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Segment Financial Information (Notes)
 3 Months Ended
Mar. 31, 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 and Supplementary Data” in the 2020 10-K.
The following tables present reportable segment financial information:
  Optum  
(in millions)UnitedHealthcareOptumHealthOptumInsightOptumRxOptum EliminationsOptumCorporate and
Eliminations		Consolidated
Three Months Ended March 31, 2021
Revenues - unaffiliated customers:
Premiums$52,558 $2,928 $— $— $— $2,928 $— $55,486 
Products— 8 37 8,295 — 8,340 — 8,340 
Services2,350 2,336 961 271 — 3,568 — 5,918 
Total revenues - unaffiliated customers
54,908 5,272 998 8,566 — 14,836 — 69,744 
Total revenues - affiliated customers
— 6,952 1,821 13,004 (475)21,302 (21,302)— 
Investment and other income
206 179 33 34 — 246 — 452 
Total revenues$55,114 $12,403 $2,852 $21,604 $(475)$36,384 $(21,302)$70,196 
Earnings from operations$4,108 $962 $779 $890 $— $2,631 $— $6,739 
Interest expense— — — — — — (397)(397)
Earnings before income taxes
$4,108 $962 $779 $890 $— $2,631 $(397)$6,342 
Three Months Ended March 31, 2020
Revenues - unaffiliated customers:
Premiums$48,593 $2,047 $— $— $— $2,047 $— $50,640 
Products— 9 29 8,393 — 8,431 — 8,431 
Services2,278 1,548 891 268 — 2,707 — 4,985 
Total revenues - unaffiliated customers
50,871 3,604 920 8,661 — 13,185 — 64,056 
Total revenues - affiliated customers
— 5,452 1,562 12,876 (404)19,486 (19,486)— 
Investment and other income
197 136 12 20 — 168 — 365 
Total revenues$51,068 $9,192 $2,494 $21,557 $(404)$32,839 $(19,486)$64,421 
Earnings from operations$2,888 $712 $536 $860 $— $2,108 $— $4,996 
Interest expense— — — — — — (437)(437)
Earnings before income taxes
$2,888 $712 $536 $860 $— $2,108 $(437)$4,559