Medical Malpractice Cases

Dr. Kurt Bally Medical Malpractice Cases

Court Case # 052007CA68928

Indemnity Paid: $120,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201056609
Claim Number :HM101305-11
Date Submitted :3/2/2010
 
Insurer Information
 
Insurer NameCoverage Type
CONTINENTAL CASUALTY COMPANYPrimary
Insurer FEINProfessional License Number
36-2114545 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualLudvigCChristensen
Street Address
4631 Woodland Corporate Blvd 3rd Floor, #317
CityStateZip
TampaFL33614
PhoneExtFaxE-Mail Address
(813) 880 - 5117 (866) 896 - 5250Ludvig.Christensen@cna.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualKurt Bally
Insurer TypeStreet Address of Practice
Licensed3250 NW 84th Ave Apt E502
CityStateZip CodeCounty
SunriseFL33351Broward
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
DLP-0246104810$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Dentistry 
License NumberSpecialty Code & ClassificationCertification Number
DN17659Dental General Practice - NOC 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MBrevard
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
N/A000000
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
9/18/200612/17/2006
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Extraction of lower wisdom teeth
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Extraction of teeth #17 & #32
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Paresthesia
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
12/14/2007052007CA68928
County Suit Filed inDate of Final Disposition
Brevard2/25/2010
Other Defendants Involved in this Claim
 
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
2/23/2010
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$120,000
Loss Adjust Expense Paid to Defense Counsel$101,702
All Other Loss Adjustment Expense Paid$28,830
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$18,637$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insured discussed case with defense counsel and insurance personnel.
 
Updates
 
No updates found.

 

 

*NR:Prior to 04/28/1999 this field was not required in submitted claims.

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