Department File Number : | M201781473 |
Claim Number : | 89192 |
Date Submitted : | 3/20/2017 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
MEDICUS INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
20-5623491 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Sasha | Yamamoto | |||
Street Address | |||||
560 Davis Street | |||||
City | State | Zip | |||
San Francisco | CA | 94111 | |||
Phone | Ext | Fax | E-Mail Address | ||
(415) 735 - 2135 | syamamoto@norcal-group.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Carmen | Anderson | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 529 E. Central Avenue | ||||
City | State | Zip Code | County | ||
Winter Haven | FL | 33880 | Polk | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
FL-16037444 | $500,000 | $1,500,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME110298 | Radiology - Diagnostic - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Duval | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
SHANDS AT LAKE SHORE | 100102 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Radiology, Emergency Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
9/14/2012 | 11/14/2013 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Trauma / Smash injury to the neck. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Cardiology Film | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Information not given at the time of this report | |||||
Principal Injury Giving Rise To The Claim | |||||
Disputed allegation by this then 42 year old male who presented to the hospital ER with history of "trauma" / "smash injury" Plaintiff alleged that the interpretation of the non-contrast CT scan of the cervical spine failed to note findings potentially consistent with a pre-existing epidural abscess, which was also not seen on CT scans and MRI done 2 days later and was later only found as an unexpected, coincidental finding on exploratory surgery. The claim was asserted against the practitioner and her practice group, each of which had a separate $500,000 limit of liability with their insurer. The settlement payment was made by the insurer to resolve the claims against both the practitioner and her practice group. The settlement is confidential. | |||||
Severity Of Injury | |||||
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
9/25/2013 | 16-2013-CA-008066 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Duval | 12/6/2016 | ||||
Other Defendants Involved in this Claim | |||||
Shands Lake Shore Regional Anthony, Ervin Jacksonville Nursing and Rehabilitation Center | |||||
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 | |||||
12/8/2016 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $1,000,000 | ||||||||||||||||||||
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 | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Insured met and conferenced with claim representatives and defense council |
Updates | |
No updates found. |
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Does Dr. CARMEN ANDERSON, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. CARMEN ANDERSON, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).