Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
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Department File Number : | M201575585 |
Claim Number : | POC-H-006684 |
Date Submitted : | 8/21/2015 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
Baptist Health South Florida | Primary | ||||
Insurer FEIN | Professional License Number | ||||
65-0267668 | 0000 | ||||
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 | JORGE | MEJIA | |||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 8750 SW 88TH ST, SUITE 208 | ||||
City | State | Zip Code | County | ||
MIAMI | FL | 33176 | Dade | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
PIC2014/15 EXCI PIC 13 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME66319 | Internal Medicine - No 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 | ||||
HOMESTEAD HOSPITAL (DADE) | 100125 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
8/2/2011 | 6/8/2015 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
THIS PHYSICIAN NEVER TREATED THIS PATIENT. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
THIS PHYSICIAN NEVER TREATED THIS PATIENT. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
THIS PHYSICIAN NEVER TREATED THIS PATIENT. | |||||
Principal Injury Giving Rise To The Claim | |||||
THIS PHYSICIAN NEVER TREATED THIS PATIENT. THE NOTICE OF INTENT WAS VOLUNTARILY WITHDRAWN. | |||||
Severity Of Injury | |||||
Emotional Only - Fright, no physical damage |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 7/23/2015 | ||||
Other Defendants Involved in this Claim | |||||
HOMESTEAD HOSPITAL BLOOM, FREDERICK BLACKBURN, M.D., KATHERINE HERNANDEZ, ARNP, ANA CHACON, M.D., ARCENIO GOMEZ, M.D., MARIO JORDAN, ARNP, JORGE DIAVANTI, M.D., JULIAN RODRIGUEZ, M.D., DAYRON ERIO, RN, DONNA LOPEZ, RN, VERONICA RANDELL, RN, RUBY O'NEAL, RN, MAUREEN LEVY, RN, BENJAMIN JAY, RN, CRISTAN SIMPSON, RN, ANITA | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Claim or suit abandoned. | |||||
Final Method of Claim Disposition | |||||
Dropped before Action Filed | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
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 | $0 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $3,500 | ||||||||||||||||||||
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 | |||||||||||||||||||||
NOT APPLICABLE. |
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. JORGE MEJIA, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. JORGE MEJIA, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).