Department File Number :

M200433011

Claim Number :

681424

Date Submitted :

9/30/2004

 

Insurer Information

 

Insurer Name

Coverage Type

SCOTTSDALE INSURANCE COMPANY

Primary

Insurer FEIN

Professional License Number

31-1024978

 

Insurer Contact Information

Type

First Name

MI

Last Name

Individual

Cindy

L

Wyatt

Street Address

8877 N Gainey Center Drive

City

State

Zip

Scottsdale

AZ

85258

Phone

Ext

Fax

E-Mail Address

(480) 365 - 2898

2898

(480) 483 - 6752

wyattc2@scottsdaleins.com

 

Insured Information

 

Type

First Name

MI

Last Name

Individual

Harish

 

Patel

Insurer Type

Street Address of Practice

Licensed

5649 49th Street North

City

State

Zip Code

County

St Petersburg

FL

33709

Pinellas

Policy Number

Per Claim Policy Limits

Aggregate Policy Limits

PNS 0000724

$1,000,000

$3,000,000

Profession or Business

Other Profession or Business

Medical Doctor

 

License Number

Specialty Code & Classification

Certification Number

ME61113

Neurology - including child - no surgery - All Other

 

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

 

 

 

Injured Person Information

 

First Name

MI

Last Name

Date of Birth

 

 

 

 

Street Address

Gender

County where Injury Occurred

 

F

Pinellas

City

State

Zip Code

 

 

 

Location where injury occured

Other location where injury occured

Other Location

Patients home

Name of Institution

Code

 

 

Location of Institutional Injury

Other Location of Institutional Injury

 

 

Date of Occurrence

Date Reported to Insurer

6/27/1999

7/10/2000

 

Diagnostic Information

 

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition

Patient died from complications of poly drug overdose as a result of depression, weight loss and addiction to prescription medications

Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury

Patient became addicted and ultimately committed suicide

Diagnostic Code :

 

Misdiagnosis Made, If Any, Of Patient's Actual Condition

Dr. failed to properly monitor patients physical and mental condition

Principal Injury Giving Rise To The Claim

Plaintiff alleges that Dr. Patel caused patient to become addicted to narcotic prescription medications

Severity Of Injury

Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information

 

Date of Suit

Circuit Court Case Number

7/26/2000

0000805C1-21

County Suit Filed in

Date of Final Disposition

Pinellas

6/7/2004

Other Defendants Involved in this Claim

 

Stage of Legal System at which Settlement was Reached or Award Made

More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.

Final Method of Claim Disposition

Settled by parties

Court Decision

Other

Judgment for the plaintiff.

 

Arbitration

Claim not subject to Arbitration.

Date of Payment

6/17/2004

 

Financial Information

 

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$165,000

Loss Adjust Expense Paid to Defense Counsel

$71,000

All Other Loss Adjustment Expense Paid

$13,000

Injured Person's Total Non-Economic Loss

$0

Deductible

$0

Injured Person's Total Economic Loss

 

Incurred to Date

Anticipated

Medical Expense

$0

$0

Wage Loss

$0

$0

Other Expenses

$0

$0

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

None known

 

Updates

 

No updates found.