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Segment Financial Information (Notes)
 9 Months Ended
Sep. 30, 2022
Segment Reporting [Abstract]  
Segment Reporting Disclosure Segment Financial Information
The Company’s four reportable segments are UnitedHealthcare, Optum Health, Optum Insight and Optum Rx. For more information on the Company’s segments, see Part I, Item I, “Business” and Note 13 of Notes to the Consolidated Financial Statements included in Part II, Item 8, “Financial Statements and Supplementary Data” in the 2021 10-K. Total assets at Optum Health and Optum Rx increased to $67.8 billion and $47.2 billion as of September 30, 2022 compared to $60.5 billion and $40.2 billion as of December 31, 2021, respectively. The increase in total assets at Optum Health and Optum Rx was primarily due to goodwill from business combinations of $4.5 billion and $3.8 billion, respectively.
On January 1, 2022, the Company realigned its operating segments to combine UnitedHealthcare Global and UnitedHealthcare Employer & Individual. The realignment had no impact on the Company’s reportable segments.
The following tables present reportable segment financial information:
  Optum  
(in millions)UnitedHealthcareOptum HealthOptum InsightOptum RxOptum EliminationsOptumCorporate and
Eliminations		Consolidated
Three Months Ended September 30, 2022
Revenues - unaffiliated customers:
Premiums$59,375 $5,116 $— $— $— $5,116 $— $64,491 
Products— 2 37 9,151 — 9,190 — 9,190 
Services2,435 2,756 1,067 442 — 4,265 — 6,700 
Total revenues - unaffiliated customers
61,810 7,874 1,104 9,593 — 18,571 — 80,381 
Total revenues - affiliated customers
— 10,302 2,566 15,592 (800)27,660 (27,660)— 
Investment and other income
185 287 23 18 — 328 — 513 
Total revenues$61,995 $18,463 $3,693 $25,203 $(800)$46,559 $(27,660)$80,894 
Earnings from operations$3,799 $1,575 $1,007 $1,081 $— $3,663 $— $7,462 
Interest expense— — — — — — (516)(516)
Earnings before income taxes
$3,799 $1,575 $1,007 $1,081 $— $3,663 $(516)$6,946 
Three Months Ended September 30, 2021
Revenues - unaffiliated customers:
Premiums$53,345 $3,622 $— $— $— $3,622 $— $56,967 
Products— 8 37 8,658 — 8,703 — 8,703 
Services2,407 2,515 970 272 — 3,757 — 6,164 
Total revenues - unaffiliated customers
55,752 6,145 1,007 8,930 — 16,082 — 71,834 
Total revenues - affiliated customers
— 7,441 2,037 14,400 (503)23,375 (23,375)— 
Investment and other income
175 226 95 7 — 328 — 503 
Total revenues$55,927 $13,812 $3,139 $23,337 $(503)$39,785 $(23,375)$72,337 
Earnings from operations$2,651 $1,143 $906 $1,012 $— $3,061 $— $5,712 
Interest expense— — — — — — (422)(422)
Earnings before income taxes
$2,651 $1,143 $906 $1,012 $— $3,061 $(422)$5,290 
  Optum  
(in millions)UnitedHealthcareOptum HealthOptum InsightOptum RxOptum EliminationsOptumCorporate and
Eliminations		Consolidated
Nine Months Ended September 30, 2022
Revenues - unaffiliated customers:
Premiums$178,680 $13,777 $— $— $— $13,777 $— $192,457 
Products— 14 135 27,877 — 28,026 — 28,026 
Services7,492 8,054 3,075 1,096 — 12,225 — 19,717 
Total revenues - unaffiliated customers
186,172 21,845 3,210 28,973 — 54,028 — 240,200 
Total revenues - affiliated customers
— 30,355 6,885 44,921 (1,941)80,220 (80,220)— 
Investment and other income
523 528 99 25 — 652 — 1,175 
Total revenues$186,695 $52,728 $10,194 $73,919 $(1,941)$134,900 $(80,220)$241,375 
Earnings from operations$11,447 $4,340 $2,693 $3,064 $— $10,097 $— $21,544 
Interest expense— — — — — — (1,416)(1,416)
Earnings before income taxes
$11,447 $4,340 $2,693 $3,064 $— $10,097 $(1,416)$20,128 
Nine Months Ended September 30, 2021
Revenues - unaffiliated customers:
Premiums$158,761 $9,925 $— $— $— $9,925 $— $168,686 
Products— 25 107 25,344 — 25,476 — 25,476 
Services7,197 7,312 2,861 811 — 10,984 — 18,181 
Total revenues - unaffiliated customers
165,958 17,262 2,968 26,155 — 46,385 — 212,343 
Total revenues - affiliated customers
— 21,614 5,779 41,196 (1,456)67,133 (67,133)— 
Investment and other income
557 639 201 114 — 954 — 1,511 
Total revenues$166,515 $39,515 $8,948 $67,465 $(1,456)$114,472 $(67,133)$213,854 
Earnings from operations$9,854 $3,233 $2,447 $2,895 $— $8,575 $— $18,429 
Interest expense— — — — — — (1,229)(1,229)
Earnings before income taxes
$9,854 $3,233 $2,447 $2,895 $— $8,575 $(1,229)$17,200