Medical Malpractice Cases

Dr. Roger E Bassin Medical Malpractice Cases

Court Case # 2010CA004840

Indemnity Paid: $350,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201161805
Claim Number :7382
Date Submitted :10/7/2011
 
Insurer Information
 
Insurer NameCoverage Type
OPHTHALMIC MUTUAL INSURANCE COMPANY (A R.R.G.)Primary
Insurer FEINProfessional License Number
94-3047990 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualRogerEBassin
Street Address
1705 Berglund Lane, Suite 103
CityStateZip
VieraFL32940
PhoneExtFaxE-Mail Address
(321) 255 - 0025 (321) 255 - 0027christine@drbassin.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualRogerEBassin
Insurer TypeStreet Address of Practice
Licensed1705 Berglund Lane, Suite 103
CityStateZip CodeCounty
VieraFL32940Brevard
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
OMC0009888$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME85585Surgery - Opthalmology 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FOrange
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
Operating Suite 
Date of OccurrenceDate Reported to Insurer
4/14/20107/15/2010
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
pt was diagnosed with having retrobulbar hematoma
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
patient had facelift and blepharplasty
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
pt was diagnosed with having retrobulbar hematoma
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
12/1/20102010CA004840
County Suit Filed inDate of Final Disposition
Lake5/5/2011
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 subject to arbitration, but settlement reached in lieu of award.
Date of Payment
5/5/2011
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$350,000
Loss Adjust Expense Paid to Defense Counsel$0
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Office is in contact with patients the evening of their procedure for follow-up care in addition tonext day for post surgical followup. Continuing to provide additional patient instruction to patients prior to surgery on awareness of post surgical complications.
 
Updates
 
No updates found.

 

 

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

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Court Case # 05-2013-CC-69850

Indemnity Paid: $5,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201470759
Claim Number :052013CC
Date Submitted :5/8/2014
 
Insurer Information
 
Insurer NameCoverage Type
Bassin, Roger EPrimary
Insurer FEINProfessional License Number
20-2998816ME85585
Insurer Contact Information
TypeFirst NameMILast Name
IndividualRogerEBassin
Street Address
1705 Berglund Lane, Suite 103
CityStateZip
VIeraFL32940
PhoneExtFaxE-Mail Address
(321) 255 - 0025 (321) 255 - 0027christine@drbassin.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualRogerEBassin
Insurer TypeStreet Address of Practice
Self-Insurer1705 Berglund Lane, Suite 103
CityStateZip CodeCounty
VieraFL32940Brevard
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
C52128$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME85585Surgery - Opthalmology 

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
10/21/20099/19/2013
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Patient
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Patient filed claim originally as she was not happy with results, then later changed claim she wanted money returned for non-completed services.
Severity Of Injury
Emotional Only - Fright, no physical damage

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
9/19/201305-2013-CC-69850
County Suit Filed inDate of Final Disposition
Brevard4/11/2014
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
 
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$5,000
Loss Adjust Expense Paid to Defense Counsel$0
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Doctor continues during consultation revewing with patient in office procedures and what a patient can expect as discomfort.
 
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.

Court Case # 05-2015-CA-039886

Indemnity Paid: $0.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201783840
Claim Number : 1025395
Date Submitted : 12/12/2017
 
Insurer Information
 
Insurer Name Coverage Type
NATIONAL FIRE & MARINE INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
47-6021331  
Insurer Contact Information
Type First Name MI Last Name
Individual Myra Lassen
Street Address
5814 Reed Road
City State Zip
Ft Wayne IN 46835
Phone Ext Fax E-Mail Address
(800) 463 - 3776     reportaclaim@medpro.com
 
Insured Information
 
Type First Name MI Last Name
Individual Roger E Bassin
Insurer Type Street Address of Practice
Licensed 1705 Berglund Lane, Ste 103
City State Zip Code County
Viera FL 32940 Brevard
Policy Number Per Claim Policy Limits Aggregate Policy Limits
ES009204 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME85585 Surgery - Plastic  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  M Brevard
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
MELBOURNE SURGERY CENTER 249
Location of Institutional Injury Other Location of Institutional Injury
Operating Suite  
Date of Occurrence Date Reported to Insurer
1/18/2013 4/10/2015
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Upper lid ptosis and lower lid laxity
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Surgery on eyelids
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Removed excessive eyelid tissue and failure to correct excessive eye exposure
Principal Injury Giving Rise To The Claim
Loss of visual acuity, cornea damage, 2nd corrective surgery
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
9/16/2015 05-2015-CA-039886
County Suit Filed in Date of Final Disposition
Brevard 10/24/2017
Other Defendants Involved in this Claim
Surgical Care Affiliates Inc
Melbourne Surgery Center LP
Melbourne Surgery Center LLC
The Bassin Center for Plastic Surgery
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
Disposed of by Court
Court Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
 
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? No
Indemnity Paid by Insurer on behalf of Insured $0
Loss Adjust Expense Paid to Defense Counsel $13,765
All Other Loss Adjustment Expense Paid $0
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
N/A
 
Updates
 
No updates found.

 

 

This page is not displaying certain sensitive information.

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