Department File Number : | M201574466 |
Claim Number : | MCH-H-006065A |
Date Submitted : | 5/3/2015 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
MIAMI CHILDREN'S HOSPITAL | Primary | ||||
Insurer FEIN | Professional License Number | ||||
59-0638499 | 4067 | ||||
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 | Avi | C | Baitner | ||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 3100 S.W. 62nd Avenue | ||||
City | State | Zip Code | County | ||
Miami | FL | 33155 | Dade | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
HPL/GL 2010/00 | $3,000,000 | $5,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME96400 | Surgery - Orthopedic |
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 | ||||
Hospital Outpatient Facility | |||||
Name of Institution | Code | ||||
MIAMI CHILDREN'S HOSPITAL | 110199 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | Physician's office | ||||
Date of Occurrence | Date Reported to Insurer | ||||
7/8/2011 | 10/27/2011 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Patient seen for initial office visit with complaints of lower back pain. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Not applicable. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
There was no misdiagnosis made of this patient. | |||||
Principal Injury Giving Rise To The Claim | |||||
Alleged failure to order and obtain additional tests in a then 18 year old female seen in physician's office with complaints of lower back pain, which resulted in alleged failure to diagnose back tumor. These claims were not substantiated against this physician. | |||||
Severity Of Injury | |||||
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
7/1/2014 | 14-012376 CA 01 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Dade | 3/9/2015 | ||||
Other Defendants Involved in this Claim | |||||
Pediatric Associates, PA Dela Rua, Mairim Romano-Silva, Amada Ramos Arias, Yadira Rivas Chacon, Rafael Sheridan Emergency Physicians Services | |||||
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 | |||||
No Payment Made | |||||
Court Decision | Other | ||||
Other | Voluntary Dismissal with Prejudice | ||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | No | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $0 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $23,600 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $55,952 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Not applicable. |
Updates | |
No updates found. |
This page is not displaying certain sensitive information.
Does Dr. AVI C BAITNER, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. AVI C BAITNER, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).