| Department File Number : | M201987585 |
| Claim Number : | 04102018608 |
| Date Submitted : | 1/11/2019 |
| 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 | Kristin | Belyew | |||
| Street Address | |||||
| PO BOX 112735 | |||||
| City | State | Zip | |||
| Gainesville | FL | 32611 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (352) 273 - 7232 | (352) 273 - 5424 | belyewK@ufl.edu | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | William | A | Friedman | ||
| Insurer Type | Street Address of Practice | ||||
| Self-Insurer | 1600 SW Archer Road | ||||
| City | State | Zip Code | County | ||
| Gainesville | FL | 32610 | Alachua | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| UFBOT18G | $300,000 | *NR | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME30616 | Surgery - Neurology - Including Child | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Alachua | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Inpatient Facility | |||||
| Name of Institution | Code | ||||
| SHANDS HOSPITAL | 100113 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Operating Suite | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 3/30/2018 | 4/9/2018 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Intervertebral disc disorder with radiculopathy | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| L5-S1 microdiskectomy | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Delayed treatment of CSF leak resulting in infection, neurological deficits, and visual disturbance | |||||
| Severity Of Injury | |||||
| Temporary: Major - Burns, surgical material left, drug side effect, brain damage. Recovery delayed. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| *NR | |||||
| County Suit Filed in | Date of Final Disposition | ||||
| *NR | 7/18/2018 | ||||
| Other Defendants Involved in this Claim | |||||
| Stage of Legal System at which Settlement was Reached or Award Made | |||||
| Settlement Reached Prior to Pre-Suit Period | |||||
| Final Method of Claim Disposition | |||||
| Settled by parties | |||||
| Court Decision | Other | ||||
| No Court Proceedings. | |||||
| Arbitration | |||||
| Claim not subject to Arbitration. | |||||
| Date of Payment | |||||
| 7/18/2018 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $300,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $0 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $2,106 | ||||||||||||||||||||
| 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 physician. | |||||||||||||||||||||
| Updates | |
| No updates found. |
| Department File Number : | M201987582 |
| Claim Number : | 00039096 |
| Date Submitted : | 1/11/2019 |
| 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 | Kristin | Belyew | |||
| Street Address | |||||
| PO BOX 112735 | |||||
| City | State | Zip | |||
| Gainesville | FL | 32611 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (352) 273 - 7232 | (352) 273 - 5424 | belyewK@ufl.edu | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | William | A | Friedman | ||
| Insurer Type | Street Address of Practice | ||||
| Self-Insurer | 1600 SW Archer Road | ||||
| City | State | Zip Code | County | ||
| Gainesville | FL | 32610 | Alachua | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| UFBOT17G | $300,000 | *NR | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME30616 | Surgery - Neurology - Including Child | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| F | Alachua | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Inpatient Facility | |||||
| Name of Institution | Code | ||||
| SHANDS HOSPITAL | 100113 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Operating Suite | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 6/23/2017 | 6/23/2017 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Trigeminal neuralgia | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Microvascular decompression surgery | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Brain stem hemorrhage resulting in death | |||||
| Severity Of Injury | |||||
| Permanent: Death. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| *NR | |||||
| County Suit Filed in | Date of Final Disposition | ||||
| *NR | 7/26/2018 | ||||
| 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 | |||||
| 7/26/2018 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $180,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $0 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $1,698 | ||||||||||||||||||||
| 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 physician. | |||||||||||||||||||||
| Updates | |
| No updates found. |
| Department File Number : | M202091546 |
| Claim Number : | 00038846 |
| Date Submitted : | 2/19/2020 |
| 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 | Kristin | Belyew | |||
| Street Address | |||||
| PO BOX 112735 | |||||
| City | State | Zip | |||
| Gainesville | FL | 32611 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (352) 273 - 7232 | (352) 273 - 5424 | belyewK@ufl.edu | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | William | Friedman | |||
| Insurer Type | Street Address of Practice | ||||
| Self-Insurer | 1600 SW Archer Road | ||||
| City | State | Zip Code | County | ||
| Gainesville | FL | 32610 | Alachua | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| UFBOT17G | $300,000 | *NR | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME30616 | Surgery - Neurology - Including Child | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Alachua | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Inpatient Facility | |||||
| Name of Institution | Code | ||||
| SHANDS HOSPITAL | 100113 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Special Procedure Room | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 3/15/2017 | 3/16/2017 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Acoustic neuroma (vestibular schwannoma) | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Stereotactic radiosurgery | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| 20 Gy dose rather than the prescribed 12.5 Gy dose | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Chronic headaches | |||||
| Severity Of Injury | |||||
| Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| *NR | |||||
| County Suit Filed in | Date of Final Disposition | ||||
| *NR | 7/26/2019 | ||||
| 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 | |||||
| 7/26/2019 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $40,625 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $0 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $2,330 | ||||||||||||||||||||
| 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 physician. | |||||||||||||||||||||
| Updates | |
| No updates found. |
Does Dr. WILLIAM A FRIEDMAN, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. WILLIAM A FRIEDMAN, MD has at least 3 medical malpractice case(s), lawsuit(s), or complaint(s).