Department File Number : | M201575210 |
Claim Number : | PLFHOR079708 |
Date Submitted : | 7/15/2015 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
Florida Hospital East Orlando | Primary | ||||
Insurer FEIN | Professional License Number | ||||
59-1479658 | 4369 | ||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Matthew | Evans | |||
Street Address | |||||
900 Hope Way | |||||
City | State | Zip | |||
Altamonte Springs | FL | 32714 | |||
Phone | Ext | Fax | E-Mail Address | ||
(407) 357 - 2272 | matt.evans@ahss.org |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | BHAVYA | TRIVEDI | |||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 2501 N ORANGE AVE STE 310 | ||||
City | State | Zip Code | County | ||
Orlando | FL | 32803 | Orange | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
8528-2014 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME104310 | Surgery - pediatric |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Orange | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Outpatient Facility | |||||
Name of Institution | Code | ||||
FLORIDA HOSPITAL (ORLANDO) | 100007 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
8/25/2014 | 9/23/2014 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
ABNORMAL CARDIAC RHYTHM, SVT. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
ELECTROPHYSIOLOGY STUDY, CATHETER ABLATION ANDTRANSEPTAL PUNCTURE. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
ALLEGED DELAY IN RECOGNITION OF COMPLICATION. ALLEGEDDELAY BY PRACTITIONER TO TIMELY INTERVENE. COMPLICATIONOF TRANSEPTAL PUNCTURE AND PERICARDIAL TAMPONADE WHICHRESULTED IN A HYPOXIC BRAIN INJURY | |||||
Severity Of Injury | |||||
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 6/15/2015 | ||||
Other Defendants Involved in this Claim | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Settlement Reached Prior to Pre-Suit Period | |||||
Final Method of Claim Disposition | |||||
Settled by parties | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
6/15/2015 |
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 | $0 | ||||||||||||||||||||
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 | |||||||||||||||||||||
n/a |
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. BHAVYA TRIVEDI, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. BHAVYA TRIVEDI, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).