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Manage insurance data

Use the Krankenkasse user tab to track insurance progress, inbound GKV notifications, sent Meldegrund 20 and 30 notices, and study-timeline dates that drive statutory reporting.

Once the health-insurance integration is fully set up and switched on, manage insurance data means working on a student’s Krankenkasse tab: tracking insurance progress, inbound notifications, and sent Meldungen (M20 / M30 notices). This is the operational heart of GKV work in Fuxam — where student services verify that statutory steps completed, that Krankenkasse responses arrived, and that outbound Meldegründe match the academic reality on the study timeline.

Admins work from OrgHub → User Management; eligible students (or staff acting on their own profile) complete a shorter checklist on Dashboard → Management → Krankenkasse. Both views depend on the same prerequisites: a complete integration configuration, the configured required role, and accurate study-plan dates.

Why it matters

Statutory Meldeverfahren fails quietly when data is incomplete: a missing KV number blocks student onboarding; a wrong exmatriculation date can trigger Meldegrund 30 too early or too late; an unnoticed inbound arrears notice can leave enrollment decisions unresolved. The Krankenkasse tab concentrates those signals on the same identity record used elsewhere in OrgHub, so insurance status stays aligned with User Management and with cohort-driven study plans from study programs and cohorts.

Use this tab when you need to:

  • Confirm a student finished provider-notification steps before relying on automated exchange.
  • Inspect Insurance notices for Krankenkasse responses processed via the GKV interface.
  • Audit Sent notices for Meldegrund 20 (immatriculation) and Meldegrund 30 (exmatriculation), including correction workflows when something was sent incorrectly.
  • Trace problems back to Study timeline dates instead of guessing from separate spreadsheets.

How it fits

Upstream What it feeds
Configure GKV integration Without a complete configuration, the tab shows a configuration message instead of student data.
User Management Entry path for admins; role assignment controls who sees the tab.
Study programs and cohorts Cohort enrollment and study plans supply immatriculation / leave / exmatriculation dates on the timeline.
Export exmatriculations Successful Meldegrund 30 runs appear under Sent notices for verification.
Reporting reasons and lifecycle Explains what each Meldegrund means when you read Insurance notices and Sent notices.

Key concepts

Section / term Purpose
Insurance information Progress steps, overall insurance status, and actions to notify the provider.
Insurance notices Incoming GKV notifications processed for this user (responses and status updates from Krankenkassen).
Sent notices M20 (immatriculation) and M30 (exmatriculation) notices already transmitted — supports review and correction workflows when something was sent incorrectly.
Study timeline Key immatriculation and exmatriculation dates pulled from the user’s study plan, with links to adjust data in Study Plan when dates are wrong.
KV number Krankenversichertennummer — the student’s statutory insurance number, entered and validated during self-service steps.
Meldegrund 20 / M20 Hochschule notice: beginning of study / immatriculation (and related start-of-study reporting).
Meldegrund 30 / M30 Hochschule notice: end of study / exmatriculation reporting.
Send notification Admin action (when available) to manually trigger an insurance notification for this user, choosing type and delivery method in the dialog.

How study status drives what you see

In the statutory procedure, Hochschule Meldegründe follow academic facts — not a separate insurance calendar. In Fuxam, those facts live on the study timeline:

Timeline situation Typical insurance implication
Immatriculation / start of study recorded Outbound Meldegrund 20 becomes relevant once insurer status and student steps are in place.
Leave of absence Not the same as end of study — do not expect Meldegrund 30 merely because the student is on leave.
Exmatriculation / end of study Outbound Meldegrund 30 eligibility for the nightly export; see Export exmatriculations.
Inbound Meldegrund 12 (arrears) May block enrollment or re-enrollment until Meldegrund 13 (settlement) arrives — treat as a student-services decision signal, not only an IT flag.

How to open the Krankenkasse tab (admin)

You need permission to view insurance data to view the tab.

Confirm the health-insurance integration is fully set up and switched on, and that the student holds the required insurance role configured in settings.

Go to OrgHub → User Management → [User] → Krankenkasse.

If integration is incomplete, the page shows a configuration message instead of student data.

How to review admin sections on the tab

Work top to bottom when investigating a student case: progress and status first, then inbound traffic, then what you already sent, then whether the academic dates justify those Meldegründe.

Review Insurance progress steps to see which onboarding milestones the student completed.

Inspect the notification list for responses received from Krankenkassen via the GKV interface.

Open Sent notices to verify which Meldegründe were transmitted and when.

Use Send notification (when available) to manually trigger an insurance notification for this user, choosing type and delivery method in the dialog.

Admin sections at a glance

Section Purpose
Insurance information Progress steps, overall insurance status, and actions to notify the provider.
Insurance notices Incoming GKV notifications processed for this user.
Sent notices M20 (immatriculation) and M30 (exmatriculation) notices already transmitted — supports review and correction workflows when something was sent incorrectly.
Study timeline Key immatriculation and exmatriculation dates pulled from the user’s study plan, with links to adjust data in Study Plan when dates are wrong.

Reading inbound Insurance notices

Inbound notices are how Krankenkassen talk back to your institution. Common patterns (domain context):

Meldegrund What staff should take away
10 — insurance status Confirms whether insurance exists for enrollment decisions.
11 — fund change New Krankenkasse has taken over; Hochschule typically follows with Meldegrund 20 to the new fund (start of study / enrollment day).
12 — contribution arrears May require refusing enrollment or re-enrollment until resolved.
13 — arrears settled Clears the path for re-enrollment after a 12; often followed by a fresh 10 and then Hochschule 20.

Full code reference: Reporting reasons and lifecycle.

Student self-service steps

Students (or staff acting on their own profile) with the required role see a simplified checklist on Dashboard → Management → Krankenkasse:

  1. Enter and validate their KV number (Krankenversichertennummer).
  2. Copy the provider request message email template.
  3. Confirm the notification email was sent to their Krankenkasse.
  4. Confirm the insurer’s response was received.

These steps mirror the admin progress indicators but are limited to the logged-in user’s own data. In the statutory process, students typically ask their Krankenkasse to report insurance status to the Hochschule before or during enrollment; the Fuxam checklist captures that provider-notification loop so staff can see completion without collecting paper certificates.

Worked example: first-semester onboarding

  1. Admissions assigns the required insurance role when the applicant becomes a matriculated student.
  2. The student opens Dashboard → Management → Krankenkasse, enters the KV number, and emails the provider using the template.
  3. The Krankenkasse sends Meldegrund 10 to the Hochschule; it appears under Insurance notices.
  4. Staff confirm Study timeline immatriculation dates match reality.
  5. Outbound Meldegrund 20 (when transmitted for this student) appears under Sent notices for audit.

If step 3 never arrives, do not assume Fuxam is broken — the student may not have asked the fund, or Absendernummer / Hochschuldatei addressing may still be wrong. Check configuration and the student’s provider confirmation first.

Best practices

  • Fix the study timeline before re-sending. If Meldegrund 30 looks wrong, correct Study Plan dates first, then use review / correction workflows on Sent notices — do not treat Sent notices as the master academic record.
  • Read inbound notices in context. Contribution arrears or fund-change notifications can explain why enrollment or re-enrollment is blocked even when the student believes they are insured.
  • Use Send notification sparingly. Prefer automated jobs for routine Meldegrund 30 traffic (Export exmatriculations); reserve manual Send notification for documented exceptions when the dialog is available.
  • Keep role assignment in sync with cohorts. When you add users to a cohort, confirm they also receive the required insurance role if your process expects every matriculated student to complete Krankenkasse steps.
  • Do not use Statistics Center as a substitute. Cohort rosters and statistics exports help you find who is enrolled; they do not replace per-user Meldegrund history on the Krankenkasse tab.
  • Separate leave from exmatriculation in conversation with insurers. Leave statuses on the timeline are academic; Meldegrund 30 is end of study. Mislabeling leave as exmatriculation creates wrong outbound notices.

Common pitfalls

Problem What usually went wrong Remedy
Configuration message instead of data Integration incomplete Finish Configure GKV integration and save.
Empty progress / student cannot open checklist Missing required role Assign the role in User Management.
Sent notice exists but dates look wrong Study timeline out of date Adjust Study Plan, then use correction workflows as needed.
Cannot view tab as staff Missing permission to view insurance data Update role permissions.
Expecting M30 on the tab the same morning Exmatriculation export is a daily job See Export exmatriculations; check Sent notices after the nightly run.
Inbound 12 ignored Staff treated it as informational only Escalate to enrollment / re-enrollment policy owners — arrears notices can be blocking.

FAQ

Where do admins open insurance data?

OrgHub → User Management → [User] → Krankenkasse, provided the health-insurance integration is switched on and you have permission to view insurance data.

Where do students complete their steps?

Dashboard → Management → Krankenkasse, when they hold the required insurance role configured in settings.

What are Sent notices used for?

They show M20 and M30 notices already transmitted. Staff can review history and initiate corrections when a notice was sent incorrectly.

Why does the handbook emphasize Study Plan?

Automated exports and Meldegrund eligibility are driven by study-timeline statuses. Insurance UI cannot invent correct immatriculation or exmatriculation dates if the plan is wrong.

What if Insurance notices are empty but the student says they are insured?

Confirm the student completed the provider-notification checklist, that Absendernummer and Hochschuldatei addressing are correct, and that background notification processing is running for a live institution. Paper certificates alone do not create electronic Meldegrund 10 traffic.

Last updated on July 20, 2026

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