Department File Number : | M201783489 |
Claim Number : | 109324 |
Date Submitted : | 10/24/2017 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
OPHTHALMIC MUTUAL INSURANCE COMPANY (A R.R.G.) | Primary | ||||
Insurer FEIN | Professional License Number | ||||
94-3047990 | |||||
Insurer Contact Information | |||||
Type | Entity Name | ||||
Entity | Medical Risk Consultant Group | ||||
Street Address | |||||
PO Box 140457 | |||||
City | State | Zip | |||
Coral Gables | FL | 33114 | |||
Phone | Ext | Fax | E-Mail Address | ||
(305) 503 - 5704 | (888) 909 - 5304 | MMORENO@MRCG.ORG |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Timothy | R | Lorenzen | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 3000 W. Dr. Martin Luther King Jr. Boulevard | ||||
City | State | Zip Code | County | ||
Tampa | FL | 33607 | Hillsborough | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
OMC0009714 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME51963 | Surgery - Opthalmology |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Hillsborough | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Physician's Office | |||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Date of Occurrence | Date Reported to Insurer | ||||
3/24/2015 | 12/16/2016 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Foreign body OD | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Insured examined the patient. There was no evidence of a penetrating injury and he diagnosed a corneal abrasion for which medication was ordered. The patient was seen on two more occasions and it was noted that the corneal abrasion was healing. The patient was instructed to return in one month, however, he never did. The patient, in fact, did not seek any medical care for an additional 9 months. He subsequently developed additional symptoms and, after being seen by two other doctors, an intraocular foreign body was discovered and eventually removed by a retinal surgeon. The patient later developed complications from the retinal surgery and lost vision in the eye. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
There was no misdiagnosis. The patient never returned to the insured as instructed. | |||||
Principal Injury Giving Rise To The Claim | |||||
Loss of vision, right eye. | |||||
Severity Of Injury | |||||
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 9/26/2017 | ||||
Other Defendants Involved in this Claim | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Within the pre-suit period as set forth in 766.106 (more than 90 days before suit is filed). | |||||
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 | $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 | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Discussion and review with risk management. Case was reviewed by medical experts who were supportive of the care rendered by the insured and stated the care was appropriate. |
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. TIMOTHY R LORENZEN, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. TIMOTHY R LORENZEN, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).