Department File Number : | M201884705 |
Claim Number : | 15-005-AB-000797 |
Date Submitted : | 3/19/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
HEALTH CARE CASUALTY RISK RETENTION GROUP | Primary | ||||
Insurer FEIN | Professional License Number | ||||
20-1994595 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Amber | Basra | |||
Street Address | |||||
8725 W. Higgins Rd., Ste. 810 | |||||
City | State | Zip | |||
Chicago | IL | 60631 | |||
Phone | Ext | Fax | E-Mail Address | ||
(773) 864 - 8291 | (773) 864 - 8281 | abasra@claritygrp.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Keyurkumar | Dalsaniya | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 1350 Hickory Street | ||||
City | State | Zip Code | County | ||
Melbourne | FL | 32901 | Brevard | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
15-PA-005-AB | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME114348 | Internal Medicine - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Brevard | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
HOLMES REGIONAL MEDICAL CENTER | 100019 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
9/29/2013 | 7/2/2015 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Disk herniation at c3-c4. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Patient underwent surgery for discectomy. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Failure to diagnose and treat patient for cervical spine disk herniation. | |||||
Principal Injury Giving Rise To The Claim | |||||
Plaintiff alleges that numerous medical care providers mismanaged and/or misdiagnosed what was ultimately found to be a severe disk herniation at c3-c4 with spinal cord compression thereby resulting in far greater permanent residual symptoms than the patient would have suffered with proper care. | |||||
Severity Of Injury | |||||
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
2/8/2016 | 05-2016-CA-014486 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Brevard | 8/10/2017 | ||||
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 | |||||
9/14/2017 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $200,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $153,579 | ||||||||||||||||||||
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 | |||||||||||||||||||||
n/a |
Updates | |
No updates found. |
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Does Dr. KEYURKUMAR DALSANIYA, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. KEYURKUMAR DALSANIYA, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).