| Department File Number : | M201884718 |
| Claim Number : | 156091 |
| Date Submitted : | 3/20/2018 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| HEALTH CARE INDEMNITY, INC. | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 61-0904881 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Teresa | Ross | |||
| Street Address | |||||
| One Park Plaza P.O. Box 555 | |||||
| City | State | Zip | |||
| Nashville | TN | 37202 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (615) 344 - 5804 | Teresa.Ross@HCAHealthcare.com | ||||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | CAROL BETH | LIEBERMAN | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 401 NW Medical Services, PA | ||||
| City | State | Zip Code | County | ||
| Plantation | FL | 33317 | Broward | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| HCI-10114 | $1,000,000 | $3,000,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Other | Nurse Practitioner | ||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ARNP1185222 | |||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| F | Broward | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Emergency Room | |||||
| Name of Institution | Code | ||||
| PLANTATION GENERAL HOSPITAL | 100167 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Other | Emergency Room | ||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 5/1/2014 | 8/26/2015 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Aortic aneurysm. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Allege failure to timely diagnose & treat aortic aneurysm. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| Patient presented with back pain & elevated blood pressure. Patient treated for elevated blood pressure & patient was to be discharged as blood pressure responded to medications. Patient remained in ER waiting on husband with nurses monitoring patient's blood pressure, which became elevated again. When notified of elevated blood pressure, nurse practitioner consulted ER physician who ordered stat chest CT for possible aortic dissection. Patient arrested just prior to being taken to radiology & subsequently died. | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Dissecting aortic aneurysm, death. | |||||
| Severity Of Injury | |||||
| Permanent: Death. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 2/9/2016 | CACE16-001873 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Broward | 3/7/2018 | ||||
| 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 | |||||
| 2/21/2018 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $900,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $37,769 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $12,090 | ||||||||||||||||||||
| Injured Person's Total Non-Economic Loss | $400,000 | ||||||||||||||||||||
| Deductible | $0 | ||||||||||||||||||||
| Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
| Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
| Review of policies and procedures. | |||||||||||||||||||||
| Updates | |
| No updates found. |
This page is not displaying certain sensitive information.
Does Dr. CAROL BETH LIEBERMAN, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. CAROL BETH LIEBERMAN, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).