| Department File Number : | M201471789 |
| Claim Number : | PLCCFL067380 |
| Date Submitted : | 9/5/2014 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| Centra Care | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 59-3209688 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Judith | A | Henderson | ||
| Street Address | |||||
| 900 Hope Way | |||||
| City | State | Zip | |||
| Altamonte Springs | FL | 32714 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (407) 357 - 2292 | (407) 975 - 1570 | judith.henderson@ahss.org | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Olivia | N | Alexander | ||
| Insurer Type | Street Address of Practice | ||||
| Self-Insurer | 3099 Aloma Avenue | ||||
| City | State | Zip Code | County | ||
| Winter Park | FL | 32792 | Orange | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 8528-2011 | $1,000,000 | $1,000,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME98084 | 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 | Orange | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Other Outpatient Facility | Urgent Care Cneter | ||||
| Name of Institution | Code | ||||
| N/A | 000000 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Other | Exam Room | ||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 3/11/2011 | 4/7/2011 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Patient presented with complaints of chest pain, cough and shortness of breath | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Alleged failure to diagnose left empyema and necrotizing pneumonia | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Massive left pleural effusion which required surgery | |||||
| Severity Of Injury | |||||
| Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 10/9/2012 | 12-CA-15696 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Orange | 7/10/2014 | ||||
| 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 | |||||
| Settled by parties | |||||
| Court Decision | Other | ||||
| No Court Proceedings. | |||||
| Arbitration | |||||
| Claim not subject to Arbitration. | |||||
| Date of Payment | |||||
| 7/10/2014 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $750,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $47,814 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $59,462 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| N/A | |||||||||||||||||||||
| 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. OLIVIA N ALEXANDER, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. OLIVIA N ALEXANDER, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).