Wisconsin

Common Ground Healthcare Cooperative reviews, we publish no star ratings, only what it reported to the federal file

Your two dates, free

Date on your denial notice Who pays your claims? A job, an insurance company pays the claims A job, my employer pays the claims itself (self-funded) A job, I do not know which Marketplace / individual plan I bought myself Medicare, Medicaid, TRICARE, VA or IHS Which state? The reason your letter gives I'm not sure, I'll paste the sentence later Not medically necessaryProvider out of networkService excluded from the planExperimental or investigationalReferral requiredBenefit limit reachedMember not coveredAdministrative reasonOther reasons Show my two dates, free

Put in the date on your Common Ground Healthcare Cooperative notice and get both federal deadlines as calendar dates.

Free, for a Common Ground Healthcare Cooperative denial in Wisconsin, and it runs entirely in your browser. The date, the plan type and the state you pick are never sent to us and never stored.

Common Ground Healthcare Cooperative denied 143,772 of 1,504,864 in-network claims in Wisconsin; every one of those denials had these same two dates on it. Across Wisconsin as a whole the insurers in this file denied 12.1% of in-network claims, 1,188,325 of them, and 2,083 were appealed.

Common Ground Healthcare Cooperative denied 9.6% of in-network claims in Wisconsin, 143,772 claims out of 1,504,864.

By Andrew at Axion Labs · August 19, 2026, updated September 5, 2026

Common Ground Healthcare Cooperative reviews

This page carries no customer reviews and no star rating, because we have none to publish and we do not repeat anyone else's. What it carries instead is the only review of Common Ground Healthcare Cooperative that the federal file supports: it denied 9.6% of the in-network claims it received in Wisconsin, 143,772 of 1,504,864. Those are its own reported numbers, filed with CMS, not an opinion of ours.

Insurance got denied, what to do next?

The number nobody else publishes. Not one of the 143,772 denials Common Ground Healthcare Cooperative issued in Wisconsin reached the independent review its own staff do not decide, an explicit zero in this insurer's own filed row, not an absence. The stage was there the whole time and it binds the plan. Nationally 32.8% of the reviews that got there were overturned.

Those 143,772 denials are 12.1% of every in-network denial recorded in Wisconsin in this release, which makes Common Ground Healthcare Cooperative the 4th largest source of denials of the 12 insurers reporting there. Spread across its 19 plans in the state that is about 7,567 denials per plan. 0 internal appeals were filed against those 143,772 denials. Every one of those denials carried the same two dates the tool at the top of this page works out.

The clock your letter has to describe, in actual dates

Two dates matter more than anything else on this page, and they run the same in Wisconsin as everywhere else. You have 180 days from the date on your denial notice to file the internal appeal, and then 4 months from the final internal denial to ask for an independent external review. If waiting would seriously jeopardize your health you can ask for both to be expedited, decided in about 72 hours. Both timeframes are federal, not your insurer's choice, 29 CFR 2560.503-1 (PDF) and 45 CFR 147.136 (PDF), in plain English at HealthCare.gov, and your own denial letter states the ones that govern your plan. The PDFs are the same sections on govinfo.gov, which serves them without a challenge page, so an automated reader can check these two dates as easily as you can.

You are not alone, and here is the measured version of that sentence: 143,772 in-network claims were denied by Common Ground Healthcare Cooperative in Wisconsin in a single plan year. A denial rate is a fact about an insurer's book of business. It is not a judgment about you, and it is not the last word on your claim.

• Of the 12 insurers reporting a denial rate in Wisconsin, Common Ground Healthcare Cooperative is the seventh highest at 9.6%. The highest in the state is 18.9% and the lowest is 6.5%.
• That is 9.1 percentage points below the 18.7% national average across this dataset, and 2.5 points below the Wisconsin average of 12.1%.
• Behind the percentage: 1,504,864 in-network claims were processed under 19 plans in Wisconsin, and 143,772 of them came back denied.
• For every 10,000 claims Common Ground Healthcare Cooperative denied, about 0 came back as an internal appeal. The other 10,000 stopped at the letter.
• Not one of those denials reached independent external review, the stage whose decision the plan is required by law to accept, and where nationally 32.8% are overturned.
• Its most-recorded denial reason is administrative reason at 61.2% of its categorized denials, against 22.5% nationally, a heavier share than the country as a whole. That is the denial mix, not an outcome rate.
• Common Ground Healthcare Cooperative accounts for 12.1% of every in-network claim denied in Wisconsin in this file.
• By raw volume it is the 82th largest source of denials among the 158 insurer-state records in the file that report one.
• After that, its second-most-recorded reason is provider out of network, 25,866 claims, 15.5% of its categorized denials.
• Third on its own list is referral required, 16,820 claims, 10.1% of what Common Ground Healthcare Cooperative categorized in Wisconsin. Between them the top three account for 86.7% of its categorized denials.
• Where Common Ground Healthcare Cooperative differs most from the national mix is administrative reason: 61.2% of its categorized denials in Wisconsin against 22.5% across the file.
• Read the other way round: 1,361,092 of those 1,504,864 in-network claims were paid, 90.4% of everything Common Ground Healthcare Cooperative processed in Wisconsin.
• Spread across the 19 plans it reports in Wisconsin, that is about 7,567 denied claims per plan, on about 79,203 claims processed per plan.
• Its reason columns add up to 167,363 categorized rows against 143,772 denials, 116.4% of them, and every reason share on this page is a share of that first figure rather than of the second.
• Its smallest recorded category in Wisconsin is other reasons, 262 claims, 0.2% of what Common Ground Healthcare Cooperative categorized there.
• Against the file as a whole, this one record is 0.2% of the 84,502,749 in-network claim denials reported by every issuer in it.

What happened to appeals

What that record means for your own Common Ground Healthcare Cooperative letter, and by when. Common Ground Healthcare Cooperative overturned 0% of the 0 internal appeals its Wisconsin members filed against 143,772 denials, and not one of those Wisconsin denials went on to the independent stage whose decision binds the plan, Common Ground Healthcare Cooperative's own rows in the plan-year 2026 release of the CMS Transparency in Coverage file, read September 5, 2026 (data.healthcare.gov). Whichever way that lands, nobody files the appeal for you, and the filing runs on a clock set by which plan you hold: an employer or Marketplace plan gives you at least 180 days from the denial notice to file the internal appeal (29 CFR 2560.503-1(h)(3)(i), carried onto individual-market coverage by 45 CFR 147.136(b)(3)(i)), while Medicare Advantage gives you 60 calendar days after you receive its notice (42 CFR 422.582(b)) and Medicaid managed care the same 60 calendar days from the date on the notice (42 CFR 438.402(c)(2)(ii)), both stages free, and the three steps above are the whole of what to do tonight, so take the date printed on your Common Ground Healthcare Cooperative notice and file well inside whichever of those windows is yours. The free steps are above; the $29 kit is the same clock with the letters pre-filled for Common Ground Healthcare Cooperative in Wisconsin. One payment. No subscription. No cut of your claim.

Common Ground Healthcare Cooperative inside Wisconsin

Your denial did not happen in a national average. It happened in a state market, alongside 11 other insurers reporting into the same federal file, and these are that market's own figures.

• Across the whole of Wisconsin, the 12 insurers reporting in this file processed 9,824,576 in-network claims and denied 1,188,325 of them, a state denial rate of 12.1%. Common Ground Healthcare Cooperative is one of those 12.
• That puts Wisconsin 25th of 30 states by denial rate, 6.6 points below the 18.7% national average, before you get to what Common Ground Healthcare Cooperative did inside it.
• Wisconsin recorded 2,083 internal appeals against those denials: one appeal for every 570 claims the state's insurers refused.
• Not one denial in Wisconsin reached independent external review in the reported year, not Common Ground Healthcare Cooperative's and not any other insurer's in the state. That is the stage whose decision the plan is required by law to accept.
• The reason Wisconsin's insurers record most often is other reasons, 363,275 claims, 39.5% of the state's categorized denials. Common Ground Healthcare Cooperative records administrative reason most often instead, which is the argument your letter will need to answer.
• The other insurers a Wisconsin reader could have bought from run from 18.9% (Security Health Plan of Wisconsin, Inc.) to 6.5% (HealthPartners Insurance Company). Common Ground Healthcare Cooperative at 9.6% sits between the two.
• Put the two together and Common Ground Healthcare Cooperative is responsible for 12.1% of every in-network claim denied in Wisconsin in this release, from 15.3% of the claims the state's insurers processed.
• Every Wisconsin figure in this section is that state's own row in the same federal file Common Ground Healthcare Cooperative's numbers above come from, CMS Transparency in Coverage Public Use File (PY2026 release, PY2024 claims), data.healthcare.gov — US Government public domain, and the full Wisconsin page is free at /states/wisconsin.

What Common Ground Healthcare Cooperative denies most

The most common denial reason recorded for Common Ground Healthcare Cooperative plans in Wisconsin is administrative reason. How that denial is beaten →

The last column is each reason's share of all categorized denials nationally, so you can see where Common Ground Healthcare Cooperative's mix in Wisconsin differs from everyone else's. This is denial mix, not overturn rate by reason, the federal file does not report appeal outcomes broken down by denial reason, and we do not imply otherwise.

The three steps at the top of this page are the whole of what you have to do tonight. The longer version, what the internal appeal has to contain, how the independent stage works, and how to ask for expedited handling when waiting would seriously jeopardize your health, is published free here.

Questions

Everything you need for your Common Ground Healthcare Cooperative appeal in Wisconsin: your two deadlines, the argument that fits your denial reason, the letters, the clinician brief, and the external review request. One payment. No subscription. No cut of your claim. Opens on screen the moment you pay. 14-day refund, no questions, one email to hello@getaxionlabs.com.