Department File Number : | M201885598 |
Claim Number : | 36001404 |
Date Submitted : | 6/13/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
CENTURION MEDICAL LIABILITY PROTECTIVE RISK RETENTION GROUP | Primary | ||||
Insurer FEIN | Professional License Number | ||||
20-1145017 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Laura | Hall | |||
Street Address | |||||
Two Riverway, Suite 900 | |||||
City | State | Zip | |||
Houston | TX | 77056 | |||
Phone | Ext | Fax | E-Mail Address | ||
(713) 353 - 1636 | laura.hall@esis.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Reginald | Pereira | |||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 242 NW 42nd Ave | ||||
City | State | Zip Code | County | ||
Miami | FL | 33126 | Dade | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
FL4704 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME59037 | Emergency Medicine - No Major 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 | ||||
Emergency Room | |||||
Name of Institution | Code | ||||
UNIVERSITY OF MIAMI HOSPITAL AND CLINICS | 100079 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Radiology, Emergency Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
4/13/2015 | 11/17/2016 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Presented to ER for kidney stone | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Admitted due to infection and blood in urine. Cardiologist called for short episode of non-sustained ventricular tachycardia while on telemetry monitor. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Failure to recognize a complication. | |||||
Principal Injury Giving Rise To The Claim | |||||
Alleged discharged patient without providing adequate care for cardiac condition. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 5/15/2018 | ||||
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 | |||||
5/1/2018 |
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 | $60,190 | ||||||||||||||||||||
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. |
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Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
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Does Dr. REGINALD PEREIRA, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. REGINALD PEREIRA, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).