Medical Malpractice Cases

Dr. Shamimara Borachi Medical Malpractice Cases

Court Case # 51-2004-CA-3569-WS

Indemnity Paid: $35,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200641567
Claim Number :B04001795
Date Submitted :7/12/2006
 
Insurer Information
 
Insurer NameCoverage Type
TIG INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
94-1517098 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualRay Levernier
Street Address
125 S. Wacker Drive Suite 700
CityStateZip
ChicagoIL60606
PhoneExtFaxE-Mail Address
(312) 606 - 2297  raymond_levernier@tigspecialty.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualShamimara Borachi
Insurer TypeStreet Address of Practice
Licensed111 2ND AVE NE
CityStateZip CodeCounty
ST PETERSBURGFL33701-3434Pinellas
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
HCF39251897$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME66831Family Physicians or General Practitioners - Minor Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MPasco
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
COMMUNITY HOSPITAL OF NEW PORT RICHEY100191
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
12/3/200212/30/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
6 week history of diarrhea
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
resection of distal transverse colon, descending colon and transverse colon
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
failure to diagnose perforated colon
Principal Injury Giving Rise To The Claim
perforated colon
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
1/4/200551-2004-CA-3569-WS
County Suit Filed inDate of Final Disposition
Pasco7/10/2006
Other Defendants Involved in this Claim
pidala, frank a
florida em-1 services
new port ritchey hospital
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
Othersettled by parties, there was no court decision
Arbitration
Claim subject to arbitration, but settlement reached in lieu of award.
Date of Payment
7/11/2006
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$35,000
Loss Adjust Expense Paid to Defense Counsel$24,678
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
Unknown
 
Updates
 
No updates found.

 

 

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