POST insurance/application/form/pregnancyConfirmation

Request Information

URI Parameters

None.

Body Parameters

PregnancyConfirmationFormDto
NameDescriptionTypeAdditional information
ApplicationId

globally unique identifier

None.

DocumentDate

date

None.

SurrogateHealthNotes

string

None.

ConfirmedDateOfPregnancy

date

None.

EstimatedDueDate

date

None.

ConfirmedNumberOfFetus

integer

None.

SurrogateBioMetric

SurrogateBioMetric

None.

PresidingPhysician

Person

None.

PresidingPhysicianPractice

string

None.

PhysicianSignature

boolean

None.

Request Formats

application/json, text/json

Sample:
{
  "ApplicationId": "2809fdc4-101b-4294-a050-c65ebf81ad8a",
  "DocumentDate": "2026-06-03T07:53:31.2685528-04:00",
  "SurrogateHealthNotes": "sample string 2",
  "ConfirmedDateOfPregnancy": "2026-06-03T07:53:31.2685528-04:00",
  "EstimatedDueDate": "2026-06-03T07:53:31.2685528-04:00",
  "ConfirmedNumberOfFetus": 1,
  "SurrogateBioMetric": {
    "Weight": 1.0,
    "HeightFeet": 1,
    "HeightInches": 1,
    "Diastolic": 1,
    "Systolic": 1,
    "Bmi": 1.0
  },
  "PresidingPhysician": {
    "FirstName": "sample string 1",
    "LastName": "sample string 2",
    "EmailAddress": "sample string 3",
    "PhoneNumber": "sample string 4"
  },
  "PresidingPhysicianPractice": "sample string 3",
  "PhysicianSignature": true
}

application/x-www-form-urlencoded

Sample:

Sample not available.

Response Information

Resource Description

None.