Medical Malpractice Cases

Dr. Charles J Adelson Medical Malpractice Cases

Court Case # 50 2010 CA 9264 MB A

Indemnity Paid: $8,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201160940
Claim Number :HM125049
Date Submitted :7/6/2011
 
Insurer Information
 
Insurer NameCoverage Type
CONTINENTAL CASUALTY COMPANYPrimary
Insurer FEINProfessional License Number
36-2114545 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualJameela Maddox
Street Address
333 South Wabash Avenue 38th Floor
CityStateZip
ChicagoIL60604
PhoneExtFaxE-Mail Address
(312) 822 - 5171  Jameela.Maddox@cna.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualCharlesJAdelson
Insurer TypeStreet Address of Practice
Licensed7737 N University DR STE 207
CityStateZip CodeCounty
TamaracFL33321Broward
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
DNC-2074543025$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Dentistry 
License NumberSpecialty Code & ClassificationCertification Number
DN16482Dentists 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MBroward
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
1/19/20091/21/2009
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Alleged that wrong tooth #10 was extracted.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Extraction of two teeth #7 and #9
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Alleged insured extractedthe wrong tooth #10 at the direction of Dr Miller, the referring dentist
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
11/17/201050 2010 CA 9264 MB A
County Suit Filed inDate of Final Disposition
Broward5/11/2011
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
Within the pre-suit period as set forth in 766.106 (more than 90 days before suit is filed).
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Award for plaintiff.
Date of Payment
6/9/2011
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$8,000
Loss Adjust Expense Paid to Defense Counsel$30,549
All Other Loss Adjustment Expense Paid$8,355
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
claimant will execute a Release with confidentiality and all documents necessary to reassure us that none of his expenses were paid by Medicare
 
Updates
 
No updates found.

 

 

*NR:Prior to 04/28/1999 this field was not required in submitted claims.

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