Department File Number : |
M200433011 |
Claim Number : |
681424 |
Date Submitted : |
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Insurer Information |
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Insurer Name |
Coverage Type |
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SCOTTSDALE INSURANCE COMPANY |
Primary |
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Insurer FEIN |
Professional License Number |
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31-1024978 |
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Insurer Contact Information |
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Type |
First Name |
MI |
Last Name |
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Individual |
Cindy |
L |
Wyatt |
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Street Address |
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City |
State |
Zip |
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AZ |
85258 |
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Phone |
Ext |
Fax |
E-Mail Address |
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(480) 365 - 2898 |
2898 |
(480) 483 - 6752 |
wyattc2@scottsdaleins.com |
Insured Information |
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Type |
First Name |
MI |
Last Name |
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Individual |
Harish |
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Patel |
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Insurer Type |
Street Address of Practice |
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Licensed |
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City |
State |
Zip Code |
County |
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FL |
33709 |
Pinellas |
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Policy Number |
Per Claim Policy Limits |
Aggregate Policy Limits |
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PNS 0000724 |
$1,000,000 |
$3,000,000 |
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Profession or Business |
Other Profession or Business |
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Medical Doctor |
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License Number |
Specialty Code & Classification |
Certification Number |
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ME61113 |
Neurology - including child - no
surgery - All Other |
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Injured Person Information |
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First Name |
MI |
Last Name |
Date of Birth |
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Street Address |
Gender |
County where Injury Occurred |
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F |
Pinellas |
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City |
State |
Zip Code |
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Location where injury occured |
Other location where injury occured |
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Other Location |
Patients home |
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Name of Institution |
Code |
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Location of Institutional Injury |
Other Location of Institutional
Injury |
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Date of Occurrence |
Date Reported to Insurer |
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Diagnostic Information |
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Final Diagnosis For Which Treatment
Was Sought Including Patient's Actual Condition |
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Patient died from complications of
poly drug overdose as a result of depression, weight loss and addiction to
prescription medications |
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Operation, Diagnostic, Or Treatment
Procedure Rendered Causing The Injury |
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Patient became addicted and
ultimately committed suicide |
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Diagnostic Code : |
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Misdiagnosis Made, If Any, Of
Patient's Actual Condition |
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Dr. failed to properly monitor
patients physical and mental condition |
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Principal Injury Giving Rise To The
Claim |
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Plaintiff alleges that Dr. Patel
caused patient to become addicted to narcotic prescription medications |
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Severity Of Injury |
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Permanent: Death. |
Legal Information |
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Date of Suit |
Circuit Court Case Number |
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0000805C1-21 |
County Suit Filed in |
Date of Final Disposition |
Pinellas |
6/7/2004 |
Other Defendants Involved in this
Claim |
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Stage of Legal System at which
Settlement was Reached or Award Made |
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More than 90 days, after suit filed
and prior to or during the course of mandatory settlement conference. |
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Final Method of Claim Disposition |
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Settled by parties |
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Court Decision |
Other |
Judgment for the plaintiff. |
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Arbitration |
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Claim not subject to Arbitration. |
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Date of Payment |
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6/17/2004 |
Financial Information |
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Was there a settlement Resulting in
payment to the Plaintiff? |
Yes |
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Indemnity Paid by Insurer on behalf
of Insured |
$165,000 |
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Loss Adjust Expense Paid to Defense
Counsel |
$71,000 |
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All Other Loss Adjustment Expense
Paid |
$13,000 |
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Injured Person's Total Non-Economic
Loss |
$0 |
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Deductible |
$0 |
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Injured Person's Total Economic Loss |
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Safety Management Steps Taken by
Insured to Make Similar Occurrence Less Likely |
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None known |
Updates |
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No updates found. |