Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
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Department File Number : | M201783212 |
Claim Number : | MS5009989-01 |
Date Submitted : | 9/27/2017 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
MEDICAL SECURITY INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
56-1600780 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Crystal | Mezzullo | |||
Street Address | |||||
700 Spring Forest Road | |||||
City | State | Zip | |||
Raleigh | NC | 27609 | |||
Phone | Ext | Fax | E-Mail Address | ||
(919) 878 - 7617 | (919) 878 - 7617 | crystal.mezzullo@mmicnc.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Sherard | Houston | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 1368 N University Drive | ||||
City | State | Zip Code | County | ||
Plantation | FL | 33322 | Broward | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
EG118876 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME95946 | Emergency Medicine - No Major Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Brevard | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Emergency Room | |||||
Name of Institution | Code | ||||
INDIAN RIVER MEMORIAL HOSPITAL | 100105 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
3/13/2015 | 4/12/2016 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Hypoxic encephalopathy. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Seen in emergency department. Began to have difficulty breathing. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Hypoxic encephalopathy. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 8/23/2017 | ||||
Other Defendants Involved in this Claim | |||||
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 | $9,509 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $9,517 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
None. Case not pursued. Assessed as defensible. |
Updates | |||||||
Date of Change: | 9/27/2017 4:06:27 PM | ||||||
Reason for Change: | Made typo on other LAE. | ||||||
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*NR: Prior to 04/28/1999 this field was not required in submitted claims. This page is not displaying certain sensitive information.
Does Dr. SHERARD T HOUSTON, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. SHERARD T HOUSTON, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).