Department File Number : | M201678764 |
Claim Number : | 13-305 |
Date Submitted : | 6/20/2016 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
SOUTH FLORIDA OPHTHALMOLOGICAL SELF INSURING TRUST | Primary | ||||
Insurer FEIN | Professional License Number | ||||
59-6628916 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Burt | E | Redlus | ||
Street Address | |||||
19 W. Flagler Street | |||||
City | State | Zip | |||
Miami | FL | 33130 | |||
Phone | Ext | Fax | E-Mail Address | ||
(305) 374 - 6368 | (305) 371 - 4759 | ber@redluspa.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Lee | DUFFNER | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 2740 Hollywood Blvd | ||||
City | State | Zip Code | County | ||
HOLLYWOOD | FL | 33020 | Broward | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
04 | $500,000 | $1,500,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME10654 | Surgery - Opthalmology |
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 | ||||
ANNE BATES LEACH EYE HOSPITAL | 100240 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
6/18/2013 | 11/7/2013 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
SHUNT MALFUNCTION. RULE OUT REFRACTIVE EYE PROBLEMS | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
OFFICE EXAM TO RULE OUT REFRACTIVE PROBLEMS CAUSING SYMPTOMS | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
MISDIAGNOSIS ALLEGED WAS DELAY IN DEFINITIVE TREATMENT FOR SHUNT MALFLUNCTION | |||||
Principal Injury Giving Rise To The Claim | |||||
BILATERAL LOSS OF VISION. LEGAL BLINDNEXX | |||||
Severity Of Injury | |||||
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
5/7/2014 | 14-11974 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Dade | 6/15/2016 | ||||
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 | |||||
Disposed of by Court | |||||
Court Decision | Other | ||||
Summary judgment for the defendant. | |||||
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 | $82,837 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $12,353 | ||||||||||||||||||||
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 ADVISED TO DOCUMENT PATIENT CONVERSATIONS AND WARNINGS |
Updates | |
No updates found. |
This page is not displaying certain sensitive information.
Does Dr. LEE DUFFNER, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. LEE DUFFNER, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).