Department File Number : | M201677894 |
Claim Number : | 150909-2 |
Date Submitted : | 2/17/2017 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
HEALTH CARE INDEMNITY, INC. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
61-0904881 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Teresa | Ross | |||
Street Address | |||||
One Park Plaza P.O. Box 555 | |||||
City | State | Zip | |||
Nashville | TN | 37202 | |||
Phone | Ext | Fax | E-Mail Address | ||
(615) 344 - 5804 | Teresa.Ross@HCAHealthcare.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Mitchell | Cahn | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 1145 Broadway | ||||
City | State | Zip Code | County | ||
Seattle | WA | 98122 | Out of state | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
HCI-10112 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME96972 | Physicians or Surgeons - Major Surgery. NOC classification. | 01 |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | St. Lucie | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
COLUMBIA MED. CTR.-PORT ST. LUCIE | 100260 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
5/2/2012 | 12/2/2013 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Incisional hernia. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Patient underwent laparoscopic ventral incisional hernia repair with mesh. Post operative day 12, patient's abdomen was distended, low grade fever with hypotension, tachycardia. Sepsis was suspected & patient taken to surgery where it was discovered that he had acute acalculous cholecystitis. Patient coded and expired. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Acute acalculous cholecystitis; severe sepsis, septic shock; acute myocardial infarction; death. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
4/15/2014 | 56-2014-CA-000093 | ||||
County Suit Filed in | Date of Final Disposition | ||||
St. Lucie | 3/31/2016 | ||||
Other Defendants Involved in this Claim | |||||
Ruggian, M.D., John C New York Medical Associates | |||||
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 | |||||
3/3/2016 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $260,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $193,761 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $48,440 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $180,000 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Review of policies and procedures. |
Updates | ||||||||||||||||
Date of Change: | 2/17/2017 3:00:18 PM | |||||||||||||||
Reason for Change: | Additional LAE payments made. | |||||||||||||||
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*NR: Prior to 04/28/1999 this field was not required in submitted claims. This page is not displaying certain sensitive information.
Does Dr. MITCHELL CAHN, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. MITCHELL CAHN, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).