Department File Number : | M201679310 |
Claim Number : | 2602496 |
Date Submitted : | 8/2/2016 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
THE CINCINNATI INDEMNITY COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
31-1241230 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Heather | N | Hartman | ||
Street Address | |||||
6200 South Gilmore Road | |||||
City | State | Zip | |||
Fairfield | OH | 45014 | |||
Phone | Ext | Fax | E-Mail Address | ||
(513) 603 - 5846 | (513) 371 - 7028 | Heather_Hartman@cinfin.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Christopher | S | Page | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 4953 Castello Dr Suite 100 & 200 | ||||
City | State | Zip Code | County | ||
Naples | FL | 34103 | Collier | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
CAP 5234087 | $1,000,000 | $2,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Dentistry | |||||
License Number | Specialty Code & Classification | Certification Number | |||
DN18306 | Dentists |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Collier | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Physician's Office | |||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Date of Occurrence | Date Reported to Insurer | ||||
12/14/2014 | 12/14/2014 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Clmt suit alleges insd replaced clmt's teeth with new dentures. Clmt alleges dentures incorrectly done. Says she has big blisters on top of her mouth after wearing them. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Clmt suit alleges insd replaced clmt's teeth with new dentures. Clmt alleges dentures incorrectly done. Says she has big blisters on top of her mouth after wearing them. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Clmt suit alleges insd replaced clmt's teeth with new dentures. Clmt alleges dentures incorrectly done. Says she has big blisters on top of her mouth after wearing them. | |||||
Severity Of Injury | |||||
Temporary: Slight - Lacerations, contusions, minor scars, rash. No delay. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
1/28/2016 | 11-2016-SC-000129 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Collier | 8/1/2016 | ||||
Other Defendants Involved in this Claim | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
After court verdict and prior to filing of notice of appeal. | |||||
Final Method of Claim Disposition | |||||
Disposed of by Court | |||||
Court Decision | Other | ||||
Directed verdict for defendant. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
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 | $2,314 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
None given. |
Updates | |
No updates found. |
*NR: Prior to 04/28/1999 this field was not required in submitted claims. This page is not displaying certain sensitive information.
Does Dr. CHRISTOPHER S PAGE, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. CHRISTOPHER S PAGE, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).