Department File Number : | M201782576 |
Claim Number : | 38-01-2016-0047A |
Date Submitted : | 7/17/2017 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
MOUNT SINAI MEDICAL CENTER | Primary | ||||
Insurer FEIN | Professional License Number | ||||
59-0624424 | 4066 | ||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | NANCY | CARR | |||
Street Address | |||||
11440 SW 88th STREET | |||||
City | State | Zip | |||
MIAMI | FL | 33176 | |||
Phone | Ext | Fax | E-Mail Address | ||
(305) 274 - 4070 | (305) 274 - 2701 | carol.lobacz@nccrms.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Chad | Lee | |||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 4300 Alton Road | ||||
City | State | Zip Code | County | ||
Miami Beach | FL | 33140 | Dade | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
MSMCFGC-PR-A-15 MSMC16 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Other | Resident DO | ||||
License Number | Specialty Code & Classification | Certification Number | |||
OS13812 |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Dade | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
MOUNT SINAI MEDICAL CENTER | 100034 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Radiology, Emergency Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
3/10/2016 | 3/14/2016 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Hyponatremia. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
There was no operation, diagnostic, or treatment procedure that caused injury to the patient. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Viral illness/hyponatremia. | |||||
Principal Injury Giving Rise To The Claim | |||||
Patient with a decreased sodium level was discharged from ED with a diagnosis of a viral syndrome. Two days later she was admitted to the hospital with seizure, worsening hyponatremia, hypoxia, osmotic demylination syndrome with leukoencephalopathy and left visual field defect. The Notice of Intent was voluntarily withdrawn against this physician as the results of the sodium level were not given to him. THIS PHYSICIAN IS PROVIDED A DEFENSE AND INDEMNIFICATION UNDER THIS POLICY IN ACCORDANCE WITH AN INDEMNIFICATION AGREEMENT. | |||||
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 | 5/9/2017 | ||||
Other Defendants Involved in this Claim | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Claim or suit abandoned. | |||||
Final Method of Claim Disposition | |||||
No Payment Made | |||||
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? | No | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $0 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $6,157 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $13,761 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Steps taken by insured to make similar occurrences less likely. |
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. CHAD LEE, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. CHAD LEE, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).