Dr. NEYSI HERNANDEZ, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. NEYSI HERNANDEZ, MD

925 NE 30 Terrace Suite 104

Indemnity Paid: $0.00

Insurer Information

Insurer Name				Coverage Type
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE)				Primary
Insurer FEIN		Professional License Number
95-3014772
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Kelly			Andrews
Street Address
12724 Gran Bay Parkway, W., Suite 400
City				State	Zip
Jacksonville				FL	32258
Phone	Ext	Fax	E-Mail Address
(904) 360 - 3038			kandrews@thedoctors.com

Insured Information

Type	First Name		MI	Last Name
Individual	Neysi			Hernandez
Insurer Type		Street Address of Practice
Licensed		925 NE 30 Terrace Suite 104
City		State	Zip Code	County
Homestead		FL	33033	Dade
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
949182		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
DN18293		Dental General Practice - NOC

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
Physician's Office
Name of Institution		Code

Location of Institutional Injury		Other Location of Institutional Injury
Other		Physician's office
Date of Occurrence		Date Reported to Insurer
8/19/2015		9/28/2015

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
The patient presented for a deep cleaning of his teeth.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
The patient was administered anesthesia to the upper left side and an inferior alveolar block and the patient began to have a seizure.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
The seizure lasted 3-5 minutes.
Severity Of Injury
Emotional Only - Fright, no physical damage

Legal Information

Date of Suit			Circuit Court Case Number
			*NR
County Suit Filed in			Date of Final Disposition
*NR			1/5/2017
Other Defendants Involved in this Claim

Stage of Legal System at which Settlement was Reached or Award Made
Within the pre-suit period as set forth in 766.106 (more than 90 days before suit is filed).
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?

Indemnity Paid by Insurer on behalf of Insured

Loss Adjust Expense Paid to Defense Counsel

$15,041

All Other Loss Adjustment Expense Paid

$2,544

Injured Person's Total Non-Economic Loss

Deductible

Injured Person's Total Economic Loss

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate.

*NR: Prior to 04/28/1999 this field was not required in submitted claims.

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Does Dr. NEYSI HERNANDEZ, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. NEYSI HERNANDEZ, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).

Medical Malpractice Cases