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Segment Financial Information (Notes)
 6 Months Ended
Jun. 30, 2020
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 2019 10-K.
The following tables present reportable segment financial information:
  Optum  
(in millions)UnitedHealthcareOptumHealthOptumInsightOptumRxOptum EliminationsOptumCorporate and
Eliminations		Consolidated
Three Months Ended June 30, 2020
Revenues - unaffiliated customers:
Premiums$47,039  $2,355  $—  $—  $—  $2,355  $—  $49,394  
Products—  7  27  8,213  —  8,247  —  8,247  
Services1,895  1,225  764  272  —  2,261  —  4,156  
Total revenues - unaffiliated customers
48,934  3,587  791  8,485  —  12,863  —  61,797  
Total revenues - affiliated customers
—  5,423  1,823  12,865  (447) 19,664  (19,664) —  
Investment and other income
173  129  18  21  —  168  —  341  
Total revenues$49,107  $9,139  $2,632  $21,371  $(447) $32,695  $(19,664) $62,138  
Earnings from operations$7,007  $841  $561  $832  $—  $2,234  $—  $9,241  
Interest expense—  —  —  —  —  —  (430) (430) 
Earnings before income taxes
$7,007  $841  $561  $832  $—  $2,234  $(430) $8,811  
Three Months Ended June 30, 2019
Revenues - unaffiliated customers:
Premiums$46,030  $1,134  $—  $—  $—  $1,134  $—  $47,164  
Products—  9  22  8,322  —  8,353  —  8,353  
Services2,188  1,370  790  148  —  2,308  —  4,496  
Total revenues - unaffiliated customers
48,218  2,513  812  8,470  —  11,795  —  60,013  
Total revenues - affiliated customers
—  4,449  1,521  10,439  (381) 16,028  (16,028) —  
Investment and other income
376  186  6  14  —  206  —  582  
Total revenues$48,594  $7,148  $2,339  $18,923  $(381) $28,029  $(16,028) $60,595  
Earnings from operations$2,642  $688  $525  $889  $—  $2,102  $—  $4,744  
Interest expense—  —  —  —  —  —  (418) (418) 
Earnings before income taxes
$2,642  $688  $525  $889  $—  $2,102  $(418) $4,326  
Optum
(in millions)UnitedHealthcareOptumHealthOptumInsightOptumRxOptum EliminationsOptumCorporate and EliminationsConsolidated
Six Months Ended June 30, 2020
Revenues - unaffiliated customers:
Premiums$95,632  $4,402  $—  $—  $—  $4,402  $—  $100,034  
Products—  16  56  16,606  —  16,678  —  16,678  
Services4,173  2,773  1,655  540  —  4,968  —  9,141  
Total revenues - unaffiliated customers99,805  7,191  1,711  17,146  —  26,048  —  125,853  
Total revenues - affiliated customers—  10,875  3,385  25,741  (851) 39,150  (39,150) —  
Investment and other income370  265  30  41  —  336  —  706  
Total revenues$100,175  $18,331  $5,126  $42,928  $(851) $65,534  $(39,150) $126,559  
Earnings from operations$9,895  $1,553  $1,097  $1,692  $—  $4,342  $—  $14,237  
Interest expense—  —  —  —  —  —  (867) (867) 
Earnings before income taxes$9,895  $1,553  $1,097  $1,692  $—  $4,342  $(867) $13,370  
Six Months Ended June 30, 2019
Revenues - unaffiliated customers:
Premiums$92,531  $2,146  $—  $—  $—  $2,146  $—  $94,677  
Products—  17  45  16,363  —  16,425  —  16,425  
Services4,329  2,644  1,544  297  —  4,485  —  8,814  
Total revenues - unaffiliated customers96,860  4,807  1,589  16,660  —  23,056  —  119,916  
Total revenues - affiliated customers—  8,736  2,928  20,052  (740) 30,976  (30,976) —  
Investment and other income630  318  11  28  —  357  —  987  
Total revenues$97,490  $13,861  $4,528  $36,740  $(740) $54,389  $(30,976) $120,903  
Earnings from operations$5,596  $1,314  $957  $1,709  $—  $3,980  $—  $9,576  
Interest expense—  —  —  —  —  —  (818) (818) 
Earnings before income taxes$5,596  $1,314  $957  $1,709  $—  $3,980  $(818) $8,758