Department File Number : | M201472775 |
Claim Number : | HMA13914 |
Date Submitted : | 11/25/2014 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
CONTINENTAL CASUALTY COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
36-2114545 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Juanetta | J | Moore | ||
Street Address | |||||
333. Wabash Ave | |||||
City | State | Zip | |||
Chicago | IL | 60685 | |||
Phone | Ext | Fax | E-Mail Address | ||
(312) 822 - 3353 | Juanetta.Moore@cna.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Sharmilla | Anand | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 1838 Dewey PL | ||||
City | State | Zip Code | County | ||
Jacksonville | FL | 32207 | Duval | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
DNC 005962826 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Dentistry | |||||
License Number | Specialty Code & Classification | Certification Number | |||
DN13665 | Dental General Practice - NOC |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Duval | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Other Outpatient Facility | Dental Office | ||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Special Procedure Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
9/5/2013 | 9/5/2013 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Crown needed for tooth #9 | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
preparing tooth #9 during an attempt to make a crown resulting in pulpal necrosis, which resulted in a root canal, post, and crown. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Alleged failed crown and infection to tooth #9 | |||||
Severity Of Injury | |||||
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
9/5/2013 | 16-2013-CA-008172 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Duval | 11/3/2014 | ||||
Other Defendants Involved in this Claim | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Within 90 days of suit being filed. | |||||
Final Method of Claim Disposition | |||||
Disposed of by Court | |||||
Court Decision | Other | ||||
Directed verdict for defendant. | |||||
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 | $17,743 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $1,125 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
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. This page is not displaying certain sensitive information.
Does Dr. SHARMILLA ANAND, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. SHARMILLA ANAND, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).