Department File Number : | M201678798 |
Claim Number : | 203199 |
Date Submitted : | 9/29/2017 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
PROASSURANCE CASUALTY COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
38-2317569 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Denise | Stokes | |||
Street Address | |||||
100 Brookwood Place | |||||
City | State | Zip | |||
Birmingham | AL | 35209 | |||
Phone | Ext | Fax | E-Mail Address | ||
(205) 802 - 4790 | (205) 802 - 4710 | claimscompliancereporting@proassurance.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | NELSON | GARCIA | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 9951 Bird Road | ||||
City | State | Zip Code | County | ||
Miami | FL | 33165 | Dade | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
MP39832 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME25072 | Family Physicians or General Practitioners - 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 | ||||
Physician's Office | |||||
Name of Institution | Code | ||||
N/A | 000000 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
9/11/2013 | 4/28/2015 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Gout and Baker's cyst | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Examination | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
no misdiagnosis made | |||||
Principal Injury Giving Rise To The Claim | |||||
Plaintiff alleges failure to diagnose popliteal aneurysm resulting in below the knee amputation. | |||||
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 | ||||
1/4/2016 | 15-028288-CA-32 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Dade | 6/15/2016 | ||||
Other Defendants Involved in this Claim | |||||
Miami Primary Care Corporation | |||||
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 | |||||
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $195,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $28,445 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $20,078 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $195,000 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Insured discussed case with defense counsel, insurances personnel, and medical experts. |
Updates | ||||||||||||||||
Date of Change: | 6/22/2016 1:02:29 PM | |||||||||||||||
Reason for Change: | updated diagnosis information | |||||||||||||||
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Date of Change: | 8/3/2016 1:59:11 PM | |||||||||||||||
Reason for Change: | updated ALAE information | |||||||||||||||
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Date of Change: | 10/7/2016 1:04:22 PM | |||||||||||||||
Reason for Change: | updated ALAE information | |||||||||||||||
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Date of Change: | 9/29/2017 12:49:24 PM | |||||||||||||||
Reason for Change: | Updated ALAE information | |||||||||||||||
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Does Dr. NELSON GARCIA, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. NELSON GARCIA, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).