Department File Number : | M201887458 |
Claim Number : | 355609 |
Date Submitted : | 12/28/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE) | Primary | ||||
Insurer FEIN | Professional License Number | ||||
95-3014772 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Kelly | Andrews | |||
Street Address | |||||
12724 Gran Bay Parkway, W., Suite 400 | |||||
City | State | Zip | |||
Jacksonville | FL | 32258 | |||
Phone | Ext | Fax | E-Mail Address | ||
(904) 360 - 3038 | kandrews@thedoctors.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | DANIEL | P | ROBERTSON | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 1901 SE 18TH AVENUE, BUILDING 101 | ||||
City | State | Zip Code | County | ||
OCALA | FL | 34471 | Marion | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
1356519 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME69431 | Surgery - Neurology - Including Child |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Marion | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
MUNROE REGIONAL MEDICAL CENTER | 100062 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
8/6/2016 | 5/3/2017 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
THORACIC SPINE PAIN. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
NEUROSURGICAL CONSULTATION FOR EVALUATION AND MANAGEMENT OF A PATIENT BEING TREATED MEDICALLY FOR DISKITIS/OSTEOMYELITIS AT T3-T4. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
DISPUTED ALLEGATIONS OF FAILING TO RECOGNIZE WORSENING NEUROLOGICAL FUNCTION AND PROVIDE TIMELY SURGICAL INTERVENTION. | |||||
Principal Injury Giving Rise To The Claim | |||||
PARAPLEGIA. | |||||
Severity Of Injury | |||||
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
11/9/2017 | 17-1963-CA | ||||
County Suit Filed in | Date of Final Disposition | ||||
Marion | 11/29/2018 | ||||
Other Defendants Involved in this Claim | |||||
OLIVER, MARK D DEEB, JIENA LOYOLA, AILEEN MUNROE REGIONAL MEDICAL CENTER ORTIZ-BAEZ, FERNANDO MESORANA, SANTIAGO BLANCHARD, MEGAN Lapuz, Lauro KAMURU, FREEMAN | |||||
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 | |||||
11/29/2018 |
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 | $4,283 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate. |
Updates | |
No updates found. |
Department File Number : | M201987707 |
Claim Number : | 352000 |
Date Submitted : | 1/24/2019 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE) | Primary | ||||
Insurer FEIN | Professional License Number | ||||
95-3014772 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Kelly | Andrews | |||
Street Address | |||||
12724 Gran Bay Parkway, W., Suite 400 | |||||
City | State | Zip | |||
Jacksonville | FL | 32258 | |||
Phone | Ext | Fax | E-Mail Address | ||
(904) 360 - 3038 | kandrews@thedoctors.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Daniel | P | Robertson | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 1901 SE 18th Avenue, BLDG 101 | ||||
City | State | Zip Code | County | ||
Ocala | FL | 34471 | Marion | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
0965152 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME69431 | Surgery - Neurology - Including Child |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Marion | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
MUNROE REGIONAL MEDICAL CENTER | 100062 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
2/13/2016 | 2/1/2017 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Headaches, ultimately diagnosed with multiple brain and lung lesions identified as streptococcus. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Neurosurgical consult and brain biopsy. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Disputed allegations of failing to timely treat the patient's condition. | |||||
Principal Injury Giving Rise To The Claim | |||||
Death. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
6/7/2017 | 17-973-CAG | ||||
County Suit Filed in | Date of Final Disposition | ||||
Marion | 1/8/2019 | ||||
Other Defendants Involved in this Claim | |||||
Gopalan, MD, Kanagalingam Capahi, MD, Ryan T Hou, PA-C, Nan N Munroe Regional Medical 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 | |||||
No Payment Made | |||||
Court Decision | Other | ||||
Other | Voluntary Dismissal with Prejudice | ||||
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 | $33,090 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $16,329 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate. |
Updates | |
No updates found. |
Does Dr. DANIEL P ROBERTSON, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. DANIEL P ROBERTSON, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).