Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
This page is not displaying certain sensitive information. |
Department File Number : | M201885438 |
Claim Number : | 120869 |
Date Submitted : | 6/4/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
COVERYS SPECIALTY INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
47-2600307 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | David | Lindquist | |||
Street Address | |||||
Coverys. One Financial Center | |||||
City | State | Zip | |||
Bodton | MA | 02111 | |||
Phone | Ext | Fax | E-Mail Address | ||
(617) 428 - 9838 | dlindquist@coverys.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Melanie | A | Coombs-Bynum | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 8161 Texas Trl | ||||
City | State | Zip Code | County | ||
Boca Raton | FL | 33487 | Palm Beach | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
5-10218 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME78142 | Pediatrics - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Broward | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
PLANTATION GENERAL HOSPITAL | 100167 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Radiology, Emergency Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
10/6/2015 | 10/13/2017 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
The patient was being treated for acute bronchitis and was receiving IV broad spectrum antibiotics and developed an infiltration wound at the IV Site. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
IV broad spectrum antibiotics resulting in infiltration wound at the IV Site | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
IV Infiltration site wound | |||||
Severity Of Injury | |||||
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 5/28/2018 | ||||
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 | |||||
No Payment Made | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
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 | $6,597 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $1,250 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Safety Management Steps in Review |
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. MELANIE C BYNUM, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. MELANIE C BYNUM, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).