Department File Number : | M201988065 |
Claim Number : | 59271401 |
Date Submitted : | 3/6/2019 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
PHYSICIANS INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
13-4235490 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | John | D | King | ||
Street Address | |||||
901 south mopac Blvd V ste 400 | |||||
City | State | Zip | |||
Austin | TX | 78746 | |||
Phone | Ext | Fax | E-Mail Address | ||
(512) 425 - 5940 | (512) 328 - 8067 | john-king@tmlt.org |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Laura | Peralta | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 1604 Town Creed Blvd, Ste #4C | ||||
City | State | Zip Code | County | ||
Fort Lauderdale | FL | 33326 | Broward | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
144688 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
OS5699 | Physicians - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Broward | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Physician's Office | |||||
Name of Institution | Code | ||||
CLEVELAND CLINIC HOSPITAL | 100056 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Radiology, Emergency Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
4/6/2014 | 1/17/2019 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
58 year female who died from terminal lung cancer. She had presented to an emergency clinic for complaints of cough chest tightness and Shortness of breath. A chest x-ray was taken and the patient was released | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Patient followed under reporting physicians care after discharge from emergency room. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
It was alleged that the initial chest x-ray which showed pneumonia was underread and missed the lung mass which later was diagnosed a lung cancer | |||||
Principal Injury Giving Rise To The Claim | |||||
Allegations include that the initial chest x-ray was misread and the reporting physician failed to order repeat chest x-rays | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
5/18/2017 | CACE-17-005146 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Broward | 2/15/2019 | ||||
Other Defendants Involved in this Claim | |||||
Dorton, Simon ariel, Fernandez Cleveland Clinic | |||||
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 | |||||
2/15/2019 |
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 | $59,122 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $12,502 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $200,000 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
none |
Updates | |
No updates found. |
Does Dr. LAURA PERALTA, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. LAURA PERALTA, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).