Department File Number : | M202092362 |
Claim Number : | CLA0429574 |
Date Submitted : | 4/29/2020 |
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 | Jacqueline | Lakins | |||
Street Address | |||||
PO Box 2080 | |||||
City | State | Zip | |||
Mechanicsburg | PA | 17055 | |||
Phone | Ext | Fax | E-Mail Address | ||
(717) 796 - 5421 | jlakins@norcal-group.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | David | E | Panzer | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 20 West Kaley Street | ||||
City | State | Zip Code | County | ||
Orlando | FL | 32806 | Orange | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
721286N | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME58284 | Radiology - Diagnostic - No Surgery |
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 | ||||
Emergency Room | |||||
Name of Institution | Code | ||||
ORLANDO REGIONAL MEDICAL CENTER | 100006 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Radiology, Emergency Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
2/24/2016 | 4/9/2018 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Left wrist scaphoid fracture | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
x-ray of the wrist | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Left wrist fracture | |||||
Severity Of Injury | |||||
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
4/24/2016 | 2018 CA 12067 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Orange | 4/16/2020 | ||||
Other Defendants Involved in this Claim | |||||
Kelly, Micheal G Orlando Health, Inc | |||||
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 | |||||
4/16/2020 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $50,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $32,885 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $6,000 | ||||||||||||||||||||
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 | |||||||||||||||||||||
None |
Updates | |
No updates found. |
Does Dr. DAVID E PANZER, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. DAVID E PANZER, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).