Department File Number : | M201677432 |
Claim Number : | 180211 |
Date Submitted : | 6/2/2016 |
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 | Natraj | N | Ballal | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 2727 W Martin Luther King Blvd, SUite 620 | ||||
City | State | Zip Code | County | ||
Tampa | FL | 33607 | Hillsborough | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
MP37103 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME69549 | Cardiovascular Disease - Minor Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Hillsborough | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Emergency Room | |||||
Name of Institution | Code | ||||
SAINT JOSEPH'S HOSPITAL | 100075 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Radiology, Emergency Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
8/7/2012 | 8/15/2012 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Chest Pain | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Patient was discharged by Emergency Department physician with a diagnosis of costrochrondritis | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
No Misdiagnosis Made | |||||
Principal Injury Giving Rise To The Claim | |||||
Plaintiff alleged Dr Ballal, when Telephoned, should have recalled the patient although he had no access to his chart and should have recognized the symptoms relayed (chest pain relieved by Toradol with normal EKG and chest x-ray) could been caused by aortic dissection, which resulted in death. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
1/14/2014 | 2014-CA-000443 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Hillsborough | 2/24/2016 | ||||
Other Defendants Involved in this Claim | |||||
Bay Pediatric Cardiology, Inc | |||||
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 | |||||
2/26/2016 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $250,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $36,079 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $37,012 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $250,000 | ||||||||||||||||||||
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: | 4/6/2016 11:15:17 AM | ||||||||||||
Reason for Change: | updating ALAE | ||||||||||||
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Date of Change: | 5/6/2016 10:06:20 AM | ||||||||||||
Reason for Change: | Updated non economic loss information. | ||||||||||||
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Date of Change: | 6/2/2016 2:44:01 PM | ||||||||||||
Reason for Change: | updated ALAE amounts | ||||||||||||
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Does Dr. NATRAJ N BALLAL, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. NATRAJ N BALLAL, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).