Department File Number : | M201887173 |
Claim Number : | 1036166-03 |
Date Submitted : | 12/3/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
MEDICAL PROTECTIVE COMPANY (THE) | Primary | ||||
Insurer FEIN | Professional License Number | ||||
35-0506406 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Lynn | Louthan | |||
Street Address | |||||
5814 Reed Road | |||||
City | State | Zip | |||
Ft Wayne | IN | 46835 | |||
Phone | Ext | Fax | E-Mail Address | ||
(260) 486 - 0778 | reportaclaim@medpro.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Eugenio | J | Hernandez | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 8950 N Kendall Dr Ste 306W | ||||
City | State | Zip Code | County | ||
Miami | FL | 33176 | Dade | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
767113 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME70525 | Gastroenterology - Minor 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 | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
BAPTIST HOSPITAL | 100093 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Radiology, Emergency Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
1/18/2016 | 9/6/2016 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
epigastric pain and reflux symptoms with history of GI complications | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Consulted about condition, EGD (endoscopy) recommended | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
failure to secure cardiac consult in response to abnormal EKG read | |||||
Principal Injury Giving Rise To The Claim | |||||
Death from undetected massive acute myocardial infarction | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
7/18/2018 | 2017-017304-CA-01 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Dade | 11/26/2018 | ||||
Other Defendants Involved in this Claim | |||||
Sotolongo MD, Roberto Roberto Sotolongo MD PA Gastro Health LLC Martino ARNP, Sharon | |||||
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 | |||||
11/14/2018 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $125,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $13,385 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $4,571 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $113,000 | ||||||||||||||||||||
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. |
Does Dr. EUGENIO J HERNANDEZ, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. EUGENIO J HERNANDEZ, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).