| Department File Number : | M201678662 |
| Claim Number : | 152009-2 |
| Date Submitted : | 4/11/2017 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| HEALTH CARE INDEMNITY, INC. | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 61-0904881 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Teresa | Ross | |||
| Street Address | |||||
| One Park Plaza P.O. Box 555 | |||||
| City | State | Zip | |||
| Nashville | TN | 37202 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (615) 344 - 5804 | Teresa.Ross@HCAHealthcare.com | ||||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Jessica | Lovely | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 1800 SE Tiffany Avenue | ||||
| City | State | Zip Code | County | ||
| Port Saint Lucie | FL | 34952 | St. Lucie | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| HCI-10112 | $1,000,000 | $3,000,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Other | Nurse Practitioner | ||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ARNP9249721 | |||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | St. Lucie | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Emergency Room | |||||
| Name of Institution | Code | ||||
| COLUMBIA MED. CTR.-PORT ST. LUCIE | 100260 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Other | Emergency Room | ||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 10/7/2012 | 4/11/2014 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Cauda equina syndrome. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Allege failure to diagnose cauda equina syndrome. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| Patient presented to ER with back pain radiating to left leg & complaints of numbness. X-ray of spine showed no evidence of acute lumbar fracture or subluxation. Patient discharged home. Two days later patient was diagnosed with cauda equina syndrome & underwent L5 hemilaminotomy for excision of herniated disk at L5-S1. | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Failure to diagnose cauda equina syndrome. | |||||
| Severity Of Injury | |||||
| Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 9/5/2014 | 14-CA-1957 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| St. Lucie | 5/25/2016 | ||||
| Other Defendants Involved in this Claim | |||||
| FL-I Medical Services of Florida, P.A. | |||||
| 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 | |||||
| 5/17/2016 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $103,125 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $117,411 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $78,972 | ||||||||||||||||||||
| Injured Person's Total Non-Economic Loss | $28,125 | ||||||||||||||||||||
| Deductible | $0 | ||||||||||||||||||||
| Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
| Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
| Review of policies and procedures. | |||||||||||||||||||||
| Updates | ||||||||||
| Date of Change: | 4/11/2017 11:21:37 AM | |||||||||
| Reason for Change: | Changes in LAE payments. | |||||||||
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Does Dr. JESSICA LOVELY, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. JESSICA LOVELY, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).