Department File Number : | M201988718 |
Claim Number : | 119661 |
Date Submitted : | 5/10/2019 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
ASCENSION HEALTH ALLIANCE PL/GL SELF-INSURED TRUST | Primary | ||||
Insurer FEIN | Professional License Number | ||||
36-7046706 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Linda | Zinselmeier | |||
Street Address | |||||
11775 Borman Drive, Suite 100 | |||||
City | State | Zip | |||
St. Louis | MO | 63146 | |||
Phone | Ext | Fax | E-Mail Address | ||
(314) 733 - 8727 | lzinselmeier@ascension.org |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Mark | Cooper | |||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 550 W. Redstone Ave., Suite 200 | ||||
City | State | Zip Code | County | ||
Crestview | FL | 32536 | Escambia | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
1111 | $10,000,000 | $10,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME90602 | Family Physicians or General Practitioners - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Escambia | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Physician's Office | |||||
Name of Institution | Code | ||||
SACRED HEART HOSPITAL ON THE EMERALD COAST | 23960041 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | Physician's Office | ||||
Date of Occurrence | Date Reported to Insurer | ||||
6/11/2018 | 1/24/2019 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Patient seen by physician assistant for history of swelling in leg after intercontinental flight that subsequently resolved, a cough and shortness of breath with activity (not present during office visit). The patient's history revealed previous injury to the leg with periodic issues with swelling and edema. The examination didn't reveal evidence of any acute cardiac issues or DVT. The EKG (reviewed by the supervising physician) didn't reflect acute findings. Patient diagnosed with bronchitis with plan for outpatient cardiac work-up. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Failure to order appropriate tests, failure to place on anticoagulants and/or failure to refer to an Emergency Department. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
ailure to order appropriate tests and/or place on anticoagulants or refer to Emergency Department for further work-up for presumed DVT/PE and communication failure between the physician assistant and supervising physician. | |||||
Principal Injury Giving Rise To The Claim | |||||
Death. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 5/6/2019 | ||||
Other Defendants Involved in this Claim | |||||
Cole, Christopher | |||||
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 | |||||
4/29/2019 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $300,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $40,000 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $350,000 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Better communication between providers |
Updates | |
No updates found. |
Does Dr. MARK COOPER, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. MARK COOPER, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).