| Department File Number : | M201575537 |
| Claim Number : | 1012463 |
| Date Submitted : | 8/14/2015 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| NATIONAL FIRE & MARINE INSURANCE COMPANY | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 47-6021331 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Pamela | A | Prudlow | ||
| Street Address | |||||
| 5814 Reed Road | |||||
| City | State | Zip | |||
| Ft. Wayne | IN | 46835 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (260) 486 - 0370 | (260) 486 - 0785 | pamela.prudlow@medpro.com | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Randa | M | Garrana | ||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 12833 N. Kendall Drive | ||||
| City | State | Zip Code | County | ||
| Miami | FL | 33186 | Dade | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 92RKB102404 | $1,000,000 | $3,000,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME94556 | Surgery - Opthalmology | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| F | Dade | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Other Outpatient Facility | Miami Vision Center/Lasik Vision Inst. | ||||
| Name of Institution | Code | ||||
| N/A | 000000 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Special Procedure Room | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 2/8/2013 | 3/10/2013 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Presented for laser vision correction. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Microkeratome vision refractory surgery. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| Alleged improper choice of procedure. | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Injury to cornea and impeded vision. | |||||
| Severity Of Injury | |||||
| Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 12/3/2013 | 13-34842CA24 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Dade | 7/14/2015 | ||||
| Other Defendants Involved in this Claim | |||||
| The Lasik Vision Institute, LLC | |||||
| 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 | |||||
| 6/30/2015 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $133,333 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $70,696 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
| Injured Person's Total Non-Economic Loss | $125,000 | ||||||||||||||||||||
| Deductible | $0 | ||||||||||||||||||||
| Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
| Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
| n/a | |||||||||||||||||||||
| Updates | |
| No updates found. |
This page is not displaying certain sensitive information.
| Department File Number : | M201575629 |
| Claim Number : | 1012463 |
| Date Submitted : | 8/25/2015 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| MEDICAL PROTECTIVE COMPANY (THE) | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 35-0506406 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | David | Stauber | |||
| Street Address | |||||
| 600 Corporate Dr. | |||||
| City | State | Zip | |||
| Fort Lauderdale | FL | 33334 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (954) 689 - 3033 | stauber@litchfieldcavo.com | ||||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Randa | M | Garrana | ||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 12833 North Kendall Drive | ||||
| City | State | Zip Code | County | ||
| Miami | FL | 33186 | Dade | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 92RKB102404 | $1,000,000 | $3,000,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME94556 | Ophthalmology - Minor Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| F | Dade | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Other Outpatient Facility | The LASIK Vision Institute | ||||
| Name of Institution | Code | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Operating Suite | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 2/8/2013 | 3/10/2013 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Myopia, astigmatism. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Bilateral microkeratome vision refractory surgery. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| Not applicable. | |||||
| Principal Injury Giving Rise To The Claim | |||||
| A complication arose while performing the surgery, resulting in a small free flap in the right eye. This is a common and well-known complication associated with the microkeratome. The free flap was retrieved and reattached to the cornea followed by application of eye drops and a bandage contact lens. The vision correction surgery of the patient¿s left eye was performed without any complications. | |||||
| Severity Of Injury | |||||
| Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 11/6/2013 | 13-34842 CA24 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Dade | 7/16/2015 | ||||
| Other Defendants Involved in this Claim | |||||
| LASIK VISION INSTITUTE, LLC | |||||
| 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 | $133,333 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $63,627 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $7,070 | ||||||||||||||||||||
| Injured Person's Total Non-Economic Loss | $133,333 | ||||||||||||||||||||
| Deductible | $100,000 | ||||||||||||||||||||
| Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
| Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
| It was determined that the loss was not associated with a lack of safety management. | |||||||||||||||||||||
| Updates | |
| No updates found. |
This page is not displaying certain sensitive information.
Does Dr. RANDA M GARRANA, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. RANDA M GARRANA, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).