Department File Number : | M201679067 |
Claim Number : | PLFLHH085288 |
Date Submitted : | 7/14/2016 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
Florida Hospital Heartland and Lake Placid | Primary | ||||
Insurer FEIN | Professional License Number | ||||
59-0725553 | 4171 | ||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Matthew | Evans | |||
Street Address | |||||
900 Hope Way | |||||
City | State | Zip | |||
Altamonte Springs | FL | 32712 | |||
Phone | Ext | Fax | E-Mail Address | ||
(407) 357 - 2272 | matt.evans@ahss.org |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Shailesh | Joshi | |||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 4200 SUN N LAKE BLVD | ||||
City | State | Zip Code | County | ||
Sebring | FL | 33872 | Highlands | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
8258 -2015 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME64867 | Internal Medicine - Minor Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Highlands | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
FLORIDA HOSPITAL-HEARTLAND MEDICAL CTR. | 100109 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
12/25/2014 | 12/22/2015 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Nasal fracture, neck pain, inability to move arms and legs s/p fall at home. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
CT/MRI, work-up for TIA or CVA. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Alleged negligent failure of the physician to have timely recognized the patient's symptoms and spinal injury were of more urgent nature and failure to intervene appropriately; it was further alleged that the physician should never have accepted the patient and should have directed him to a facility where appropriate neurosurgical evaluation and treatment could be performed. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 6/10/2016 | ||||
Other Defendants Involved in this Claim | |||||
Florida Hospital Wauchula | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Within the pre-suit period as set forth in 766.106 (more than 90 days before suit is filed). | |||||
Final Method of Claim Disposition | |||||
Settled by parties | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
6/10/2016 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $100,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $0 | ||||||||||||||||||||
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 | |||||||||||||||||||||
n/a |
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. SHAILESH JOSHI, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. SHAILESH JOSHI, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).