| Department File Number : | M201680179 |
| Claim Number : | 211503 |
| Date Submitted : | 4/11/2017 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| PROASSURANCE CASUALTY COMPANY | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 38-2317569 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Denise | Stokes | |||
| Street Address | |||||
| 100 Brookwood Place | |||||
| City | State | Zip | |||
| Birmingham | AL | 35209 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (205) 802 - 4790 | dstokes@proassurance.com | ||||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Ajay | K | Pandey | ||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 6200 Sunset Drive, Suite 305 | ||||
| City | State | Zip Code | County | ||
| Miami | FL | 33143 | Dade | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| MP97640 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME114409 | Neurology - Including Child - No Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Dade | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Inpatient Facility | |||||
| Name of Institution | Code | ||||
| SOUTH MIAMI HOSPITAL | 100154 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Operating Suite | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 2/2/2014 | 4/8/2016 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Pituitary tumor | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Trans-sphenoidal tumor resection | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| No misdiagnosis | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Pot op subarachnoid hemorrhage and death. | |||||
| Severity Of Injury | |||||
| Permanent: Death. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 9/22/2016 | 16-024806 CA 13 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Dade | 10/27/2016 | ||||
| Other Defendants Involved in this Claim | |||||
| Barrera, Carlos M Traina, Joseph South Miami hospital, Inc. Ibars, George Aronson Traina & Ibars Neurosurgical Associates | |||||
| Stage of Legal System at which Settlement was Reached or Award Made | |||||
| Within 90 days of suit being filed. | |||||
| Final Method of Claim Disposition | |||||
| No Payment Made | |||||
| Court Decision | Other | ||||
| No Court Proceedings. | |||||
| Arbitration | |||||
| Award for defendant. | |||||
| 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 | $8,117 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $4,214 | ||||||||||||||||||||
| 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, insurance personnel, and medical experts. | |||||||||||||||||||||
| Updates | ||||||||||
| Date of Change: | 11/8/2016 10:41:09 AM | |||||||||
| Reason for Change: | updated ALAE information | |||||||||
| ||||||||||
| Date of Change: | 1/3/2017 11:53:23 AM | |||||||||
| Reason for Change: | updated ALAE information | |||||||||
| ||||||||||
| Date of Change: | 4/11/2017 11:18:18 AM | |||||||||
| Reason for Change: | updated ALAE information | |||||||||
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Does Dr. AJAY K PANDEY, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. AJAY K PANDEY, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).