| Department File Number : | M201886197 |
| Claim Number : | FP3951703 |
| Date Submitted : | 8/20/2018 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| FIRST PROFESSIONALS INSURANCE COMPANY, INC | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 59-6614702 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Kelly | Andrews | |||
| Street Address | |||||
| 12724 Gran Bay Parkway, W., Suite 400 | |||||
| City | State | Zip | |||
| Jacksonville | FL | 32258 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (904) 360 - 3038 | kandrews@thedoctors.com | ||||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | JEFFREY | HEITMANN | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 1660 MEDICAL BOULEVARD, SUITE 300 | ||||
| City | State | Zip Code | County | ||
| NAPLES | FL | 34110 | Collier | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| FP-IN016677 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME46943 | Surgery - Obstetrics - Gynecology | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| F | Collier | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Inpatient Facility | |||||
| Name of Institution | Code | ||||
| NORTH COLLIER HOSPITAL | 120006 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Recovery Room | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 11/25/2009 | 11/8/2010 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| OVARIAN CYSTS. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| BILATERAL SALPING-OOPHRECTOMY WITH LYSIS OF ADHESION'S; SUBSEQUENT REPAIR OF BOWEL PERFORATION. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| PLAINTIFF ALLEGED FAILURE TO RECOGNIZE INTRA-OP BOWEL PERFORATION RESULTING IN NEED FOR 2ND SURGERY TO REPAIR PERFORATION. | |||||
| Principal Injury Giving Rise To The Claim | |||||
| PATIENT DEVELOPED ISCHEMIC RIGHT HAND FROM IV INFILTRATION FOLLOWING 2ND SURGERY, AND LOST TWO FINGERS. INSURED NOT INVOLVED IN PLACEMENT OF IV. | |||||
| 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 | ||||
| 4/11/2011 | 11-891-CA | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Collier | 7/30/2018 | ||||
| Other Defendants Involved in this Claim | |||||
| TUNKLE, ALOYOSHA STATFELD, ROBERT COLLIER ANESTHESIA, PA NCH HEALTHCARE SYSTEM, INC ANCHOR HEALTH CENTERS, PA LINDNER, DAVID | |||||
| 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 | |||||
| 7/30/2018 | |||||
| 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 | $370,211 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $146,027 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate. | |||||||||||||||||||||
| Updates | |
| No updates found. |
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Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
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Does Dr. JEFFREY HEITMANN, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. JEFFREY HEITMANN, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).