Department File Number : | M201677566 |
Claim Number : | 196439 |
Date Submitted : | 8/3/2016 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
PROASSURANCE CASUALTY COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
38-2317569 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Denise | Stokes | |||
Street Address | |||||
100 Brookwood Place | |||||
City | State | Zip | |||
Birmingham | AL | 35209 | |||
Phone | Ext | Fax | E-Mail Address | ||
(205) 802 - 4790 | dstokes@proassurance.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | MOHANASUNDARAM | S | NARAYANAN | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 10037 SW 77 Loop | ||||
City | State | Zip Code | County | ||
Ocala | FL | 34481 | Marion | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
MP37590 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME27048 | Gastroenterology - Minor Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Desoto | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
SEVEN RIVERS COMMUNITY HOSPITAL | 100249 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
7/18/2012 | 7/18/2014 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
iron deficiency anemia | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Esophagogastroduodenoscopy and colonoscopy | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
No Misdiagnosis made | |||||
Principal Injury Giving Rise To The Claim | |||||
Patient sustained a laceration of the gastric mucosa during the EGD and claims failure to ensure hemostasis resulted in postoperative bleeding, a syncopal episode and injuries sustained in a fall due to syncope | |||||
Severity Of Injury | |||||
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
12/11/2014 | 2014CA000615AXMA | ||||
County Suit Filed in | Date of Final Disposition | ||||
Desoto | 3/1/2016 | ||||
Other Defendants Involved in this Claim | |||||
Mohan Narayanan, MD PA | |||||
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 | |||||
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $100,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $43,289 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $15,930 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $100,000 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Insured discussed case with defense counsel, insurance personnel, and medical experts. |
Updates | |||||||||||||
Date of Change: | 6/2/2016 3:19:35 PM | ||||||||||||
Reason for Change: | updated ALAE amounts | ||||||||||||
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Date of Change: | 6/2/2016 3:26:18 PM | ||||||||||||
Reason for Change: | corrected ALAE amounts | ||||||||||||
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Date of Change: | 8/3/2016 1:33:26 PM | ||||||||||||
Reason for Change: | updated ALAE information | ||||||||||||
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Does Dr. MOHANASUNDARAM S NARAYANAN, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. MOHANASUNDARAM S NARAYANAN, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).