Department File Number : | M202092089 |
Claim Number : | 223476 |
Date Submitted : | 5/6/2020 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
PROASSURANCE INDEMNITY COMPANY, INC. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
63-0720042 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Tammie | Heifner | |||
Street Address | |||||
100 Brookwood Place | |||||
City | State | Zip | |||
Birmingham | AL | 35209 | |||
Phone | Ext | Fax | E-Mail Address | ||
(205) 439 - 7923 | theifner@proassurance.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | FARAHNAZ | ANGELLA | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 180 JFK Drive, Suite 311 | ||||
City | State | Zip Code | County | ||
Atlantis | FL | 33462 | Palm Beach | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
MP75026 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME69298 | Internal Medicine - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Palm Beach | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
BETHESDA MEMORIAL HOSPITAL | 100002 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
11/27/2016 | 9/29/2017 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
The patient had retroperitoneal bleed from injury to femoral artery. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Patient had an acute non-STEMI and a cardiac catheterization that resulted in injury to the femoral artery and retroperitoneal bleed. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
No Description of any misdiagnosis made of the patient¿s actual condition | |||||
Principal Injury Giving Rise To The Claim | |||||
Injury by cardiac catheterization to femoral artery causing retroperitoneal bleed. | |||||
Severity Of Injury | |||||
Temporary: Major - Burns, surgical material left, drug side effect, brain damage. Recovery delayed. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
2/16/2018 | 502018CA002015 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Palm Beach | 2/26/2020 | ||||
Other Defendants Involved in this Claim | |||||
Florida Electrophysiology Associates, PA | |||||
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 | |||||
3/6/2020 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $160,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $35,076 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $23,237 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $160,000 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Insured discussed case with Claims Specialist, Medical Personnel and Legal experts |
Updates | |
No updates found. |
Does Dr. FARAHNAZ ANGELLA, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. FARAHNAZ ANGELLA, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).