Department File Number : | M201783539 |
Claim Number : | 159027 |
Date Submitted : | 11/1/2017 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
NORCAL MUTUAL INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
94-2301054 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Richard | Petersen | |||
Street Address | |||||
4651 Salisbury Rd. #410 | |||||
City | State | Zip | |||
Jacksonville | FL | 32256 | |||
Phone | Ext | Fax | E-Mail Address | ||
(904) 309 - 8142 | (904) 394 - 7134 | rpetersen@norcal-group.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | RONALD | BATHAW | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 80 Pinnacles Drive | ||||
City | State | Zip Code | County | ||
Palm Coast | FL | 32164 | Volusia | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
719228N | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME46366 | Surgery - Orthopedic |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Volusia | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
FLAGLER HOSPITAL | 100090 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
5/7/2015 | 10/11/2016 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Mrs. Yonick suffered from severe degenerative arthritis in her left thumb requiring surgery performed by Dr. Ronald Bathaw on or about 05/07/15. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Mrs. Yonick underwent a left thumb joint stabilization using a mini-tightrope procedure implant and allograft tendon. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Mrs. Yonick alleges that she suffered additional lacerations in her left hand as she underwent a left thumb joint stabilization using a mini-tightrope procedure implant and allograft tendon. | |||||
Severity Of Injury | |||||
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
10/19/2017 | 2017CA184 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Volusia | 10/30/2017 | ||||
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 Decision | Other | ||||
Other | Settled between parties | ||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
10/30/2017 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $325,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $16,381 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Circumstances of the case have been discussed with risk management & the insured physician. |
Updates | |
No updates found. |
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Medical Malpractice Closed Claims Report
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Does Dr. RONALD BATHAW, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. RONALD BATHAW, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).