Department File Number : | M201782603 |
Claim Number : | AHZ123 |
Date Submitted : | 7/18/2017 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
Zwick, Andrew H | Primary | ||||
Insurer FEIN | Professional License Number | ||||
20-3207949 | ME65365 | ||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Andrew | H | Zwick | ||
Street Address | |||||
951 NW 13th Street, Ste 2E | |||||
City | State | Zip | |||
Boca Raton | FL | 33064-803 | |||
Phone | Ext | Fax | E-Mail Address | ||
(561) 368 - 3455 | bocadoc1@aol.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Andrew | H | Zwick | ||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 951 NW 13th Street, Ste 2E | ||||
City | State | Zip Code | County | ||
Boca Raton | FL | 33486 | Palm Beach | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
AHZ123 | $250,000 | $250,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME65365 | Surgery - Gastroenterology |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Palm Beach | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Other Outpatient Facility | Jupiter Medical Center | ||||
Name of Institution | Code | ||||
SOUTH PALM AMBULATORY SURGERY CENTER | 14960589 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
10/16/2012 | 10/19/2012 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Patient reportedly expired due to surgical complications | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Colonoscopy | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Perforation | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
1/24/2013 | 502014CA006618XXXXMB | ||||
County Suit Filed in | Date of Final Disposition | ||||
Palm Beach | 7/1/2017 | ||||
Other Defendants Involved in this Claim | |||||
Boca Raton Regional Hospital | |||||
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 | ||||
Other | Mock trial held 2 of 3 in favor of Defendent | ||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
7/6/2017 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $99,999 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Ongoing CME for Physician. |
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. ANDREW H ZWICK, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ANDREW H ZWICK, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).