Department File Number : | M202091843 |
Claim Number : | 1063984-01 |
Date Submitted : | 3/16/2020 |
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 | MARCO | A | MEJIA | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 3801 Biscayne Blvd Ste 300 | ||||
City | State | Zip Code | County | ||
Miami | FL | 33137 | Dade | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
807599 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME127303 | Cardiovascular Disease - 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 | ||||
AVENTURA HOSPITAL AND MEDICAL CTR. | 100131 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
9/1/2016 | 8/1/2018 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
altered mental status, shortness of breath and diarrhea | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
cardiology consultation, cardiac catheterization | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
failure to hold or discontinue anticoagulation in the presence of changes in neurological condition | |||||
Principal Injury Giving Rise To The Claim | |||||
death | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
1/3/2019 | CACE-19-000147 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Broward | 3/9/2020 | ||||
Other Defendants Involved in this Claim | |||||
Feiz MD, Hamid dba Aventura Hospital And Medical Center Miami Beach Health Care Group LTD Columbia Hsopital Corporation Miami Bech Inc As General Partner of Miami Beach Health Care Group LTD Aventura Health Care Specialist LLC dba Venture Primary Care and Preventative Medicine Benazir MD, Tina Jamal MD, Omar Emcare Inc Perez MD, Livasky C Hanabergh MD, Nicholas Miami-Dade Cardiology Consultants LLC dba Miami International Cardiology Consultants | |||||
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 | |||||
3/2/2020 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $100,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $19,894 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $2,849 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $80,000 | ||||||||||||||||||||
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. MARCO A MEJIA, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. MARCO A MEJIA, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).