| Department File Number : | M201575078 |
| Claim Number : | SAM-IG-006209 |
| Date Submitted : | 7/5/2015 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| SAMARITAN RISK RETENTION GROUP, INC. | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 20-3433505 | |||||
| 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 | Daniel | L | Cassis | ||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 4302 Alton Road, Suite 100 | ||||
| City | State | Zip Code | County | ||
| Miami | FL | 33140 | Dade | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| SPL 1062 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME27633 | Cardiovascular Disease - No Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Dade | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Patient's Home | |||||
| Name of Institution | Code | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 7/16/2013 | 4/10/2014 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Wolff-Parkinson White Syndrome. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Not applicable. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| There was no misdiagnosis made of this patient. | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Death from hypertrophic cardiomyopathy with Wolff-Parkinson White Syndrome. Patient was seen in the ED on two occasions and advised to follow-up and continued work-up as an outpatient by an Electrophysiologist. Patient did not follow-up with EP as recommended. Patient refused referral to an electrophysiologist by this practitioner, however, this conversation was not documented in the medical records. This physician then agreed to perform a diagnostic work-up for Wolff-Parkinson White syndrome with plan for ultimate referral to an electrophysiologist for definitive treatment. Patient was asymptomatic until the night of his sudden demise at his home. The plaintiff alleged a failure to refer the patient to an electrophysiologist. | |||||
| Severity Of Injury | |||||
| Permanent: Death. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 11/3/2014 | 14-027615 CA 04 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Dade | 6/16/2015 | ||||
| Other Defendants Involved in this Claim | |||||
| Baptist Health South Florida, Inc. Baptist Health Medical Group, Inc Miami Beach Welness Group, LLC dba Baptist Health Medical Gr MiamiBeach Specialty Physicians, LLC dba MiamiBeach Wellness | |||||
| 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 | |||||
| 6/16/2015 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $250,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $55,664 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $18,766 | ||||||||||||||||||||
| Injured Person's Total Non-Economic Loss | $250,000 | ||||||||||||||||||||
| Deductible | $0 | ||||||||||||||||||||
| Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
| Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
| Not applicable. | |||||||||||||||||||||
| Updates | |
| No updates found. |
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Does Dr. DANIEL L CASSIS, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. DANIEL L CASSIS, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).