Department File Number : | M201678350 |
Claim Number : | 153672 |
Date Submitted : | 5/10/2016 |
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 | Belayet | Hossain | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 2318 Merriweather Way | ||||
City | State | Zip Code | County | ||
Wellington | FL | 33414 | Palm Beach | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
HCI-10113 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME79044 | Hospitalists | 01 |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Palm Beach | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
PALMS WEST HOSPITAL | 110006 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
3/25/2013 | 11/18/2014 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Knee replacement. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Patient underwent knee replacement on 3/25/13. On 4/1/13 patient presented with right leg swelling & shortness of breath. Chest CT was positive for bilateral pulmonary emboli. Patient admitted & started on anticoagulant therapy. After patient's neurological status changed, physician ordered stat FFP which was given 4 hours later, anti-coagulants stopped & stat neurological consult. Neurosurgeon reviewed films & decided against surgery. Patient's family requested transfer to Jackson Memorial for second opinion. Transfer did not occur for another 8 hours. Upon arrival to Jackson Memorial patient underwent decompressive craniotomy & is now severely neurologically damaged. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Brain hemorrhage. | |||||
Severity Of Injury | |||||
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
4/15/2015 | 502015CA003415 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Palm Beach | 4/22/2016 | ||||
Other Defendants Involved in this Claim | |||||
Oncology Associates of the Palm Beaches, P.A. Caldera, M.D., Humberto J Portu, ARNP, Jessica Florida United Radiology, L.C. Ortiz-Santiago, M.D., Madai Medical Specialists of the Palm Beaches, Inc. Seedial, M.D., Denzil Intensive Care Consortium, Inc. West Palm Beach Physician Group, Inc. Mufti, M.D., Saima Regalado, M.D., Constantino Sequeira, M.D., Eduardo Wong, M.D., Glenroy Palm Beach Neurosurgery, LLC Dutcher, D.O., Steven Bolink, ARNP, Ronel | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Claim or suit abandoned. | |||||
Final Method of Claim Disposition | |||||
No Payment Made | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
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 | $84,895 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $15,409 | ||||||||||||||||||||
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 | |||||||||||||||||||||
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. BELAYET HOSSAIN, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. BELAYET HOSSAIN, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).