Department File Number : | M201472598 |
Claim Number : | HMA25797 |
Date Submitted : | 11/10/2014 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
CONTINENTAL CASUALTY COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
36-2114545 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Juanetta | J | Moore | ||
Street Address | |||||
333. Wabash Ave | |||||
City | State | Zip | |||
Chicago | IL | 60685 | |||
Phone | Ext | Fax | E-Mail Address | ||
(312) 822 - 3353 | Juanetta.Moore@cna.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | AUGUST TONY | J | SCIALFA | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 400 Tamiami Trail S 110 | ||||
City | State | Zip Code | County | ||
Venice | FL | 34285 | Sarasota | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
DNC 166881556 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Dentistry | |||||
License Number | Specialty Code & Classification | Certification Number | |||
DN14376 | Dentists |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Sarasota | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Other Location | Dental Office | ||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Special Procedure Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
4/9/2014 | 4/9/2014 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Dentures | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Demand for damage on work done | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Alleged dissatisfaction with dentures | |||||
Severity Of Injury | |||||
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
4/9/2014 | 2014-SC-001796 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Sarasota | 10/20/2014 | ||||
Other Defendants Involved in this Claim | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Claim or suit abandoned. | |||||
Final Method of Claim Disposition | |||||
Disposed of by Court | |||||
Court Decision | Other | ||||
Directed verdict for defendant. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
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 | $5,963 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Investigate and identify risks and reduce the liability exposure |
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. AUGUST TONY J SCIALFA, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. AUGUST TONY J SCIALFA, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).