| Department File Number : | M201885237 |
| Claim Number : | 351134 |
| Date Submitted : | 5/3/2018 |
| 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 | Kelly | Andrews | |||
| Street Address | |||||
| 12724 Gran Bay Parkway, W., Suite 400 | |||||
| City | State | Zip | |||
| Jacksonville | FL | 32258 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (904) 360 - 3038 | kandrews@thedoctors.com | ||||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Alison | J | McDonald | ||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 515 Wekiva Commons Circle | ||||
| City | State | Zip Code | County | ||
| Apopka | FL | 32712 | Orange | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 0944142 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME90148 | Hospitalists | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| F | Orange | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Inpatient Facility | |||||
| Name of Institution | Code | ||||
| FLORIDA HOSPITAL - EAST ORLANDO | 100021 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Patients' Room | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 10/8/2016 | 1/5/2017 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Patient presented with headache was found to have hydrocephalus. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Patient underwent a lumbar puncture and suffered a brain herniation. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Death. | |||||
| Severity Of Injury | |||||
| Permanent: Death. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 7/7/2017 | 2017-CA-6148 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Orange | 4/10/2018 | ||||
| Other Defendants Involved in this Claim | |||||
| Florida 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 Decision | Other | ||||
| No Court Proceedings. | |||||
| Arbitration | |||||
| Claim not subject to Arbitration. | |||||
| Date of Payment | |||||
| 4/10/2018 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $500,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $31,826 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $10,108 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate. | |||||||||||||||||||||
| 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.
| Department File Number : | M201780869 |
| Claim Number : | 2013536829 |
| Date Submitted : | 1/16/2017 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| OCEANUS INSURANCE COMPANY, A RISK RETENTION GROUP | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 20-1066914 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Kerry-Anne | Roper | |||
| Street Address | |||||
| 4600 Sheridan Street, Suite 200 | |||||
| City | State | Zip | |||
| Hollywood | FL | 33021 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (954) 518 - 8008 | Kerry-Anne.Roper@sedgwickcms.com | ||||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | ALISON | MCDONALD | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 515 WEKIVA COMMONS CIRCLE | ||||
| City | State | Zip Code | County | ||
| APOPKA | FL | 32712 | Orange | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 01-2005-001 | $1,000,000 | $3,000,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME90148 | Internal Medicine - Minor Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Hillsborough | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Emergency Room | |||||
| Name of Institution | Code | ||||
| TOWN & COUNTRY HOSPITAL | 100255 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Radiology, Emergency Room | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 3/7/2012 | 3/1/2013 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| LARGE LEFT EFFUSION AND SMALL ANTERIOR PNEUMOTHORAX SUGGESTIVE OF PNEUMONIA. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| INSERTION OF CHEST TUBE. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| FAILURE TO ORDER APPROPRIATE TEST. | |||||
| Principal Injury Giving Rise To The Claim | |||||
| RESPIRATORY FAILURE, LEFT PLEURAL EFFISION, PARAPNEUMONIA, ARTIFICIAL KIDNEY UNIT. | |||||
| Severity Of Injury | |||||
| Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 3/7/2012 | 13-CA-009729 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Hillsborough | 3/16/2016 | ||||
| Other Defendants Involved in this Claim | |||||
| GIRALDO, HERNAN D MCDONALD, ALISON RODRIGUEZ, RAFAEL | |||||
| 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 | ||||
| Judgment for the plaintiff. | |||||
| Arbitration | |||||
| Award for plaintiff. | |||||
| Date of Payment | |||||
| 3/17/2016 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $70,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $41,122 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| TIMELY EXAMINE AND RECOMMEND A PLAN OF TREATMENT, TIMELY USE DIAGNOSTIC PROCEDURES TO ASCERTAIN PATIENT'S MEDICAL CONDITION. | |||||||||||||||||||||
| Updates | |
| No updates found. |
This page is not displaying certain sensitive information.
| Department File Number : | M201574588 |
| Claim Number : | TH-LLFL-55597 |
| Date Submitted : | 5/11/2015 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| TEAM HEALTH, INC. | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 62-1562558 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Kathy | A | Stockton | ||
| Street Address | |||||
| 9821 Katy Freeway | |||||
| City | State | Zip | |||
| Houston | TX | 77024 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (713) 935 - 2404 | (713) 461 - 8130 | kathy_stockton@westernlitigation.com | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | ALISON | J | MCDONALD | ||
| Insurer Type | Street Address of Practice | ||||
| Self-Insurer | 7979 GLENBROOKE LANE | ||||
| City | State | Zip Code | County | ||
| Sarasota | FL | 34243 | Manatee | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 6801420 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME90148 | Emergency Medicine - No Major Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Manatee | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Emergency Room | |||||
| Name of Institution | Code | ||||
| MANATEE MEMORIAL HOSPITAL | 100035 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Other | ER | ||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 7/25/2004 | 9/26/2006 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| BACK PAIN | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| EXAM DONE AND RELEASED WITH MEDICINE AND F/UP INSTRUCTIONS | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| BACK PAIN WITH SCIATRICA | |||||
| Principal Injury Giving Rise To The Claim | |||||
| ALLEGED CAUDA EQUINA SYNDROME R/I PERM. NEURO DAMAGE | |||||
| Severity Of Injury | |||||
| Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 2/1/2007 | 07-CA680 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Manatee | 4/21/2015 | ||||
| Other Defendants Involved in this Claim | |||||
| 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 subject to arbitration, but settlement reached in lieu of award. | |||||
| Date of Payment | |||||
| 2/26/2015 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $50,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $143,986 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $22,777 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| UNKNOWN | |||||||||||||||||||||
| Updates | |
| No updates found. |
This page is not displaying certain sensitive information.
Does Dr. ALISON J MCDONALD, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ALISON J MCDONALD, MD has at least 3 medical malpractice case(s), lawsuit(s), or complaint(s).