Department File Number : | M201887166 |
Claim Number : | 331939 |
Date Submitted : | 11/30/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE) | Primary | ||||
Insurer FEIN | Professional License Number | ||||
95-3014772 | |||||
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 | JUSTIN | M | BARTL | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 4800 Linton Boulevard Building A | ||||
City | State | Zip Code | County | ||
Delray Beach | FL | 33445 | Palm Beach | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
0964798 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Physician Assistant | |||||
License Number | Specialty Code & Classification | Certification Number | |||
PA9104893 | Physicians or Surgeons Assistants |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Palm Beach | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
DELRAY COMMUNITY HOSPITAL | 100258 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Radiology, Emergency Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
5/28/2014 | 7/14/2015 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Mal-aligned metatarsal matrix, right foot. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Lapidus bunionectomy, right foot. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Plaintiff alleged failure to continue anti coagulation therapy post surgery. | |||||
Principal Injury Giving Rise To The Claim | |||||
Patient suffered saddle embolus and expired one month post-op/ | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
1/4/2016 | 2015CA 013574 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Palm Beach | 11/5/2018 | ||||
Other Defendants Involved in this Claim | |||||
Coleman, Brian | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
After appeal. | |||||
Final Method of Claim Disposition | |||||
Disposed of by Court | |||||
Court Decision | Other | ||||
Judgment for the plaintiff after appeal ... | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
11/5/2018 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $101,174 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $47,626 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $16,864 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate. |
Updates | |
No updates found. |
Does Dr. JUSTIN M BARTL, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. JUSTIN M BARTL, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).