Department File Number : | M201990528 |
Claim Number : | 2018659502 |
Date Submitted : | 11/7/2019 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
AMNHI - Staff Care, Inc | Primary | ||||
Insurer FEIN | Professional License Number | ||||
99-9999999 | 99999999999999999999 | ||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Daniel | Turpen | |||
Street Address | |||||
9800 Richmond, Suite 425 | |||||
City | State | Zip | |||
Houston | TX | 77042 | |||
Phone | Ext | Fax | E-Mail Address | ||
(713) 914 - 3243 | (713) 914 - 3250 | daniel.turpen@sedgwickcms.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | EDWARD | CHENG | |||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 9055 SW 73 Court, #604 | ||||
City | State | Zip Code | County | ||
Miami | FL | 33156 | Dade | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
S1 AMNHI-SCI-AOS | $525,000 | $525,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME96496 | Emergency Medicine - No Major Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Palm Beach | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Emergency Room | |||||
Name of Institution | Code | ||||
PALMS WEST HOSPITAL | 110006 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | ER | ||||
Date of Occurrence | Date Reported to Insurer | ||||
1/5/2018 | 9/7/2018 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
cognitive and neurological deficits | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
ER Evaluation | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Pt alleges insd flr to treat, diagnosis and transfer pt to ICU timely for acute hypoxic respiratory failure | |||||
Principal Injury Giving Rise To The Claim | |||||
cognitive and neurological deficits | |||||
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 | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 2/5/2019 | ||||
Other Defendants Involved in this Claim | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Within the pre-suit period as set forth in 766.106 (more than 90 days before suit is filed). | |||||
Final Method of Claim Disposition | |||||
Settled by parties | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
2/5/2019 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $200,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $49,834 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Risk Management Review |
Updates | |
No updates found. |
Does Dr. EDWARD CHENG, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. EDWARD CHENG, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).