Department File Number : | M201988565 |
Claim Number : | 112130B |
Date Submitted : | 4/23/2019 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
COVERYS SPECIALTY INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
47-2600307 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | David | Lindquist | |||
Street Address | |||||
Coverys. One Financial Center | |||||
City | State | Zip | |||
Boston | MA | 02111 | |||
Phone | Ext | Fax | E-Mail Address | ||
(617) 428 - 9838 | dlindquist@coverys.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Hassan | M | Nasir | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 17201 Collins Ave Apt 1509 | ||||
City | State | Zip Code | County | ||
Miami Beach | FL | 33160 | Dade | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
5-10014 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Osteopathic Physician | |||||
License Number | Specialty Code & Classification | Certification Number | |||
OS11877 | Emergency Medicine - No Major 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 | ||||
Other Location | RiteCare Medical Center | ||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | Urgent Care Center | ||||
Date of Occurrence | Date Reported to Insurer | ||||
6/6/2014 | 9/13/2016 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Alleged negligent failure to properly treat a foot laceration resulting in an infection, pain and suffering, and the need for surgery | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Treating foot laceration. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Foot laceration. | |||||
Severity Of Injury | |||||
Temporary: Major - Burns, surgical material left, drug side effect, brain damage. Recovery delayed. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
1/27/2017 | 17-002265 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Dade | 4/16/2019 | ||||
Other Defendants Involved in this Claim | |||||
Joukar, Hossien RiteCare Medical Center LLC | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference. | |||||
Final Method of Claim Disposition | |||||
Settled by parties | |||||
Court Decision | Other | ||||
Other | Dismissed | ||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $46,250 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $12,792 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $4,400 | ||||||||||||||||||||
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 | |||||||||||||||||||||
N/A |
Updates | |
No updates found. |
Does Dr. HASSAN M NASIR, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. HASSAN M NASIR, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).