Department File Number : | M201886445 |
Claim Number : | PLFDEL094249 |
Date Submitted : | 9/17/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
Florida Physicians Medical Group | Primary | ||||
Insurer FEIN | Professional License Number | ||||
59-3214635 | 800014080 | ||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Matthew | Evans | |||
Street Address | |||||
900 Hope Way | |||||
City | State | Zip | |||
Altamonte Springs | FL | 32712 | |||
Phone | Ext | Fax | E-Mail Address | ||
(407) 357 - 2272 | matt.evans@ahss.org |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Derrick | A | Jones | ||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 900 Winderley Place, Suite 1400 | ||||
City | State | Zip Code | County | ||
Maitland | FL | 32715 | Orange | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
8258 -2017 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME110217 | Radiology - Diagnostic - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Volusia | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Outpatient Facility | |||||
Name of Institution | Code | ||||
MEMORIAL HOSPITAL-WEST VOLUSIA | 100045 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Radiology, Emergency Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
7/10/2015 | 2/5/2018 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
The patient was seen in the Emergency Department with complaints of sudden onset chest pain. Physical examination revealed symmetrical chest wall expansion; lungs clear to auscultation with non-labored respirations; and equal breath sounds. A chest x-ray was performed and read as showing no focal consolidation and mild vascular congestion. The patient had a history of atrial fibrillation and denied tobacco use. Following conversion to a regular heart rhythm, the patient declined to be admitted and signed out against medical advice. He failed to followup with his primary care physician and cardiologist as directed. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Chest x-ray. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Plaintiff alleged a failure to timely diagnose lung cancer. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 7/12/2018 | ||||
Other Defendants Involved in this Claim | |||||
Florida Hospital Deland | |||||
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 | |||||
7/12/2018 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $700,000 | ||||||||||||||||||||
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 | |||||||||||||||||||||
| |||||||||||||||||||||
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. DERRICK A JONES, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. DERRICK A JONES, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).