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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, 2021
Dec. 31, 2020
Goodwill [Line Items]    
Goodwill, Beginning Balance $ 71,337 $ 65,659
Acquisitions 4,804 6,379
Foreign currency effects and adjustments, net (346) (701)
Goodwill, Ending Balance 75,795 71,337
UnitedHealthcare    
Goodwill [Line Items]    
Goodwill, Beginning Balance 27,785 27,228
Acquisitions 60 1,180
Foreign currency effects and adjustments, net (456) (623)
Goodwill, Ending Balance 27,389 27,785
Optum Health    
Goodwill [Line Items]    
Goodwill, Beginning Balance 19,844 15,342
Acquisitions 4,648 4,500
Foreign currency effects and adjustments, net (268) 2
Goodwill, Ending Balance 24,224 19,844
Optum Insight    
Goodwill [Line Items]    
Goodwill, Beginning Balance 8,173 8,292
Acquisitions 96 0
Foreign currency effects and adjustments, net 350 (119)
Goodwill, Ending Balance 8,619 8,173
Optum Rx    
Goodwill [Line Items]    
Goodwill, Beginning Balance 15,535 14,797
Acquisitions 0 699
Foreign currency effects and adjustments, net 28 39
Goodwill, Ending Balance $ 15,563 $ 15,535