POST insurance/application/form/surrogate

Request Information

URI Parameters

None.

Body Parameters

Name	Type	Additional information
DocumentDate	date	None.
ApplicationId	globally unique identifier	None.
Surrogate	Surrogate	None.
SurrogateAddress	Address	None.
SurrogacyAgent	SurrogacyAgent	None.
IvfClinicName	string	None.
IvfMedicationStartDate	date	None.
EmbryoTransferDate	date	None.
DonorEggs	boolean	None.
Tba	boolean	None.
UsingPersonalHealthInsurance	boolean	None.
HealthInsuranceCompanyName	string	None.
HealthInsurancePolicyNumber	string	None.
Obgyn	Obgyn	None.
ObgynAddress	Address	None.
DeliveryHospitalName	string	None.
DeliveryHospitalAddress	Address	None.

Request Formats

application/json, text/json

Sample:

{
  "DocumentDate": "2026-06-03T07:52:56.4699482-04:00",
  "ApplicationId": "e96fe908-e8c7-4c58-ab21-dc0e8b0a4a70",
  "Surrogate": {
    "DOB": "2026-06-03T07:52:56.4699482-04:00",
    "SSN": "sample string 1",
    "FirstName": "sample string 2",
    "LastName": "sample string 3",
    "EmailAddress": "sample string 4",
    "PhoneNumber": "sample string 5"
  },
  "SurrogateAddress": {
    "Address1": "sample string 1",
    "Address2": "sample string 2",
    "City": "sample string 3",
    "State": "sample string 4",
    "ZipCode": "sample string 5",
    "CountryCode": "sample string 6"
  },
  "SurrogacyAgent": {
    "AgencyName": "sample string 1",
    "SurrogacyAgentId": 2,
    "AgentTypeId": 1,
    "ActiveStateId": 0
  },
  "IvfClinicName": "sample string 2",
  "IvfMedicationStartDate": "2026-06-03T07:52:56.4699482-04:00",
  "EmbryoTransferDate": "2026-06-03T07:52:56.4699482-04:00",
  "DonorEggs": true,
  "Tba": true,
  "UsingPersonalHealthInsurance": true,
  "HealthInsuranceCompanyName": "sample string 6",
  "HealthInsurancePolicyNumber": "sample string 7",
  "Obgyn": {
    "ContactFirstName": "sample string 1",
    "ContactLastName": "sample string 2",
    "FirstName": "sample string 3",
    "LastName": "sample string 4",
    "EmailAddress": "sample string 5",
    "PhoneNumber": "sample string 6"
  },
  "ObgynAddress": {
    "Address1": "sample string 1",
    "Address2": "sample string 2",
    "City": "sample string 3",
    "State": "sample string 4",
    "ZipCode": "sample string 5",
    "CountryCode": "sample string 6"
  },
  "DeliveryHospitalName": "sample string 8",
  "DeliveryHospitalAddress": {
    "Address1": "sample string 1",
    "Address2": "sample string 2",
    "City": "sample string 3",
    "State": "sample string 4",
    "ZipCode": "sample string 5",
    "CountryCode": "sample string 6"
  }
}

application/x-www-form-urlencoded

Sample:

Sample not available.

Response Information

Resource Description

None.