Department File Number : | M201781804 |
Claim Number : | CORP-15-316022 |
Date Submitted : | 4/12/2017 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
TEAM HEALTH, INC. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
62-1562558 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Kathy | A | Stockton | ||
Street Address | |||||
1900 W. LOOP S., STE. 1500 | |||||
City | State | Zip | |||
Houston | TX | 77027 | |||
Phone | Ext | Fax | E-Mail Address | ||
(713) 935 - 2404 | (713) 461 - 8130 | kathy_stockton@westernlitigation.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | DEANNA | E | MORRISON | ||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 368 NE FRANKLIN ST. | ||||
City | State | Zip Code | County | ||
LAKE CITY | FL | 32055 | Lake | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
6797715 | $750,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Other | ARNP | ||||
License Number | Specialty Code & Classification | Certification Number | |||
ARNP9187104 |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Columbia | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Emergency Room | |||||
Name of Institution | Code | ||||
SHANDS AT LAKE SHORE | 100102 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | ER | ||||
Date of Occurrence | Date Reported to Insurer | ||||
5/13/2013 | 8/13/2015 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
FISHHOOK INJURY | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
SEEN IN ER | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
IMPROPER CARE OF FISHHOOK INJURY | |||||
Principal Injury Giving Rise To The Claim | |||||
NECROSIS OF RIGHT THUMB AND DEFORMITY. | |||||
Severity Of Injury | |||||
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
12/18/2015 | 2015-521-CA | ||||
County Suit Filed in | Date of Final Disposition | ||||
Columbia | 3/26/2017 | ||||
Other Defendants Involved in this Claim | |||||
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 | |||||
Disposed of by Court | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
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 | $39,530 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $5,773 | ||||||||||||||||||||
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 | |||||||||||||||||||||
UNKNOWN |
Updates | |
No updates found. |
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Does Dr. DEANNA E MORRISON, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. DEANNA E MORRISON, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).