Department File Number : | M201573593 |
Claim Number : | 107-015691 BOUCHARD |
Date Submitted : | 2/23/2015 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
LEXINGTON INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
25-1149494 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | LORRAINE | S | PRENDERGAST | ||
Street Address | |||||
3650 BROOKSIDE PARKWAY | |||||
City | State | Zip | |||
ALPHARETTA | GA | 30022 | |||
Phone | Ext | Fax | E-Mail Address | ||
(678) 240 - 1238 | (855) 674 - 8541 | lorraine.prendergast@aig.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | EDWARD | W | BOUCHARD | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 100 SOUTH ASHLEY DRIVE, SUITE 1500 | ||||
City | State | Zip Code | County | ||
TAMPA | FL | 33602 | Hillsborough | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
6796927 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME89261 | Radiology - Diagnostic - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Hillsborough | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Other Hospital/Institution | ALLEGIANT MD | ||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Radiology, Emergency Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
8/28/2010 | 2/19/2013 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
FAILED TO PROPERLY INTERPRET PLT'S CT SCAN OF THEABDOMEN AND PELVIS AND DOCUMENT THE PRESENCE OF AIR INTHE UTERINE WALL, AND FAILED TO TREAT ACCORDINGLY. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
FAILED TO PROPERLY INTERPRET PLT'S CT SCAN OF THEABDOMEN AND PELVIS AND DOCUMENT THE PRESENCE OF AIR INTHE UTERINE WALL, AND FAILED TO TREAT ACCORDINGLY. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
FAILED TO PROPERLY INTERPRET PLT'S CT SCAN OF THEABDOMEN AND PELVIS AND DOCUMENT THE PRESENCE OF AIR INTHE UTERINE WALL, AND FAILED TO TREAT ACCORDINGLY. | |||||
Principal Injury Giving Rise To The Claim | |||||
FAILED TO PROPERLY INTERPRET PLT'S CT SCAN OF THEABDOMEN AND PELVIS AND DOCUMENT THE PRESENCE OF AIR INTHE UTERINE WALL, AND FAILED TO TREAT ACCORDINGLY. | |||||
Severity Of Injury | |||||
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
9/30/2011 | 11 12424 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Hillsborough | 6/20/2014 | ||||
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 | ||||
Other | SETTLED DURING DISCOVERY | ||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
6/20/2014 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $150,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $27,582 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
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 | |||||||||||||||||||||
BETTER ASSESS PATIENTS |
Updates | |
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Does Dr. EDWARD W BOUCHARD, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. EDWARD W BOUCHARD, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).