Department File Number : | M202093117 |
Claim Number : | 390865 |
Date Submitted : | 7/30/2020 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE) | Primary | ||||
Insurer FEIN | Professional License Number | ||||
95-3014772 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Shandra | K | Parks | ||
Street Address | |||||
TDC - Jacksonville, 12724 Gran Bay Pkwy W, Suite 400 | |||||
City | State | Zip | |||
Jacksonville | FL | 32258 | |||
Phone | Ext | Fax | E-Mail Address | ||
(517) 324 - 6857 | (707) 927 - 1809 | sparks@thedoctors.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Alan | J | Graves | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 37026 US Highway 19 North | ||||
City | State | Zip Code | County | ||
Palm Harbor | FL | 34684 | Pinellas | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
0920137 | $500,000 | $1,500,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME64492 | Surgery - Orthopedic |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Pinellas | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Physician's Office | |||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | physician's office | ||||
Date of Occurrence | Date Reported to Insurer | ||||
11/21/2017 | 10/11/2019 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Severe arthritis of the hip joint | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Minimally invasive left total hip arthroplasty | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Alleged failure to diagnose post-op infection | |||||
Principal Injury Giving Rise To The Claim | |||||
Need for revision of hip arthroplasty | |||||
Severity Of Injury | |||||
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 7/28/2020 | ||||
Other Defendants Involved in this Claim | |||||
Maser, DO, Andrew C | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Within the pre-suit period as set forth in 766.106 (more than 90 days before suit is filed). | |||||
Final Method of Claim Disposition | |||||
Settled by parties | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
7/28/2020 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $455,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $5,287 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $3,621 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate. |
Updates | |
No updates found. |
Does Dr. ALAN J GRAVES, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ALAN J GRAVES, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).