Department File Number : | M201472420 |
Claim Number : | 1012361-01 |
Date Submitted : | 8/25/2015 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
MEDICAL PROTECTIVE COMPANY (THE) | Primary | ||||
Insurer FEIN | Professional License Number | ||||
35-0506406 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Susan | K | Spielman | ||
Street Address | |||||
5814 Reed Road | |||||
City | State | Zip | |||
Fort Wayne | IN | 46835 | |||
Phone | Ext | Fax | E-Mail Address | ||
(260) 486 - 0340 | reportaclaim@medpro.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Rand | W | Altemose | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 4371 Veronica S Shoemaker Blvd | ||||
City | State | Zip Code | County | ||
Fort Myers | FL | 33916 | Lee | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
623699 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME39676 | Hematology - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Lee | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Other Outpatient Facility | St Joseph's Diagnostic Center LLC | ||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Radiology, Emergency Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
4/20/2009 | 3/4/2013 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Lung condition | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
CT of lung | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Failure to follow up on results of study | |||||
Principal Injury Giving Rise To The Claim | |||||
Delay in diagnosis resulting in death | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
8/6/2013 | 13-CA-008523 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Hillsborough | 10/14/2014 | ||||
Other Defendants Involved in this Claim | |||||
Gulfcoast Oncology Associates St Joseph's Hospital Inc St Joseph's Diagnostic Center LLC SDI Imaging Center Cottrell MD, Jeffrey R Florida Cancer Specialists | |||||
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 | |||||
10/13/2014 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $250,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $29,209 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $3,513 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $250,000 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
N/A |
Updates | ||||||||||
Date of Change: | 2/13/2015 10:40:00 AM | |||||||||
Reason for Change: | ALE UPDATE | |||||||||
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Date of Change: | 8/25/2015 4:35:06 PM | |||||||||
Reason for Change: | ALE UPDATE | |||||||||
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Does Dr. RAND W ALTEMOSE, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. RAND W ALTEMOSE, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).