Department File Number : | M201990824 |
Claim Number : | 113989 |
Date Submitted : | 12/11/2019 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
EMERGENCY PHYSICIANS INSURANCE EXCHANGE RISK RETENTION GROUP | Primary | ||||
Insurer FEIN | Professional License Number | ||||
56-2317340 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Robin | Freed | |||
Street Address | |||||
2501 Parmenter St, Ste 100B | |||||
City | State | Zip | |||
Middleton | WI | 53562 | |||
Phone | Ext | Fax | E-Mail Address | ||
(608) 416 - 1038 | rfreed@epixrrg.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Sohail | A | Khan | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 96279 Brady Point Road | ||||
City | State | Zip Code | County | ||
Fernandina Beach | FL | 32034 | Nassau | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
100411 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Physician Assistant | |||||
License Number | Specialty Code & Classification | Certification Number | |||
PA9102828 | Physicians or Surgeons Assistants |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Nassau | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Other Location | Amelia Urgent Care | ||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Date of Occurrence | Date Reported to Insurer | ||||
5/6/2018 | 8/20/2018 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Myocardial infarction | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
The patient underwent a work up at urgent care for complaints of chest pain, fatigue, loss of appetite,lethargy, and change in skin color. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Alleged improper work up at urgent care and failure to diagnose MI or refer patient to ER on an emergent basis,resulting in delayed treatment and patient demise. | |||||
Principal Injury Giving Rise To The Claim | |||||
61 YOM to urgent care with complaints of chest pain and one week history of fatigue, loss of appetite, lethargy,and change in skin color. Patient was referred to the ER. Patient waited a day before going to the ER where he later died. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
1/11/2019 | 16-2019-CA-000296 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Duval | 8/1/2019 | ||||
Other Defendants Involved in this Claim | |||||
Matricia, Daniel Amelia Urgent Care LLC | |||||
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 | |||||
8/2/2019 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $220,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $2,400 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
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 | |||||||||||||||||||||
NA |
Updates | |
No updates found. |
Does Dr. SOHAIL A KHAN, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. SOHAIL A KHAN, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).