Department File Number : | M201990680 |
Claim Number : | clw0002394 |
Date Submitted : | 11/21/2019 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
NORCAL MUTUAL INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
94-2301054 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Diane | M | McNab | ||
Street Address | |||||
5555 Gate Parkway, Suite 150 | |||||
City | State | Zip | |||
Jacksonville | FL | 32256 | |||
Phone | Ext | Fax | E-Mail Address | ||
(954) 439 - 0580 | dmcnab@norcal-group.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Catherine | E | Alia-Harding | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 103 South Boulevard | ||||
City | State | Zip Code | County | ||
Tampa | FL | 33606 | Hillsborough | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
801924E | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Licensed Practical Nurse | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ARNP1128152 | Geriatrics - Minor Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Hillsborough | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Other Hospital/Institution | SoHo Wellness | ||||
Name of Institution | Code | ||||
45TH STREET MENTAL HEALTH CENTER | 104008 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | physician office | ||||
Date of Occurrence | Date Reported to Insurer | ||||
5/21/2018 | 9/12/2018 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
The patient presented to the doctors office to have skin treatment performed. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
The patient consented in having skin treatment to her face by the use of intensive pulse light. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
There was no misdiagnosis. The patient was not satisfied with the results of her initial treatment with intensive pulse light therapy. As such, she returned one month later to have additional treatment performed. This provider applied some numbing cream to test a spot on the patient's face because she intended to use higher energy and wanted to be sure that the patient would tolerate it. A second treatment was provided with satisfactory result. | |||||
Principal Injury Giving Rise To The Claim | |||||
The patient alleged to have a burn scar on her face. | |||||
Severity Of Injury | |||||
Temporary: Major - Burns, surgical material left, drug side effect, brain damage. Recovery delayed. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 10/14/2019 | ||||
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 | |||||
10/28/2019 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $12,500 | ||||||||||||||||||||
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 conferenced and met with attorney and claims specialist |
Updates | |
No updates found. |
Does Dr. CATHERINE E ALIA-HARDING, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. CATHERINE E ALIA-HARDING, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).