Segment information for the three months ended September 30, 2021, is as follows ($ in millions):


	Managed Care		Specialty Services		Eliminations		Consolidated Total
Total revenues from external customers	$	30,888	$	1,518	$	—	$	32,406
Total revenues from internal customers	1		3,209		(3,210)		—
Total revenues	$	30,889	$	4,727	$	(3,210)	$	32,406
Earnings from operations	$	699	$	(154)	$	—	$	545

Segment information for the three months ended September 30, 2020, is as follows ($ in millions):


	Managed Care		Specialty Services		Eliminations		Consolidated Total
Total revenues from external customers	$	28,014	$	1,076	$	—	$	29,090
Total revenues from internal customers	2		2,698		(2,700)		—
Total revenues	$	28,016	$	3,774	$	(2,700)	$	29,090
Earnings from operations	$	888	$	(27)	$	—	$	861

Segment information for the nine months ended September 30, 2021, is as follows ($ in millions):


	Managed Care		Specialty Services		Eliminations		Consolidated Total
Total revenues from external customers	$	89,078	$	4,336	$	—	$	93,414
Total revenues from internal customers	4		9,217		(9,221)		—
Total revenues	$	89,082	$	13,553	$	(9,221)	$	93,414
Earnings from operations	$	1,240	$	(59)	$	—	$	1,181

Segment information for the nine months ended September 30, 2020, is as follows ($ in millions):


	Managed Care		Specialty Services		Eliminations		Consolidated Total
Total revenues from external customers	$	79,573	$	3,254	$	—	$	82,827
Total revenues from internal customers	4		7,949		(7,953)		—
Total revenues	$	79,577	$	11,203	$	(7,953)	$	82,827
Earnings from operations	$	3,014	$	53	$	—	$	3,067