Department File Number : | M201987604 |
Claim Number : | GC100-108-474a321912 |
Date Submitted : | 1/15/2019 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
CARE RISK RETENTION GROUP, INC. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
52-2395338 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Sarah | McIntosh | |||
Street Address | |||||
PO Box 22989 | |||||
City | State | Zip | |||
Louisville | KY | 40252 | |||
Phone | Ext | Fax | E-Mail Address | ||
(502) 708 - 3103 | (502) 326 - 5909 | smcintosh@rmsc.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Faiz | Fatteh | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 817 South University Dr., Ste. 106 | ||||
City | State | Zip Code | County | ||
Plantation | FL | 33324 | Broward | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
PPL0900247 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME70598 | Internal Medicine - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Broward | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Emergency Room | |||||
Name of Institution | Code | ||||
PLANTATION GENERAL HOSPITAL | 100167 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | ER Room | ||||
Date of Occurrence | Date Reported to Insurer | ||||
12/10/2013 | 2/3/2017 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
21-year-old presented to the ER with complaints of severe back pain and sickle crisis. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
The patient received supplemental oxygen and a blood transfusion. Levaquin was given to treat the patient's pneumonia. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Failure to recognize the severity of the patient's illness and diagnose and treat acute chest syndrome. As a result, the patient sustained catastrophic left middle cerebral artery non-hemorrhagic stroke. | |||||
Severity Of Injury | |||||
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
2/3/2017 | 17-000951 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Broward | 12/11/2018 | ||||
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 Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
12/18/2018 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $240,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $42,435 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Policy in place. |
Updates | |
No updates found. |
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
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Does Dr. FAIZ FATTEH, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. FAIZ FATTEH, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).