Department File Number : | M201884562 |
Claim Number : | 37000271 |
Date Submitted : | 3/9/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
CENTURION MEDICAL LIABILITY PROTECTIVE RISK RETENTION GROUP, INC. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
20-1145017 | |||||
Insurer Contact Information | |||||
Type | Entity Name | ||||
Entity | Medical Risk Consultant Group | ||||
Street Address | |||||
PO Box 140457 | |||||
City | State | Zip | |||
Coral Gables | FL | 33114 | |||
Phone | Ext | Fax | E-Mail Address | ||
(305) 503 - 5704 | (888) 909 - 5304 | MMORENO@MRCG.ORG |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Carlos | M | Rey | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 2975 Coral Way | ||||
City | State | Zip Code | County | ||
Miami | FL | 33145 | Dade | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
FL5047 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME81804 | Radiology - Diagnostic - Minor Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Dade | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
HIALEAH HOSPITAL | 100053 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Radiology, Emergency Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
10/4/2015 | 2/2/2017 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Colon perforation following surgical repair of inguinal hernia. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Patient presented to ER with complaints of abdominal pain following surgical repair of inguinal hernia. A CT scan was performed and interpreted by Dr. Rey as most compatible with colon perforation. The patient was taken to surgery 3 days later for repair of the colon perforation. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
There was no misdiagnosis made. | |||||
Principal Injury Giving Rise To The Claim | |||||
Patient alleged there was a delay in diagnosis of the colon perforation. However, this was correctly identified on the CT scan read by Dr. Rey. | |||||
Severity Of Injury | |||||
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 2/5/2018 | ||||
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 | |||||
2/5/2017 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $225,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $0 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $34,616 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $25,000 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Case was reviewed by board certified radiology expert who was supportive of Dr. Rey. |
Updates | |
No updates found. |
*NR: Prior to 04/28/1999 this field was not required in submitted claims. This page is not displaying certain sensitive information.
Does Dr. CARLOS M REY, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. CARLOS M REY, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).