Department File Number : | M202091249 |
Claim Number : | C167570 |
Date Submitted : | 1/24/2020 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
ADMIRAL INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
22-2235730 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Denise | Padilla | |||
Street Address | |||||
1000 Howard Blvd, Ste. 300 | |||||
City | State | Zip | |||
Mount Laurel | NJ | 08054 | |||
Phone | Ext | Fax | E-Mail Address | ||
(856) 505 - 8115 | dpadilla@admiralins.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Dianne | G | Copenhaver | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 2106 N. Orange Avenue, Suite 100 | ||||
City | State | Zip Code | County | ||
Orlando | FL | 32804 | Orange | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
EO000029702-02 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Other | Registered Nurse Practitioner | ||||
License Number | Specialty Code & Classification | Certification Number | |||
ARNP3051262 |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Marion | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Other Outpatient Facility | West Marion Community Hospital | ||||
Name of Institution | Code | ||||
WEST MARION COMMUNITY HOSPITAL | 23960039 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | Hospital Room | ||||
Date of Occurrence | Date Reported to Insurer | ||||
9/2/2014 | 9/21/2016 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
The Complaint alleges that ARNP Copenhaver failed to appropriately monitor the patient following the removal of the blood thinner medication and as a result, the patient died on September 2, 2014 from bilateral pulmonary thromboemboli. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
ARNP Copenhaver removed the patient from anticoagulants on April 3, 2014. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
ARNP Copenhaver first saw this patient June 28, 2012 as a primary care patient related to multiple comorbidities. The patient had been on Coumadin therapy since 2010 as a result of a prior pulmonary embolism. After following the patient for nearly 2 years, ARNP Copenhaver removed the patient from the Coumadin they had been taking since 2010. That decision to discontinue the Coumadin was made on April 3, 2014 with risks and benefits having been explained to the patient and the patient was in agreement withthe decision. ARNP Copenhaver continued to follow the patient through 2014 until her last office visit on August 8, 2014. At that time, the patient had no complaints or symptoms consistent with deep vein thrombosis orpulmonary embolism. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 9/19/2019 | ||||
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 | |||||
9/26/2019 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $200,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $108,485 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $17,321 | ||||||||||||||||||||
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 | |||||||||||||||||||||
None |
Updates | |
No updates found. |
Does Dr. DIANNE G COPENHAVER, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. DIANNE G COPENHAVER, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).