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Segment Financial Information (Notes)
 9 Months Ended
Sep. 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 September 30, 2020
Revenues - unaffiliated customers:
Premiums$48,121 $2,742 $— $— $— $2,742 $— $50,863 
Products— 10 34 8,733 — 8,777 — 8,777 
Services2,075 1,834 974 241 — 3,049 — 5,124 
Total revenues - unaffiliated customers
50,196 4,586 1,008 8,974 — 14,568 — 64,764 
Total revenues - affiliated customers
— 5,748 1,755 13,102 (424)20,181 (20,181)— 
Investment and other income
177 165 4 5 — 174 — 351 
Total revenues$50,373 $10,499 $2,767 $22,081 $(424)$34,923 $(20,181)$65,115 
Earnings from operations$2,068 $835 $785 $963 $— $2,583 $— $4,651 
Interest expense— — — — — — (395)(395)
Earnings before income taxes
$2,068 $835 $785 $963 $— $2,583 $(395)$4,256 
Three Months Ended September 30, 2019
Revenues - unaffiliated customers:
Premiums$45,557 $1,840 $— $— $— $1,840 $— $47,397 
Products— 6 29 7,511 — 7,546 — 7,546 
Services2,274 1,487 988 193 — 2,668 — 4,942 
Total revenues - unaffiliated customers
47,831 3,333 1,017 7,704 — 12,054 — 59,885 
Total revenues - affiliated customers
— 4,630 1,594 10,734 (441)16,517 (16,517)— 
Investment and other income
274 170 6 16 — 192 — 466 
Total revenues$48,105 $8,133 $2,617 $18,454 $(441)$28,763 $(16,517)$60,351 
Earnings from operations$2,655 $748 $632 $979 $— $2,359 $— $5,014 
Interest expense— — — — — — (449)(449)
Earnings before income taxes
$2,655 $748 $632 $979 $— $2,359 $(449)$4,565 
Optum
(in millions)UnitedHealthcareOptumHealthOptumInsightOptumRxOptum EliminationsOptumCorporate and EliminationsConsolidated
Nine Months Ended September 30, 2020
Revenues - unaffiliated customers:
Premiums$143,753 $7,144 $— $— $— $7,144 $— $150,897 
Products— 26 90 25,339 — 25,455 — 25,455 
Services6,248 4,607 2,629 781 — 8,017 — 14,265 
Total revenues - unaffiliated customers150,001 11,777 2,719 26,120 — 40,616 — 190,617 
Total revenues - affiliated customers— 16,623 5,140 38,843 (1,275)59,331 (59,331)— 
Investment and other income547 430 34 46 — 510 — 1,057 
Total revenues$150,548 $28,830 $7,893 $65,009 $(1,275)$100,457 $(59,331)$191,674 
Earnings from operations$11,963 $2,388 $1,882 $2,655 $— $6,925 $— $18,888 
Interest expense— — — — — — (1,262)(1,262)
Earnings before income taxes$11,963 $2,388 $1,882 $2,655 $— $6,925 $(1,262)$17,626 
Nine Months Ended September 30, 2019
Revenues - unaffiliated customers:
Premiums$138,088 $3,986 $— $— $— $3,986 $— $142,074 
Products— 23 74 23,874 — 23,971 — 23,971 
Services6,603 4,131 2,532 490 — 7,153 — 13,756 
Total revenues - unaffiliated customers144,691 8,140 2,606 24,364 — 35,110 — 179,801 
Total revenues - affiliated customers— 13,366 4,522 30,786 (1,181)47,493 (47,493)— 
Investment and other income904 488 17 44 — 549 — 1,453 
Total revenues$145,595 $21,994 $7,145 $55,194 $(1,181)$83,152 $(47,493)$181,254 
Earnings from operations$8,251 $2,062 $1,589 $2,688 $— $6,339 $— $14,590 
Interest expense— — — — — — (1,267)(1,267)
Earnings before income taxes$8,251 $2,062 $1,589 $2,688 $— $6,339 $(1,267)$13,323