| Department File Number : | M201885660 |
| Claim Number : | 215695 |
| Date Submitted : | 10/29/2018 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| PROASSURANCE CASUALTY COMPANY | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 38-2317569 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Denise | Stokes | |||
| Street Address | |||||
| 100 Brookwood Place | |||||
| City | State | Zip | |||
| Birmingham | AL | 35209 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (205) 802 - 4790 | (205) 802 - 4710 | claimscompliancereporting@proassurance.com | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | JULIO | C | VIJIL | ||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 1150 N. 35th Avenue, Suite 465 | ||||
| City | State | Zip Code | County | ||
| Hollywood | FL | 33021 | Broward | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| MP43075 | $1,000,000 | $3,000,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME104537 | Nephrology - No Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Broward | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Inpatient Facility | |||||
| Name of Institution | Code | ||||
| MEMORIAL REGIONAL HOSPITAL(HOLLYWOOD) | 100038 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Patients' Room | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 8/2/2014 | 10/13/2016 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| shortness of breath, chest pain and elevated BUN and creatinine | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Patient was thoroughly monitored and treated with medications and fluids while testing was performed | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| no misdiagnosis | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Plaintiff alleged insured failed to treat for anti-GBM disease prior to the return of test results verifying the diagnosis, resulting in the plaintiff undergoing dialysis and later kidney transplant. | |||||
| 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 | ||||
| 5/22/2017 | CACE-17-000436 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Broward | 6/2/2018 | ||||
| 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 | $250,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $14,132 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $7,950 | ||||||||||||||||||||
| Injured Person's Total Non-Economic Loss | $250,000 | ||||||||||||||||||||
| Deductible | $0 | ||||||||||||||||||||
| Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
| Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
| Insured discussed case with defense counsel, insured personnel, and medical experts. | |||||||||||||||||||||
| Updates | |||||||||||||
| Date of Change: | 6/20/2018 10:12:08 AM | ||||||||||||
| Reason for Change: | Updated ALAE information | ||||||||||||
| |||||||||||||
| Date of Change: | 10/29/2018 1:38:48 PM | ||||||||||||
| Reason for Change: | updated alae | ||||||||||||
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Does Dr. JULIO C VIJIL, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. JULIO C VIJIL, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).