Department File Number : | M201574952 |
Claim Number : | PMG-13-AO-254982 |
Date Submitted : | 6/15/2015 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
Pediatrix Medical Group | Primary | ||||
Insurer FEIN | Professional License Number | ||||
99-9999999 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Kathy | A | Stockton | ||
Street Address | |||||
9821 Katy Freeway | |||||
City | State | Zip | |||
Houston | TX | 77024 | |||
Phone | Ext | Fax | E-Mail Address | ||
(713) 935 - 2404 | (713) 461 - 8130 | kathy_stockton@westernlitigation.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | LAURA | A | BASILE | ||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 143 BENT TREE DRIVE | ||||
City | State | Zip Code | County | ||
WEST PALM BEACH | FL | 33418 | Palm Beach | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
PHY-0071-12 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME82272 | Neonatal/Perinatal Medicine |
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 | ||||
Other Hospital/Institution | SAINT MARY'S MEDICAL CENTER - WEST PALM | ||||
Name of Institution | Code | ||||
N/A | 000000 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Labor and Delivery Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
11/16/2011 | 11/21/2013 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
LABOR AND DELIVERY | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
DELIVERY | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
CORD PH AT OR ABOUT TIME OF DELIVERY 6.8 | |||||
Principal Injury Giving Rise To The Claim | |||||
NO COOLING PROTOCOL FOLLOWED R/I NEUROLOGICAL DAMAGE | |||||
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 | ||||
4/10/2014 | 283886 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Broward | 6/10/2015 | ||||
Other Defendants Involved in this Claim | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Claim or suit abandoned. | |||||
Final Method of Claim Disposition | |||||
Disposed of by Court | |||||
Court Decision | Other | ||||
Other | DISMISSED W/PREJUDICE | ||||
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 | $10,539 | ||||||||||||||||||||
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 | |||||||||||||||||||||
UNKNOWN |
Updates | |
No updates found. |
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Does Dr. LAURA A BASILE, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. LAURA A BASILE, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).