Department File Number : | M201783559 |
Claim Number : | 111073 |
Date Submitted : | 11/2/2017 |
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 | Diane | McNab | |||
Street Address | |||||
4651 Salsbury Road | |||||
City | State | Zip | |||
Jacksonville | FL | 32256 | |||
Phone | Ext | Fax | E-Mail Address | ||
(954) 439 - 0580 | dmcnab@norcal-group.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Heather | Kahan | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 4785 Modern Drive | ||||
City | State | Zip Code | County | ||
Delray Beach | FL | 33446 | Palm Beach | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
719534N | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME56739 | Radiology - therapeutic - no surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Dade | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Other Outpatient Facility | Central Magnetic Imaging | ||||
Name of Institution | Code | ||||
WEST KENDALL BAPTIST HOSPITAL | 23960064 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | Central Magnetic Imaging | ||||
Date of Occurrence | Date Reported to Insurer | ||||
2/6/2014 | 6/9/2017 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
abdominal pain | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
MRI of Lumbar Spine | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
misdiagnosis of liposaroma | |||||
Principal Injury Giving Rise To The Claim | |||||
Disputed allegation of the failure to properly interpret an MRI of the Lumbar Spine resulting in delay in diagnosis of a liposarcoma in a 68 year old male. | |||||
Severity Of Injury | |||||
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 10/17/2017 | ||||
Other Defendants Involved in this Claim | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Within the pre-suit period as set forth in 766.106 (more than 90 days before suit is filed). | |||||
Final Method of Claim Disposition | |||||
Settled by parties | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
10/19/2017 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $250,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $4,439 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $4,439 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Insured conferenced with claims specialist and attorney |
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. HEATHER KAHAN, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. HEATHER KAHAN, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).