Submission

This event is sent to the configured callback URL when an application is submitted via HealthSherpa for Medicare.

Example Payload

{
  "medicare_application": {
    "carrier_name": "Devoted Health",
    "cms_plan_id": "H1290-001-000",
    "confirmation_number": "A92946987696546M",
    "created_at": "2026-01-21T19:54:21.186Z",
    "effective_date": "2026-02-01",
    "fips_code": "12086",
    "plan_name": "DEVOTED CORE 001 FL (HMO)",
    "plan_sub_type": "hmo",
    "plan_type": "mapd",
    "plan_year": 2026,
    "send_to_beneficiary": false,
    "state": "FL",
    "submitted_at": "2026-01-21T19:56:43.302Z",
    "submitting_agent_first_name": "Heath",
    "submitting_agent_last_name": "Sherpa",
    "submitting_agent_npn": "1234567890",
    "total_premium_cents": 5000,
    "updated_at": "2026-01-21T19:56:52.627Z",
    "zip_code": "33101"
  },
  "medicare_application_riders": [
    {
      "plan_name": "Dental Plus",
      "premium_cents": 2500,
      "created_at": "2026-01-21T19:54:21.186Z",
      "updated_at": "2026-01-21T19:54:21.186Z"
    },
    {
      "plan_name": "Vision Coverage",
      "premium_cents": 2500,
      "created_at": "2026-01-21T19:54:21.186Z",
      "updated_at": "2026-01-21T19:54:21.186Z"
    }
  ],
  "contact": {
    "id": "8b420678-2c58-4f56-9c0b-9ccb605e5e85",
    "external_id": "CRM789012",
    "first_name": "Test",
    "middle_name": "Person",
    "last_name": "Enrollment",
    "suffix": "Jr.",
    "birth_date": "1960-09-09",
    "email": "[email protected]",
    "phone_number": "3055551234",
    "language": "English",
    "primary_address_street": "123 Main Street",
    "primary_address_unit_number": "Apt 101",
    "primary_address_city": "Miami",
    "primary_address_state": "FL",
    "primary_address_zip_code": "33101",
    "primary_address_county": "Miami-Dade",
    "primary_address_fips_code": "12086",
    "authorized_representative_name": "Child of Test Enrollment",
    "authorized_representative_relationship": "natural_child",
    "authorized_representative_address": "123 Main Street",
    "authorized_representative_city": "Miami",
    "authorized_representative_state": "FL",
    "authorized_representative_zip_code": "33101",
    "authorized_representative_phone_number": "3055551235",
    "authorized_representative_email": "[email protected]",
    "medicaid_eligible": false,
    "medicaid_enrolled": false,
    "medicaid_number": null,
    "medicare_number": "1EG4TE5MK73",
    "needs_extra_help": false,
    "part_a_effective_date": "2020-07-01",
    "part_b_effective_date": "2020-07-01",
    "created_at": "2026-01-21T19:53:25.236Z",
    "updated_at": "2026-01-21T19:54:15.234Z"
  }
}