| Department File Number : | M201884161 |
| Claim Number : | 156696 |
| Date Submitted : | 1/23/2018 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| HEALTH CARE INDEMNITY, INC. | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 61-0904881 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Teresa | Ross | |||
| Street Address | |||||
| One Park Plaza P.O. Box 555 | |||||
| City | State | Zip | |||
| Nashville | TN | 37202 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (615) 344 - 5804 | Teresa.Ross@HCAHealthcare.com | ||||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Anurag | Johri | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 1400 NW 12th Avenue UMH East Bldg. Suite 3155 | ||||
| City | State | Zip Code | County | ||
| Miami | FL | 33136 | Dade | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| HCI-10115 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME117649 | Hospitalists | 01 | |||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| F | Dade | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Inpatient Facility | |||||
| Name of Institution | Code | ||||
| PALMETTO GENERAL HOSPITAL | 100187 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Patients' Room | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 2/26/2015 | 11/12/2015 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Herpes Simplex Encephalitis | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Allege failure to diagnose & treat Herpes Simplex Encephalitis resulting in delayed treatment. Allege improper management of patient's chief complaint of acute altered mental status; improper assessment of patient's clinical/diagnostic presentation which was indicative of an active process in central nervous system, not indicative of pneumonia. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Herpes encephalopathy, brain injury. | |||||
| Severity Of Injury | |||||
| Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 6/16/2016 | 2016-014620-CA-01 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Dade | 1/11/2018 | ||||
| Other Defendants Involved in this Claim | |||||
| Baltar, D.O., Shanna Marie P Jabbar, D.O., Qassam A Intensive Care Consortium, Inc. Tenet Florida Physician Services, LLC Tenet Florida, Inc. Mejia-Acosta, M.D., Monica | |||||
| 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 | |||||
| 12/27/2017 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $250,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $117,093 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $20,267 | ||||||||||||||||||||
| Injured Person's Total Non-Economic Loss | $250,000 | ||||||||||||||||||||
| Deductible | $0 | ||||||||||||||||||||
| Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
| Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
| Review of policies and procedures. | |||||||||||||||||||||
| 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. ANURAG JOHRI, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ANURAG JOHRI, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).