Department File Number : | M201988298 |
Claim Number : | SAM-IG-008010 |
Date Submitted : | 3/26/2019 |
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 | enrique | morato | |||
Street Address | |||||
4430 sw 129 ave | |||||
City | State | Zip | |||
Miami | FL | 33175 | |||
Phone | Ext | Fax | E-Mail Address | ||
(786) 317 - 8416 | Enrique.morato001@mymdc.net |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Enrique | Morato | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 975 baptist way | ||||
City | State | Zip Code | County | ||
Homestead | FL | 33033 | Dade | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
SPL1060 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Physician Assistant | |||||
License Number | Specialty Code & Classification | Certification Number | |||
PA9107370 | Emergency Medicine - No Major 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 | ||||
Other Location | At home after ER visit | ||||
Name of Institution | Code | ||||
HOMESTEAD HOSPITAL (DADE) | 100125 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | At home after ER visit | ||||
Date of Occurrence | Date Reported to Insurer | ||||
11/17/2017 | 4/2/2018 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Myocardial Infarction | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Patient was initially diagnosed without a diagnosis of Myocardial infarction and sometime between the moment of discharge from the emergency room and the next 48-72 hours patient had new onset of chest pain that he had not experienced before, according to that ER physician notes, and was subsequently diagnosed with a myocardial infarction at that time. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Pt. presented to me claiming he had abdominal pain after eating BBQ. Ct scan of abdomen showed abdominal pathology that correlated with abdominal pain and EKG was normal with Marginal elevation of cardiac enzymes. Pt. diagnosed with acid reflux and not admitted at that time. | |||||
Principal Injury Giving Rise To The Claim | |||||
Patient had a Myocardial Infarction after his initial visit on 11/17/2017 causing worsening of already existing heart failure. | |||||
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 | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 1/31/2019 | ||||
Other Defendants Involved in this Claim | |||||
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 | |||||
1/31/2019 |
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 | $0 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Incident reviewed by risk management and provider. |
Updates | |
No updates found. |
Does Dr. ENRIQUE MORATO, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ENRIQUE MORATO, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).