Department File Number : | M201886941 |
Claim Number : | SAM-IG-007629 |
Date Submitted : | 11/7/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
SAMARITAN RISK RETENTION GROUP, INC. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
20-3433505 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | NANCY | CARR | |||
Street Address | |||||
11440 SW 88th STREET | |||||
City | State | Zip | |||
MIAMI | FL | 33176 | |||
Phone | Ext | Fax | E-Mail Address | ||
(305) 274 - 4070 | (305) 274 - 2701 | carol.lobacz@nccrms.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Ana | P | Orozco | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 2 Datran Center, 9130 South Dadeland Boulevard, Suite 1202 | ||||
City | State | Zip Code | County | ||
Miami | FL | 33156 | Dade | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
SPL 1052 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME105873 | 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 | Dade | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Other Outpatient Facility | Urgent Care Center at Kendale Lakes | ||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | Kendale Lakes Urgent Care Center | ||||
Date of Occurrence | Date Reported to Insurer | ||||
11/19/2016 | 8/11/2017 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Patient presented with complaints of abdominal pain and diagnosed with gastritis. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
There was no operation, diagnostic or treatment procedure that caused injury. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
There was no misdiagnosis of this patient based upon the available information to this physician. This physician was not provided with a copy of the patient's Sign-in form which indicated pain in the middle of the chest going down into the arms making them hurt and feel heavy. | |||||
Principal Injury Giving Rise To The Claim | |||||
Two days after seen in the Urgent Care Center the patient was found unconscious at home. She was brought to the hospital by EMS and diagnosed with an acute myocardial infarction and underwent emergent stenting. She is partially paralyzed and has significant brain injury. Her attorney alleged a failure to recognize a cardiac process. Importantly, an EKG performed in the UCC was normal. Further, this physician was not advised of the patient's complaints listed on the Sign-in Sheet which differ from the complaints given to this physician. This case was settled without an admission of liability and as a business decision to protect this physician from possible personal exposure. | |||||
Severity Of Injury | |||||
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
5/10/2018 | 2018-014258 CA 01 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Dade | 10/19/2018 | ||||
Other Defendants Involved in this Claim | |||||
Baptist Hospital dba Baptist Health Urgent Care Kendale Lake | |||||
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 | |||||
10/4/2018 |
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 | $35,685 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $15,290 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $250,000 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Physician discussed case with defense counsel and claim consultant. |
Updates | |
No updates found. |
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Does Dr. ANA P OROZCO, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ANA P OROZCO, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).