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Goodwill and Intangible Assets (Notes) | 12 Months Ended
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Dec. 31, 2021
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 |  | Optum Health |  | Optum Insight |  | Optum Rx |  | Consolidated
Balance at January 1, 2020 |  | $ | 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 |
Acquisitions |  | 60 |  |  | 4,648 |  |  | 96 |  |  | — |  |  | 4,804 |
Foreign currency effects and other adjustments, net |  | (456) |  |  | (268) |  |  | 350 |  |  | 28 |  |  | (346) |
Balance at December 31, 2021 |  | $ | 27,389 |  |  | $ | 24,224 |  |  | $ | 8,619 |  |  | $ | 15,563 |  |  | $ | 75,795 |
The gross carrying value, accumulated amortization and net carrying value of other intangible assets were as follows:
|  | December 31, 2021 |  | December 31, 2020
(in millions) |  | Gross Carrying Value |  | Accumulated Amortization |  | Net Carrying Value |  | Gross Carrying Value |  | Accumulated Amortization |  | Net Carrying Value
Customer-related |  | $ | 13,011 |  |  | $ | (4,697) |  |  | $ | 8,314 |  |  | $ | 13,428 |  |  | $ | (4,575) |  |  | $ | 8,853 |
Trademarks and technology |  | 1,630 |  |  | (739) |  |  | 891 |  |  | 1,597 |  |  | (624) |  |  | 973 |
Trademarks and other indefinite-lived |  | 617 |  |  | — |  |  | 617 |  |  | 680 |  |  | — |  |  | 680 |
Other |  | 422 |  |  | (200) |  |  | 222 |  |  | 606 |  |  | (256) |  |  | 350 |
Total |  | $ | 15,680 |  |  | $ | (5,636) |  |  | $ | 10,044 |  |  | $ | 16,311 |  |  | $ | (5,455) |  |  | $ | 10,856 |
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:
|  | 2021 |  | 2020
(in millions, except years) |  | Fair Value |  | Weighted-Average Useful Life |  | Fair Value |  | Weighted-Average Useful Life
Customer-related |  | $ | 484 |  |  | 9 years |  | $ | 1,113 |  |  | 11 years
Trademarks and technology |  | 147 |  |  | 5 years |  | 514 |  |  | 10 years
Other |  | 29 |  |  | 11 years |  | 95 |  |  | 10 years
Total acquired finite-lived intangible assets |  | $ | 660 |  |  | 8 years |  | $ | 1,722 |  |  | 11 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) |  |
2022 |  | $ | 1,098 |
2023 |  | 1,033 |
2024 |  | 972 |
2025 |  | 892 |
2026 |  | 757 |
Amortization expense relating to intangible assets for the years ended December 31, 2021, 2020 and 2019 was $1.2 billion, $1.1 billion and $1.0 billion, 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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