Department File Number : | M201678432 |
Claim Number : | 1371256357US |
Date Submitted : | 5/16/2016 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
LEXINGTON INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
25-1149494 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | carolyn | r | ewell | ||
Street Address | |||||
17200 W 119th St | |||||
City | State | Zip | |||
Olathe | KS | 66061 | |||
Phone | Ext | Fax | E-Mail Address | ||
(913) 495 - 4217 | carolynranee.ewell@aig.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Dileep | C | Ravi | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 5352 Linton Blvd | ||||
City | State | Zip Code | County | ||
Delray Beach | FL | 33484 | Palm Beach | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
6797715 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME109392 | Emergency Medicine - Including Major Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Palm Beach | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Emergency Room | |||||
Name of Institution | Code | ||||
DELRAY COMMUNITY HOSPITAL | 100258 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | Emergency Department | ||||
Date of Occurrence | Date Reported to Insurer | ||||
3/21/2014 | 6/5/2014 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
83 YEAR OLD MALE PATIENT DEATH. ALLEGING FAILURE TO ADMIT AFTER FALL WITH OCCIPITAL HEMATOMA AND NEGATIVE CT. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Patient was diagnosed with closed head injury and confusion that resolved. He fell from an upright position while walking and had transient confustion after stumbling backward while holding on his walker and hit the back of his head with no LOC. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Exam was normal. Patient was discharged home after labs, Xrays, EKG and CT of the head was negative. He was discharged at 0309 with SDH, respiratory failure and altered mental status. He died. Radiologist reviewed the prior CT study and changed their interpretation. | |||||
Principal Injury Giving Rise To The Claim | |||||
Patient has long cardiac history of CABG, defibrillatior, pacemaker, mechanical valve on Coumadin. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 5/13/2016 | ||||
Other Defendants Involved in this Claim | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Claim or suit abandoned. | |||||
Final Method of Claim Disposition | |||||
Dropped before Action Filed | |||||
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 | $0 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $7,720 | ||||||||||||||||||||
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 | |||||||||||||||||||||
N/A |
Updates | |
No updates found. |
*NR: Prior to 04/28/1999 this field was not required in submitted claims. This page is not displaying certain sensitive information.
Does Dr. DILEEP C RAVI, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. DILEEP C RAVI, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).