Department File Number : | M201576513 |
Claim Number : | 155568 |
Date Submitted : | 12/10/2015 |
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 | JOSE | URRUTIA MADRID | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 4808 Woodworth Court | ||||
City | State | Zip Code | County | ||
Wellington | FL | 33414 | Palm Beach | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
HCI-10115 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME118362 | Hospitalists | 01 |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Dade | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
COLUMBIA KENDALL MEDICAL CENTER | 100209 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | Cardiac Catheterization Lab | ||||
Date of Occurrence | Date Reported to Insurer | ||||
2/2/2015 | 6/18/2015 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Congestive heart failure, cardiomegaly with pulmonary edema, left pleural effusion. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
While undergoing cardiac catheterization, physician was cannulating right femoral artery, wire was inserted, but was unable to insert sheath. Wire got stick in place & had to be surgically removed. Left heart catheterization was completed through the radial artery. Post catheterization, patient decompensated with very poor vital signs. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Death. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 11/23/2015 | ||||
Other Defendants Involved in this Claim | |||||
Toussaint, M.D., Josef | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Claim or suit abandoned. | |||||
Final Method of Claim Disposition | |||||
No Payment Made | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | No | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $0 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $6,087 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $1,321 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Review of policies and procedures. |
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. JOSE URRUTIA MADRID, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. JOSE URRUTIA MADRID, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).