| Department File Number : | M201781416 |
| Claim Number : | 108516 |
| Date Submitted : | 3/14/2017 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| OPHTHALMIC MUTUAL INSURANCE COMPANY (A R.R.G.) | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 94-3047990 | |||||
| Insurer Contact Information | |||||
| Type | Entity Name | ||||
| Entity | Medical Risk Consultant Group | ||||
| Street Address | |||||
| PO Box 431271 | |||||
| City | State | Zip | |||
| Miami | FL | 33243-1271 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (305) 503 - 5704 | (305) 503 - 2801 | MMORENO@MRCG.ORG | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | JOHN | FOSTER | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 6002 Pointe West Blvd | ||||
| City | State | Zip Code | County | ||
| Bradenton | FL | 34209 | Manatee | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| OMC0007474 | $1,000,000 | $3,000,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME108657 | Surgery - Opthalmology | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Manatee | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Physician's Office | |||||
| Name of Institution | Code | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Operating Suite | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 1/11/2016 | 1/21/2016 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Loss of vision OD due to a failed corneal transplant. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Insured performed DSAEK procedure in order to treat a prior failed corneal transplant. Patient developed postoperative endophthalmitis resulting in loss of vision. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| There was no misdiagnosis made. The patient developed a postoperative infection which is a known risk/complication of the DSAEK procedure. | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Loss of vision, right eye. | |||||
| 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 | ||||
| *NR | |||||
| County Suit Filed in | Date of Final Disposition | ||||
| *NR | 2/6/2017 | ||||
| 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 | |||||
| 2/6/2017 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $280,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $0 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| Case was discussed with medical experts who determined the patient developed a postoperative infection, a known risk/complication. A review of the pre- intra- and postoperative care was also undertaken. | |||||||||||||||||||||
| 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. JOHN FOSTER, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. JOHN FOSTER, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).