Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
*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 : | M201677940 |
Claim Number : | HPT 1482 |
Date Submitted : | 4/14/2016 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
RHODES, JAN R | Primary | ||||
Insurer FEIN | Professional License Number | ||||
59-3413888 | ME44566 | ||||
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 | Jan | R | Rhodes | ||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 1400 Dunlawton Ave. | ||||
City | State | Zip Code | County | ||
Port Orange | FL | 32127 | Volusia | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
02-52 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME44566 | Surgery - Orthopedic |
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 Outpatient Facility | |||||
Name of Institution | Code | ||||
HALIFAX MEDICAL CENTER | 100017 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
5/16/2014 | 7/25/2014 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
lipomatous mass on left forearm | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Excision of 6x3 centimeter soft tissue tumor. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Left posterior interosseous palsy. | |||||
Severity Of Injury | |||||
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 3/31/2016 | ||||
Other Defendants Involved in this Claim | |||||
Florida Health Care Plan, Inc. | |||||
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 | |||||
3/31/2016 |
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 | $12,500 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $3,800 | ||||||||||||||||||||
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 education |
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. JAN R RHODES, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. JAN R RHODES, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).