Department File Number : | M201884422 |
Claim Number : | 1016167-01 |
Date Submitted : | 8/21/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
MEDICAL PROTECTIVE COMPANY (THE) | Primary | ||||
Insurer FEIN | Professional License Number | ||||
35-0506406 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Lynn | Louthan | |||
Street Address | |||||
5814 Reed Road | |||||
City | State | Zip | |||
Ft Wayne | IN | 46835 | |||
Phone | Ext | Fax | E-Mail Address | ||
(260) 486 - 0778 | reportaclaim@medpro.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | ABDON | BORGES | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 3741 N Federal Hwy Ste 203 | ||||
City | State | Zip Code | County | ||
Fort Lauderdale | FL | 33308 | Broward | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
778205 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME81393 | Internal Medicine - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Broward | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
NORTH BROWARD MEDICAL CENTER | 100086 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
7/1/2012 | 9/12/2013 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
ABDOMINAL PAIN. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
MEDICATION DIAGNOSTIC TESTING. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
FAILURE TO TIMELY DIAGNOSE BOWEL PERFORATION. | |||||
Principal Injury Giving Rise To The Claim | |||||
DEATH. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
4/4/2014 | CACE-14-006573 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Broward | 2/14/2018 | ||||
Other Defendants Involved in this Claim | |||||
Bober PA, Marcy L Rosen MD, Harold H Gough-Fibkins MD, Shawn Brien MD, Ginge UniMed Health Systems dba CAPS Medical Management LLC Williams MD, Frederick L North Broward Radiologists PA Parra MD, Michael W Gonzalez MD, Pedro J Broward Surgical Associates Inc Delray Trauma Associates PA North Broward Hospital District dba Broward Health | |||||
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 | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
2/14/2018 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $250,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $53,530 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $17,010 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $237,179 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
n/a |
Updates | |||||||||||||
Date of Change: | 8/21/2018 11:20:46 AM | ||||||||||||
Reason for Change: | ALE UPDATE | ||||||||||||
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Does Dr. ABDON BORGES, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ABDON BORGES, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).