| Department File Number : | M202092949 |
| Claim Number : | 07122018921 |
| Date Submitted : | 7/10/2020 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| Univ of FL JHMHC Self-Insurance Program | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 59-600205 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Karla | R | Barnett | ||
| Street Address | |||||
| PO Box 112735 | |||||
| City | State | Zip | |||
| Gainesville | FL | 32611 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (352) 273 - 7006 | barnettk@sip.ufl.edu | ||||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Tanya | Chadha | |||
| Insurer Type | Street Address of Practice | ||||
| Self-Insurer | 580 W. Eighth Street | ||||
| City | State | Zip Code | County | ||
| Jacksonville | FL | 32209 | Duval | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| UFJSIP18 | $300,000 | *NR | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME128752 | Neonatal/Perinatal Medicine | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| F | Duval | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Other Hospital/Institution | Wolfson's Children's Hospital | ||||
| Name of Institution | Code | ||||
| UNIVERSITY MEDICAL CENTER (DUVAL) | 100001 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Other | Wolfson's Children's Hospital | ||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 7/9/2018 | 7/10/2018 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Hypoplastic Left Heart Syndrome | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Extubation | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Cardiac Arrest | |||||
| Severity Of Injury | |||||
| Permanent: Death. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| *NR | |||||
| County Suit Filed in | Date of Final Disposition | ||||
| *NR | 5/28/2020 | ||||
| Other Defendants Involved in this Claim | |||||
| 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 | |||||
| 5/28/2020 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $295,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $0 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $3,308 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| Assessment of treatment with provider. | |||||||||||||||||||||
| Updates | |
| No updates found. |
Does Dr. TANYA CHADHA, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. TANYA CHADHA, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).