Department File Number : | M201885795 |
Claim Number : | 186597 |
Date Submitted : | 9/26/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
PROASSURANCE SPECIALTY INSURANCE COMPANY, INC. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
36-3990058 | |||||
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 | Alejandro | T | Soler | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 3140 NW Medical Center Lane, Suite 120 | ||||
City | State | Zip Code | County | ||
Lake City | FL | 32055 | Columbia | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
ES1561 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME91799 | Physicians - Minor Surgery. NOC classification. |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Columbia | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
LAKE CITY MEDICAL CENTER | 100156 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
12/6/2012 | 5/8/2013 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Esophageal reflux | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Nissan Fundoplication | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
No misdiagnosis | |||||
Principal Injury Giving Rise To The Claim | |||||
Alleged improper surgical procedure resulting in extended hospital stay. | |||||
Severity Of Injury | |||||
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
3/5/2014 | 122014CA | ||||
County Suit Filed in | Date of Final Disposition | ||||
Columbia | 6/22/2018 | ||||
Other Defendants Involved in this Claim | |||||
Notami Hospitals of Florida, Inc. Gateway surgical Specialists LLC Lake City Medical Center Gateway surgical Group, LLC | |||||
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 | |||||
7/2/2018 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $225,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $75,354 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $35,171 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $225,000 | ||||||||||||||||||||
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, insurance personnel, and medical experts. |
Updates | ||||||||||
Date of Change: | 7/3/2018 3:45:21 PM | |||||||||
Reason for Change: | Updated ALAE information | |||||||||
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Date of Change: | 7/31/2018 11:11:41 AM | |||||||||
Reason for Change: | Updated ALAE information | |||||||||
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Date of Change: | 8/3/2018 2:50:26 PM | |||||||||
Reason for Change: | updated alae | |||||||||
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Date of Change: | 9/26/2018 1:00:27 PM | |||||||||
Reason for Change: | updated alae | |||||||||
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Department File Number : | M201782112 |
Claim Number : | 186598 |
Date Submitted : | 7/28/2017 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
PROASSURANCE SPECIALTY INSURANCE COMPANY, INC. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
36-3990058 | |||||
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 | Alejandro | T | Soler | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 3140 NW Medical Center Lane, Suite 120 | ||||
City | State | Zip Code | County | ||
Lake City | FL | 32055 | Columbia | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
ES1561 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME91799 | Surgery - General Practice or Family Practice |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Columbia | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
LAKE CITY MEDICAL CENTER | 100156 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
5/27/2011 | 5/8/2013 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Hiatal hernia, severe GERD, cholelithiasis | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Nissan fundoplication, hiatal hernia repair with mesh, and laparoscopic cholecystectomy | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
No misdiagnosis | |||||
Principal Injury Giving Rise To The Claim | |||||
Respiratory insufficiency and ileus post op requiring extended hospital stay | |||||
Severity Of Injury | |||||
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
3/5/2014 | 14-97-CA | ||||
County Suit Filed in | Date of Final Disposition | ||||
Columbia | 5/9/2017 | ||||
Other Defendants Involved in this Claim | |||||
Lake City Medical Center Gateway Surgical Group LLC | |||||
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 | |||||
Disposed of by Arbitration | |||||
Court Decision | Other | ||||
Summary judgment for the defendant. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | No | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $0 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $35,843 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $6,887 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Insured discussed case with defense counsel, insurance personnel, and medical experts. |
Updates | ||||||||||
Date of Change: | 7/28/2017 9:53:16 AM | |||||||||
Reason for Change: | updated ALAE information | |||||||||
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Does Dr. ALEJANDRO T SOLER, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ALEJANDRO T SOLER, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).