years ended December 31, 2020, 2019 and 2018 was $1.1 billion, $1.0 billion and $898 million, respectively.

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- Definition The entire disclosure for goodwill and intangible assets. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -URI http://asc.fasb.org/topic&trid=2144416 + Details
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- Definition Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table. + References No definition available. + Details
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