Department File Number : | M201783568 |
Claim Number : | 153459 |
Date Submitted : | 11/3/2017 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
HEALTH CARE INDEMNITY, INC. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
61-0904881 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Teresa | Ross | |||
Street Address | |||||
One Park Plaza P.O. Box 555 | |||||
City | State | Zip | |||
Nashville | TN | 37202 | |||
Phone | Ext | Fax | E-Mail Address | ||
(615) 344 - 5804 | Teresa.Ross@HCAHealthcare.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | JAMES | BROWN | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 10696 SE US Highway 441 | ||||
City | State | Zip Code | County | ||
Belleview | FL | 34420 | Marion | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
HCI-10113 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Osteopathic Physician | |||||
License Number | Specialty Code & Classification | Certification Number | |||
OS6867 | Family Physicians or General Practitioners - No Surgery | 01 |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Marion | ||||
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 | ||||
Other | Physician's Office | ||||
Date of Occurrence | Date Reported to Insurer | ||||
4/23/2013 | 10/21/2014 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
HIV. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Allege failure to timely diagnose and treat HIV. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Death. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
6/17/2015 | 2015-CA-000935 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Marion | 10/20/2017 | ||||
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 | |||||
Settled by parties | |||||
Court Decision | Other | ||||
Judgment for the plaintiff. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
10/18/2017 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $1,500,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $190,861 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $177,056 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $1,500,000 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Review of policies and procedures. |
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.
Department File Number : | M201886139 |
Claim Number : | 162785-2 |
Date Submitted : | 8/14/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
HEALTH CARE INDEMNITY, INC. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
61-0904881 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Christina | J | Stoker | ||
Street Address | |||||
1100 Charlotte Ave, Ste 500 | |||||
City | State | Zip | |||
Nashville | TN | 37203 | |||
Phone | Ext | Fax | E-Mail Address | ||
(615) 344 - 1779 | (615) 344 - 5889 | christina.stoker@hcahealthcare.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | JAMES | M | BROWN | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 10696 SE US HWY 441 | ||||
City | State | Zip Code | County | ||
BELLEVIEW | FL | 34420 | Marion | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
HCI-10115 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Osteopathic Physician | |||||
License Number | Specialty Code & Classification | Certification Number | |||
OS6867 | Family Physicians or General Practitioners - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Marion | ||||
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 | ||||
Other | PHYSICIAN'S OFFICE | ||||
Date of Occurrence | Date Reported to Insurer | ||||
9/3/2015 | 10/3/2017 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
PATIENT WAS UNDER THE CARE OF THE NAMED PHYSICIAN AND WAS ON COUMADIN THERAPY FOR DVT AND AFIB. INRS WERE CHECKED BY FINGER STICK IN THE OFFICE. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
DUE TO HIGH LEVEL, PATIENT WAS REQUESTED TO RECHECK IN TWO WEEKS. PATIENT WAS NON-COMPLIANT AND CANCELLED SEVERAL APPOINTMENTS AND DID NOT RETURN TO OFFICE FOR ONE MONTH. PATIENT LEVELS WERE AGAIN CHECKED AND HE WAS ADVISED TO HOLD THE COUMADIN AND HAVE IT RECHECKED. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
ALLEGED THAT PATIENT SUFFERED A HEMORRHAGIC STROKE OF THE FRONT PARIETAL LOBE DUE TO SUPRATHERAPEUTIC INR. PHYSICIAN'S OFFICE DID NOT HAVE A FOLLOW UP PROCEDURE IN PLACE FOR NON COMPLIANT PATIENTS ON COUMADIN THERAPY. | |||||
Severity Of Injury | |||||
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
3/20/2018 | 18-CA-0545 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Marion | 7/30/2018 | ||||
Other Defendants Involved in this Claim | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Within 90 days of suit being filed. | |||||
Final Method of Claim Disposition | |||||
Settled by parties | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
7/2/2018 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $275,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $23,320 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $5,521 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $50,000 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
REVIEW OF POLICIES AND PROCEDURES. |
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. JAMES BROWN, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. JAMES BROWN, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).