Department File Number : | M201781743 |
Claim Number : | 200201 |
Date Submitted : | 8/1/2017 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
PROASSURANCE CASUALTY COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
38-2317569 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Denise | Stokes | |||
Street Address | |||||
100 Brookwood Place | |||||
City | State | Zip | |||
Birmingham | AL | 35209 | |||
Phone | Ext | Fax | E-Mail Address | ||
(205) 802 - 4790 | (205) 802 - 4710 | claimscompliancereporting@proassurance.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Joanna | Allison | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 31860 US Hwy 19 North | ||||
City | State | Zip Code | County | ||
Palm Harbor | FL | 34684 | Pinellas | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
MP58849 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME80604 | Pediatrics - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Pinellas | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
MEASE HOSITAL - COUNTRYSIDE | 110001 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
12/18/2012 | 1/12/2015 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
newborn hypoglycemia | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
No diagnostic or treatment procedures | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
No misdiagnosis | |||||
Principal Injury Giving Rise To The Claim | |||||
Fine and gross motor disturbances, stuttering and visual field deficits. | |||||
Severity Of Injury | |||||
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
5/1/2015 | 15-002673-CI | ||||
County Suit Filed in | Date of Final Disposition | ||||
Pinellas | 4/6/2017 | ||||
Other Defendants Involved in this Claim | |||||
Mease Countryside Hospital North Pinellas Childrens Medical Cavanaugh, Lara M | |||||
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 | |||||
Dropped before Action Filed | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | No | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $0 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $12,820 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $6,947 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Insured discussed case with defense counsel, insurance personnel, and medical experts. |
Updates | ||||||||||
Date of Change: | 4/13/2017 9:00:40 AM | |||||||||
Reason for Change: | updated ALAE information | |||||||||
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Date of Change: | 7/17/2017 11:41:35 AM | |||||||||
Reason for Change: | updated ALAE information | |||||||||
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Date of Change: | 8/1/2017 12:17:15 PM | |||||||||
Reason for Change: | updated ALAE information | |||||||||
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Does Dr. JOANNA ALLISON, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. JOANNA ALLISON, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).