| Department File Number : | M201781975 |
| Claim Number : | HPT 1488 |
| Date Submitted : | 5/1/2017 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| Tocci, Eric | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 59-1208931 | ME93667 | ||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Carol | Wiseheart | |||
| Street Address | |||||
| 747 S. Ridgewood Ave, Suite 111 | |||||
| City | State | Zip | |||
| Daytona Beach | DE | 32114 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (386) 310 - 7969 | (386) 310 - 7973 | cwiseheart@halifaxins.org | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Eric | Tocci | |||
| Insurer Type | Street Address of Practice | ||||
| Self-Insurer | 1673 Mason Ave, Suite 305 | ||||
| City | State | Zip Code | County | ||
| Daytona Beach | FL | 32115 | Volusia | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 02-129 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME93667 | Radiology - Diagnostic - No Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Volusia | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Inpatient Facility | |||||
| Name of Institution | Code | ||||
| HALIFAX MEDICAL CENTER | 100017 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Radiology, Emergency Room | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 7/19/2012 | 10/20/2016 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Tuberculosis | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| CT Chest | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Tuberculosis | |||||
| Severity Of Injury | |||||
| Permanent: Death. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| *NR | |||||
| County Suit Filed in | Date of Final Disposition | ||||
| *NR | 4/26/2017 | ||||
| Other Defendants Involved in this Claim | |||||
| Halifax Hospital Medical Center Runyan, Brandon R Gianini, John FL Hospital Memorial | |||||
| 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 | $2,766 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $1,238 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| On going risk management | |||||||||||||||||||||
| 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.
| Department File Number : | M201783848 |
| Claim Number : | HPT 1490 |
| Date Submitted : | 12/14/2017 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| Tocci, Eric | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 59-1208931 | ME93667 | ||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Carol | Wiseheart | |||
| Street Address | |||||
| 747 S. Ridgewood Ave, Suite 111 | |||||
| City | State | Zip | |||
| Daytona Beach | FL | 32114 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (386) 310 - 7969 | (386) 310 - 7973 | cwiseheart@halifaxins.org | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Eric | Tocci | |||
| Insurer Type | Street Address of Practice | ||||
| Self-Insurer | 1673 Mason Ave, Suite 305 | ||||
| City | State | Zip Code | County | ||
| Daytona Beach | FL | 32117 | Volusia | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 02-129 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME93667 | Radiology - Diagnostic - Minor Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| F | Volusia | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Physician's Office | |||||
| Name of Institution | Code | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 7/7/2016 | 12/6/2016 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Intraductal papilloma with partial infarction; Bi-rads category 4/suspicious abnormality. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| U/S guided right breast biopsy. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Pain and a right inverted nipple. | |||||
| Severity Of Injury | |||||
| Temporary: Slight - Lacerations, contusions, minor scars, rash. No delay. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 12/2/2016 | 2016 34565 COCI | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Volusia | 12/14/2017 | ||||
| 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 | |||||
| Disposed of by Court | |||||
| Court Decision | Other | ||||
| Other | Dismissal | ||||
| 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 | $3,521 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| Ongoing risk management. | |||||||||||||||||||||
| 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. ERIC TOCCI, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ERIC TOCCI, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).