Department File Number : | M201576453 |
Claim Number : | HPT 1478 |
Date Submitted : | 12/3/2015 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
Silas, Scott | Primary | ||||
Insurer FEIN | Professional License Number | ||||
59-2731139 | ME70922 | ||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Carol | Wiseheart | |||
Street Address | |||||
747 S. Ridgewood Ave., Suite 111 | |||||
City | State | Zip | |||
Daytona Beach | FL | 32114 | |||
Phone | Ext | Fax | E-Mail Address | ||
(386) 310 - 7969 | (386) 310 - 7973 | cwiseheart@halifaxins.org |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Scott | Silas | |||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 1630 Mason Ave | ||||
City | State | Zip Code | County | ||
Daytona Beach | FL | 32117 | Volusia | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
02-33 | $250,000 | $75,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME70922 | Surgery - Orthopedic |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Volusia | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Physician's Office | |||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Date of Occurrence | Date Reported to Insurer | ||||
1/16/2013 | 4/15/2015 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
fractured pelvis | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
accident | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Initial CT finding is normal pelvis | |||||
Principal Injury Giving Rise To The Claim | |||||
43 year old female was injured in a horse riding accident in November 2012. She was transported to the emergency department and the discharge impression was back pain. On January 11, 2013 CT scan showed sub-acute fracture of the left inferior ramus. | |||||
Severity Of Injury | |||||
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 12/2/2015 | ||||
Other Defendants Involved in this Claim | |||||
Jones, Hugh Giuffrida, John Bert Fish Medical Center | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Claim or suit abandoned. | |||||
Final Method of Claim Disposition | |||||
Dropped before Action Filed | |||||
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? | No | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $0 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $8,368 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
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 | |||||||||||||||||||||
on going risk management |
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. SCOTT SILAS, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. SCOTT SILAS, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).