Dr. SCOTT HEITZMANN, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. SCOTT HEITZMANN, MD

514 Florida Avenue

Indemnity Paid: $42,500.00

Insurer Information

Insurer Name				Coverage Type
OMS NATIONAL INSURANCE COMPANY, RISK RETENTION GROUP				Primary
Insurer FEIN		Professional License Number
36-3571664
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Janet		L	Meyer
Street Address
6133 North River Road, Suite 650
City				State	Zip
Rosemont				IL	60018
Phone	Ext	Fax	E-Mail Address
(847) 653 - 8823		(847) 653 - 8485	janet.meyer@fortressins.com

Insured Information

Type	First Name		MI	Last Name
Individual	Scott			Heitzmann
Insurer Type		Street Address of Practice
Licensed		514 Florida Avenue
City		State	Zip Code	County
Lynn Haven		FL	32444	Bay
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
24440		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Dentistry
License Number		Specialty Code & Classification		Certification Number
DN17426		Dentists - Engaged in oral surgery or operative dentistry on patients rendered unconscious through the administering of any anesthesia or analgesia

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	Bay
City			State	Zip Code

Location where injury occured		Other location where injury occured
Hospital Outpatient Facility
Name of Institution		Code
GULF COAST MEDICAL CENTER (PANAMA CITY)		100242
Location of Institutional Injury		Other Location of Institutional Injury
Operating Suite
Date of Occurrence		Date Reported to Insurer
1/21/2010		1/25/2012

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Painful fractured tooth #18.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Extraction of tooth #18 under general anesthesia.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
The patient alleges she sustained a burn to the right side of her face during the extraction.
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Legal Information

Date of Suit			Circuit Court Case Number
1/7/2013			12001916CA
County Suit Filed in			Date of Final Disposition
Bay			11/5/2013
Other Defendants Involved in this Claim

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
11/22/2013

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$42,500

Loss Adjust Expense Paid to Defense Counsel

$13,941

All Other Loss Adjustment Expense Paid

$4,318

Injured Person's Total Non-Economic Loss

Deductible

Injured Person's Total Economic Loss

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

Unknown

*NR:Prior to 04/28/1999 this field was not required in submitted claims.

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Does Dr. SCOTT HEITZMANN, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. SCOTT HEITZMANN, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).