Department File Number : | M201680179 |
Claim Number : | 211503 |
Date Submitted : | 4/11/2017 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
PROASSURANCE CASUALTY COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
38-2317569 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Denise | Stokes | |||
Street Address | |||||
100 Brookwood Place | |||||
City | State | Zip | |||
Birmingham | AL | 35209 | |||
Phone | Ext | Fax | E-Mail Address | ||
(205) 802 - 4790 | dstokes@proassurance.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Ajay | K | Pandey | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 6200 Sunset Drive, Suite 305 | ||||
City | State | Zip Code | County | ||
Miami | FL | 33143 | Dade | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
MP97640 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME114409 | Neurology - Including Child - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Dade | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
SOUTH MIAMI HOSPITAL | 100154 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
2/2/2014 | 4/8/2016 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Pituitary tumor | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Trans-sphenoidal tumor resection | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
No misdiagnosis | |||||
Principal Injury Giving Rise To The Claim | |||||
Pot op subarachnoid hemorrhage and death. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
9/22/2016 | 16-024806 CA 13 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Dade | 10/27/2016 | ||||
Other Defendants Involved in this Claim | |||||
Barrera, Carlos M Traina, Joseph South Miami hospital, Inc. Ibars, George Aronson Traina & Ibars Neurosurgical Associates | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Within 90 days of suit being filed. | |||||
Final Method of Claim Disposition | |||||
No Payment Made | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Award for defendant. | |||||
Date of Payment | |||||
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | No | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $0 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $8,117 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $4,214 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Insured discussed case with defense counsel, insurance personnel, and medical experts. |
Updates | ||||||||||
Date of Change: | 11/8/2016 10:41:09 AM | |||||||||
Reason for Change: | updated ALAE information | |||||||||
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Date of Change: | 1/3/2017 11:53:23 AM | |||||||||
Reason for Change: | updated ALAE information | |||||||||
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Date of Change: | 4/11/2017 11:18:18 AM | |||||||||
Reason for Change: | updated ALAE information | |||||||||
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Does Dr. AJAY K PANDEY, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. AJAY K PANDEY, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).