Department File Number : | M201783552 |
Claim Number : | 106955 |
Date Submitted : | 11/2/2017 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
NORCAL MUTUAL INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
94-2301054 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Diane | M | McNab | ||
Street Address | |||||
9372 Lake Serena Drive | |||||
City | State | Zip | |||
Boca Raton | FL | 33496 | |||
Phone | Ext | Fax | E-Mail Address | ||
(954) 439 - 0580 | dmcnab@norcal-group.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Carlene | A | Gentles | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 7000 Spyglass Court | ||||
City | State | Zip Code | County | ||
Melbourne | FL | 32940 | Brevard | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
721092N | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME95607 | Radiology - Diagnostic - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Brevard | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Other Outpatient Facility | radiology clinic | ||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Radiology, Emergency Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
1/31/2014 | 9/19/2016 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
renal function study | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
This physician interpreted an abdominal ct scan. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
This physician interpreted an abdominal ct scan indicating a mild dilatation of the left renal pelvis, dilation of the calyces consistent with grade one and two hydronephrosis and two kidney stones. | |||||
Principal Injury Giving Rise To The Claim | |||||
Disputed allegation made by Estate of 65 year old male which alleged negligent interpretation of an abdominal CT Scan resulting in delay in diagnosis and treatment of kidney tumor. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
1/27/2017 | 05-2017-CA | ||||
County Suit Filed in | Date of Final Disposition | ||||
Brevard | 10/16/2017 | ||||
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 | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
9/29/2017 |
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 | $21,140 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $21,140 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Insured conferenced with defense attorney and claims specialist |
Updates | |
No updates found. |
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Does Dr. CARLENE A GENTLES, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. CARLENE A GENTLES, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).