Department File Number : | M201576226 |
Claim Number : | 201528072 |
Date Submitted : | 11/3/2015 |
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 | Elena | M | Pernas Waechter | ||
Street Address | |||||
2719 country club prado | |||||
City | State | Zip | |||
coral gables | FL | 33134 | |||
Phone | Ext | Fax | E-Mail Address | ||
(305) 301 - 4220 | pradolady2@yahoo.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | ELENA | M | PERNAS-WAECHTER | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 7950 nw 2 st | ||||
City | State | Zip Code | County | ||
miami | FL | 33126 | Dade | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
2005212 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Osteopathic Physician | |||||
License Number | Specialty Code & Classification | Certification Number | |||
OS8200 | Family Physicians or General Practitioners - 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 | ||||
Physician's Office | |||||
Name of Institution | Code | ||||
CIGNA HEALTHCARE OF FLORIDA, INC. | 20960195 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Radiology, Emergency Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
3/30/2011 | 4/28/2015 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
The patient was referred to urology for history of prostate cancer. Urologist ordered ultrasound that showed large solid renalcomplex mass. Patient was called and advised of finding. His urology appointment was rescheduled to an earlier date. Patient was also referred to oncologist. The patient missed several appointments with urologist. These events occurred while there was a transition to an electronic records system. The patient also had a change of PCP for one year | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
patient eventually developed brain tumor from metastasis. Pt refused biopsy to confirm source | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
patient eventually passed away | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 10/1/2015 | ||||
Other Defendants Involved in this Claim | |||||
Santa Cruz, Roberto Sabogal, Luis | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
After arbitration is initiated or prior to suit being filed. | |||||
Final Method of Claim Disposition | |||||
Settled by parties | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim subject to arbitration, but settlement reached in lieu of award. | |||||
Date of Payment | |||||
10/1/2015 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $650,000 | ||||||||||||||||||||
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 | |||||||||||||||||||||
case was settled for $650000 on behalf of PCP and Leon Medical Center |
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. ELENA M PERNAS-WAECHTER, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ELENA M PERNAS-WAECHTER, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).