| Department File Number : | M201886898 |
| Claim Number : | 113652 |
| Date Submitted : | 10/31/2018 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| ASCENSION HEALTH ALLIANCE PL/GL SELF-INSURED TRUST | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 36-7046706 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Linda | Zinselmeier | |||
| Street Address | |||||
| 11775 Borman Drive | |||||
| City | State | Zip | |||
| Saint Louis | MO | 63146 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (314) 733 - 8727 | lzinselmeier@ascension.org | ||||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Andrew | J | Weinstein | ||
| Insurer Type | Street Address of Practice | ||||
| Self-Insurer | 1824 King Street, Suite 300 | ||||
| City | State | Zip Code | County | ||
| Jacksonville | FL | 32204 | Duval | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 1111 | $10,000,000 | $10,000,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME58373 | Cardiovascular Disease - Minor Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Duval | ||||
| 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 | ||||
| 7/17/2017 | 1/9/2018 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Persistent arrhythmia. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| No procedure performed, but physician wrote a prescription for Amiodarone to treat persistent problems with arrhythmia. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| Plaintiff alleged patient was allowed to take a loading dose of Amiodarone for too long a period of time. | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Death. | |||||
| Severity Of Injury | |||||
| Permanent: Death. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| *NR | |||||
| County Suit Filed in | Date of Final Disposition | ||||
| *NR | 10/25/2018 | ||||
| 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 | |||||
| 10/29/2018 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $525,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $32,000 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
| Injured Person's Total Non-Economic Loss | $350,000 | ||||||||||||||||||||
| Deductible | $0 | ||||||||||||||||||||
| Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
| Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
| n/a | |||||||||||||||||||||
| 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 J WEINSTEIN, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ANDREW J WEINSTEIN, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).