Department File Number : | M201988820 |
Claim Number : | 59288001 |
Date Submitted : | 5/20/2019 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
PHYSICIANS INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
13-4235490 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Renee | M | Bradley | ||
Street Address | |||||
901 S. Mopac Expressway, Blg. 5, Suite 500 | |||||
City | State | Zip | |||
Austin | TX | 78746 | |||
Phone | Ext | Fax | E-Mail Address | ||
(512) 425 - 5924 | renee-silvia@tmlt.org |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Matthew | Teltser | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 4801 S. University Drive, Suite 2300 | ||||
City | State | Zip Code | County | ||
Davie | FL | 33328 | Broward | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
144693 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME50122 | Cardiovascular Disease - 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 | ||||
Physician's Office | |||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | Associates in Family Practice of Broward | ||||
Date of Occurrence | Date Reported to Insurer | ||||
7/27/2017 | 1/30/2018 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
The reporting physician ordered allergy testing for the patient due to complaints of congestion and allergic-type symptoms. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
The patient was treated by the reporting physician for his cardiac history, for which a comprehensive metabolic panel was done. In addition, the patient received immunotherapy treatment. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
The patient sustained an allergic reaction following immunotherapy treatment. | |||||
Severity Of Injury | |||||
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
11/12/2018 | 18-026561 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Broward | 5/10/2019 | ||||
Other Defendants Involved in this Claim | |||||
Gadh, Rundeep Rosen, Richard Associates in Family Practice of Broward LLC, d/b/a Associat | |||||
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 | |||||
5/10/2019 |
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 | $32,914 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $11,025 | ||||||||||||||||||||
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 | |||||||||||||||||||||
No Risk Management issues identified. |
Updates | |
No updates found. |
Does Dr. MATTHEW TELTSER, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. MATTHEW TELTSER, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).