Department File Number : | M201988681 |
Claim Number : | 59296801 |
Date Submitted : | 5/6/2019 |
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 | NIDAL | RADWAN | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 18100 NE 19th Avenue, Ste 102 | ||||
City | State | Zip Code | County | ||
Miami | FL | 33162 | Dade | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
132284 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME71068 | Family Physicians or General Practitioners - Minor 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 | ||||
NORTH SHORE MEDICAL CENTER | 100029 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
11/9/2017 | 7/2/2018 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
83 year old patient was transported via EMS to North Shore Medical Center with altered mental status | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Reporting physician was the employer of Dr. Randolph Borrero, the hospitalist. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Dr. Radwan never saw the patient and was only named as a defendant as he was the employer for Dr. Borrero. | |||||
Principal Injury Giving Rise To The Claim | |||||
After being admitted, patient coded the following morning. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
8/1/2018 | 2018-026124-CA-01 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Dade | 4/15/2019 | ||||
Other Defendants Involved in this Claim | |||||
North Shore Medical Center Borrero MD, Randolph | |||||
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 | |||||
4/16/2019 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $250,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $0 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
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 | |||||||||||||||||||||
none |
Updates | |
No updates found. |
Does Dr. RANDOLPH BORRERO, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. RANDOLPH BORRERO, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).