Department File Number : | M201886637 |
Claim Number : | 66299 |
Date Submitted : | 10/8/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
chapman, joshua v | Primary | ||||
Insurer FEIN | Professional License Number | ||||
20-358989 | dn16681 | ||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Joshua | V | Chapman | ||
Street Address | |||||
621 Sebastian Blvd., Suite A | |||||
City | State | Zip | |||
Sebastian | FL | 32958 | |||
Phone | Ext | Fax | E-Mail Address | ||
(772) 388 - 0088 | (772) 388 - 2320 | joshuachapmandmd@yahoo.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | joshua | v | chapman | ||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 621 Sebastian Blvd Suite A | ||||
City | State | Zip Code | County | ||
Sebastian | FL | 32958 | Indian River | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
dpl026521 | $2,000,000 | $4,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Dentistry | |||||
License Number | Specialty Code & Classification | Certification Number | |||
DN16681 | Dental General Practice - NOC |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Indian River | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Other Location | He developed cancer | ||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Date of Occurrence | Date Reported to Insurer | ||||
11/24/2015 | 9/13/2016 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Squamous Cell Carcinoma | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Squamous Cell Carcinoma | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Squamous Cell Carcinoma | |||||
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 | 7/27/2018 | ||||
Other Defendants Involved in this Claim | |||||
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 | |||||
8/9/2018 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $50,000 | ||||||||||||||||||||
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 | |||||||||||||||||||||
The patient developed cancer |
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. JOSHUA V CHAPMAN, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. JOSHUA V CHAPMAN, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).