Department File Number : | M201472662 |
Claim Number : | EPS2012-001 |
Date Submitted : | 11/13/2014 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
GABLES RISK RETENTION GROUP, INC. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
27-5467619 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Meerali | Patel | |||
Street Address | |||||
5955 Ponce de Leon Blvd | |||||
City | State | Zip | |||
Coral Gables | FL | 33146 | |||
Phone | Ext | Fax | E-Mail Address | ||
(305) 661 - 1515 | 231 | (305) 662 - 3723 | mpatel@kidzmedical.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Jose | Vidal | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 5955 Ponce de Leon Blvd | ||||
City | State | Zip Code | County | ||
Coral Gables | FL | 33146 | Dade | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
EPS012-004 | $500,000 | $1,500,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME80877 | Emergency Medicine - No Major Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Palm Beach | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
BETHESDA MEMORIAL HOSPITAL | 100002 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Radiology, Emergency Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
12/7/2011 | 2/23/2012 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Allegation is deviation from standard of care in caring for patients knee laceration resulting in a limp, pain and limited function of the knee. Key claims include failure to supervise medical student suturing the knee laceration as well as failure to consult with orthopedic surgeon (air in the knee). | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Allegation is deviation from standard of care in caring for patients knee laceration resulting in a limp, pain and limited function of the knee. Key claims include failure to supervise medical student suturing the knee laceration as well as failure to consult with orthopedic surgeon (air in the knee). | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Cut in knee from fall. | |||||
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 | ||||
8/19/2013 | 502013CA013071XXXXMB | ||||
County Suit Filed in | Date of Final Disposition | ||||
Palm Beach | 10/23/2014 | ||||
Other Defendants Involved in this Claim | |||||
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 | |||||
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $425,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $9,688,502 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Spoke with doctor several times about how to proceed in future in same circumstances. |
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 VIDAL, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. JOSE VIDAL, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).