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Segment Financial Information (Notes)
 9 Months Ended
Sep. 30, 2023
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 14 of Notes to the Consolidated Financial Statements included in Part II, Item 8, “Financial Statements and Supplementary Data” in the 2022 10-K. Total assets at Optum Health increased to $86.9 billion as of September 30, 2023 compared to $69.0 billion as of December 31, 2022, including an increase to goodwill from business combinations of $7.3 billion.
The following tables present reportable segment financial information:
  Optum  
(in millions)UnitedHealthcareOptum HealthOptum InsightOptum RxOptum EliminationsOptumCorporate and
Eliminations		Consolidated
Three Months Ended September 30, 2023
Revenues - unaffiliated customers:
Premiums$66,709 $5,630 $— $— $— $5,630 $— $72,339 
Products— 61 40 10,253 — 10,354 — 10,354 
Services2,550 3,629 1,938 554 — 6,121 — 8,671 
Total revenues - unaffiliated customers
69,259 9,320 1,978 10,807 — 22,105 — 91,364 
Total revenues - affiliated customers
— 14,227 2,964 17,999 (961)34,229 (34,229)— 
Investment and other income
594 317 35 51 — 403 — 997 
Total revenues$69,853 $23,864 $4,977 $28,857 $(961)$56,737 $(34,229)$92,361 
Earnings from operations$4,592 $1,568 $1,109 $1,257 $— $3,934 $— $8,526 
Interest expense— — — — — — (834)(834)
Earnings before income taxes
$4,592 $1,568 $1,109 $1,257 $— $3,934 $(834)$7,692 
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 
  Optum  
(in millions)UnitedHealthcareOptum HealthOptum InsightOptum RxOptum EliminationsOptumCorporate and
Eliminations		Consolidated
Nine Months Ended September 30, 2023
Revenues - unaffiliated customers:
Premiums$201,214 $16,385 $— $— $— $16,385 $— $217,599 
Products— 156 119 30,997 — 31,272 — 31,272 
Services7,689 10,259 5,859 1,607 — 17,725 — 25,414 
Total revenues - unaffiliated customers
208,903 26,800 5,978 32,604 — 65,382 — 274,285 
Total revenues - affiliated customers
— 42,947 8,089 52,174 (2,713)100,497 (100,497)— 
Investment and other income
1,649 1,038 80 143 — 1,261 — 2,910 
Total revenues$210,552 $70,785 $14,147 $84,921 $(2,713)$167,140 $(100,497)$277,195 
Earnings from operations$13,293 $4,869 $2,984 $3,523 $— $11,376 $— $24,669 
Interest expense— — — — — — (2,416)(2,416)
Earnings before income taxes
$13,293 $4,869 $2,984 $3,523 $— $11,376 $(2,416)$22,253 
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