Department File Number : | M201472876 |
Claim Number : | 14-0047-A-12 |
Date Submitted : | 12/9/2014 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
FD INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
20-3704679 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Linda | D | Collins | ||
Street Address | |||||
4651 Salisbury Road, Suite 410 | |||||
City | State | Zip | |||
Jacksonville | FL | 32256 | |||
Phone | Ext | Fax | E-Mail Address | ||
(904) 296 - 2887 | 214 | (904) 296 - 1245 | lcollins@fdinsurancecompany.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Amber | Starling | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 1834 S.W. 1st Avenue, Suite 201 | ||||
City | State | Zip Code | County | ||
Ocala | FL | 34471 | Marion | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
MG001054 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Licensed Practical Nurse | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ARNP9248753 | Family Physicians or General Practitioners - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Marion | ||||
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 | ||||
Date of Occurrence | Date Reported to Insurer | ||||
7/23/2012 | 3/3/2014 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Patient presented following a fall. Patient complained of muskuloskeletal pain and was evaluated by the ARNP | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
X-rays. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Patient was diagnosed with multiple contusions and most likely torn ligaments. Approximately 3 weeks later, the patient presented to the ER and was diagnosed with a left leg/hjip fracture. | |||||
Principal Injury Giving Rise To The Claim | |||||
Alleged failure to timely and appropriately examine, diagnose, treat, refer and/or consult regarding the patient's left leg/hip farcture; alleged failure to obtain and follow up on an appropriate x-ray reading. | |||||
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 | 10/27/2014 | ||||
Other Defendants Involved in this Claim | |||||
Express Care of Ocala, Inc. | |||||
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 | |||||
10/27/2014 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $200,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $15,030 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Circumstances of this case have been discussed with the insured and Risk Management was notified. |
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. AMBER STARLING, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. AMBER STARLING, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).