Department File Number : | M201679874 |
Claim Number : | CORP-15-320863 |
Date Submitted : | 10/6/2016 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
TEAM HEALTH, INC. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
62-1562558 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Kathy | A | Stockton | ||
Street Address | |||||
1900 W. LOOP S., STE. 1500 | |||||
City | State | Zip | |||
Houston | TX | 77027 | |||
Phone | Ext | Fax | E-Mail Address | ||
(713) 935 - 2404 | (713) 461 - 8130 | kathy_stockton@westernlitigation.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | RANDALL | T | HEARNE | ||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 2460 FRANK'S FAIR LANE | ||||
City | State | Zip Code | County | ||
PERRY | FL | 32347 | Columbia | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
6797715 | $750,000 | $1,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Other | ARNP | ||||
License Number | Specialty Code & Classification | Certification Number | |||
ARNP2961562 |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Columbia | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Emergency Room | |||||
Name of Institution | Code | ||||
SHANDS HOSPITAL | 100113 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | ER | ||||
Date of Occurrence | Date Reported to Insurer | ||||
11/2/2013 | 11/11/2015 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Pain in the instep of her right foot subsequent to jumping out of a truck. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
The patient was assessed through appropriate physical examination, and x-rays of the right foot and the lumbar spine were performed which showed no abnormalities. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
NO MISDIAGNOSIS | |||||
Principal Injury Giving Rise To The Claim | |||||
Discovery conducted during the litigation revealed no apparent injury from any alleged deviation from the standard of care, and review by a highly-qualified ARNP expert confirmed the appropriateness of the physical examination, workup, diagnosis, and treatment provided by Mr. Hearne. | |||||
Severity Of Injury | |||||
Emotional Only - Fright, no physical damage |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 10/6/2016 | ||||
Other Defendants Involved in this Claim | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Settlement Reached Prior to Pre-Suit Period | |||||
Final Method of Claim Disposition | |||||
Settled by parties | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
9/15/2016 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $7,500 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $14,296 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $616 | ||||||||||||||||||||
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 | |||||||||||||||||||||
UNKNOWN |
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. RANDALL T HEARNE, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. RANDALL T HEARNE, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).