Department File Number : | M201574041 |
Claim Number : | 70409 |
Date Submitted : | 4/1/2015 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
MEDMAL DIRECT INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
27-2813188 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Trisha | D | Bowles | ||
Street Address | |||||
245 Riverside Avenue, Suite 550 | |||||
City | State | Zip | |||
Jacksonville | FL | 32202 | |||
Phone | Ext | Fax | E-Mail Address | ||
(904) 482 - 4068 | (888) 897 - 4645 | trisha@mymedmal.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Zhi | J | Yu | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 11513 NORTH MAIN STREET | ||||
City | State | Zip Code | County | ||
Jacksonville | FL | 32218 | Duval | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
FL707599 | $100,000 | $300,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME76867 | Family Physicians or General Practitioners - No Surgery |
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 Outpatient Facility | San Jose Health and Rehabilitation | ||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | Nursing Home | ||||
Date of Occurrence | Date Reported to Insurer | ||||
8/4/2012 | 11/7/2014 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
The Plaintiff suffered from depression and psychotic behavior, a history of atrial fibrillation and past cerebrovascular event. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Plaintiff alleged that discontinuation of the patient's medication was a contributing factor in the death of the patient. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Plaintiff suffered an AFib episode resulting in a pulmonary embolism. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 3/12/2015 | ||||
Other Defendants Involved in this Claim | |||||
Baptist Medical | |||||
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 | |||||
3/12/2015 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $90,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $5,421 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Insurance Company Consulted with Practitioner |
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. ZHI J YU, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ZHI J YU, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).