| Department File Number : | M201573270 |
| Claim Number : | 99999999 |
| Date Submitted : | 1/25/2018 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| McLoughlin, James C | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 99-9999999 | ME100011 | ||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Marcia | Lijewski | |||
| Street Address | |||||
| 1940 West Bay Dr., Suite 4 | |||||
| City | State | Zip | |||
| Largo | FL | 33770 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (727) 585 - 3161 | mlijewski@medcf.com | ||||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | James | McLoughlin | |||
| Insurer Type | Street Address of Practice | ||||
| Self-Insurer | 1827 Harrison Ave. | ||||
| City | State | Zip Code | County | ||
| Panama City | FL | 32405 | Bay | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 999999 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME100011 | Surgery - Orthopedic | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Bay | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Inpatient Facility | |||||
| Name of Institution | Code | ||||
| GULF COAST MEDICAL CENTER (PANAMA CITY) | 100242 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Operating Suite | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 1/17/2011 | 6/13/2013 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| pre-existing injury causing low back pain. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| L4-L5 decompression and posterior spinal fusion with bilateral pedicle screw placement. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| alleged permanent injury to nerve root. | |||||
| 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 | ||||
| 6/13/2013 | 13-582-CA | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Bay | 1/6/2015 | ||||
| Other Defendants Involved in this Claim | |||||
| BAILEY, CARL G Southern Orthopedic Specialists Bay Radiology Associates, P.L. | |||||
| 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 | ||||
| No Court Proceedings. | |||||
| Arbitration | |||||
| Claim not subject to Arbitration. | |||||
| Date of Payment | |||||
| 12/18/2014 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $90,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $16,500 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $2,000 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| Risk management protocols reviewed with the practitioner. | |||||||||||||||||||||
| Updates | |||||||||||||||||||
| Date of Change: | 1/22/2018 6:01:53 PM | ||||||||||||||||||
| Reason for Change: | Settlement amount paid on behalf of insured was not accurate. | ||||||||||||||||||
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*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 MCLOUGHLIN, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. JAMES MCLOUGHLIN, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).