Department File Number : | M201988072 |
Claim Number : | 108317 |
Date Submitted : | 3/6/2019 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
ASCENSION HEALTH ALLIANCE PL/GL SELF-INSURED TRUST | Primary | ||||
Insurer FEIN | Professional License Number | ||||
36-7046706 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Linda | Zinselmeier | |||
Street Address | |||||
11775 Borman Drive | |||||
City | State | Zip | |||
St. Louis | MO | 63146 | |||
Phone | Ext | Fax | E-Mail Address | ||
(314) 733 - 8727 | lzinselmeier@ascension.org |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | ISSAM | ALBITAR | |||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 5151 North Ninth Avenue, Suite 200 | ||||
City | State | Zip Code | County | ||
Pensacola | FL | 32504 | Escambia | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
1111 | $10,000,000 | $10,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME119999 | Cardiovascular Disease - Minor Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Escambia | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
SACRED HEART HOSPITAL (PENSACOLA) | 100025 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
12/24/2016 | 12/28/2016 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
High blood pressure and chest pain. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Heart catheterization with percutaneous coronary intervention. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Not applicable - no misdiagnosis. | |||||
Principal Injury Giving Rise To The Claim | |||||
(L) anterior descending balloon catheter with stent was malpositioned by removal of the balloon catheter following inflation of the stent in the diagonal branch, but position of the remaining catheter in the LAD was allegedly not verified to be in proper position prior to inflation, which occurred in the (L) main coronary artery. Following expansion of the stent in the (L) main rather than the (L) anterior descending, further efforts were made to open the coronary arteries with stenting. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 3/6/2019 | ||||
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 | |||||
3/6/2019 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $275,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $23,000 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $275,000 | ||||||||||||||||||||
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. |
Does Dr. ISSAM ALBITAR, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ISSAM ALBITAR, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).