Department File Number : | M202092679 |
Claim Number : | 105-18-66 |
Date Submitted : | 6/8/2020 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
Montrose, Pierre J | Primary | ||||
Insurer FEIN | Professional License Number | ||||
65-0926213 | ME69838 | ||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Pierre | J | Montrose | ||
Street Address | |||||
5762 Okeechobee Blvd # 607 | |||||
City | State | Zip | |||
west Palm Beach | FL | 33417 | |||
Phone | Ext | Fax | E-Mail Address | ||
(561) 801 - 3864 | (561) 798 - 1668 | Pierrejacobmontrose@aol.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Pierre | J | Montrose | ||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 5762 Okeechobee Blvd # 607 | ||||
City | State | Zip Code | County | ||
west Palm Beach | FL | 33417 | Palm Beach | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
FCO07-033312528 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME69838 | Psychiatry - Addiction Psychiatry | 50380 |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | St. Lucie | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
SAVANNAS HOSPITAL | 110022 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | Port St Lucie Hospital | ||||
Date of Occurrence | Date Reported to Insurer | ||||
9/16/2017 | 10/1/2018 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Etoh dependence Opiod dependence | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Patient started vomiting blood while detoxing from etoh and Opiod at Port st Lucie Hospital . Prior history of vomiting blood and ICU hospitalization for GI bleeding due to Oesophagal varices from drinking | |||||
Diagnostic Code : | F 10.20 | ||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Family claim patient was not being supervised and should not have been detox for opioid. | |||||
Principal Injury Giving Rise To The Claim | |||||
Patient vomited blood and was transported to a different medical facility . He died at the other hospital several days later. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
9/27/2018 | 50-2019-CA-002854 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Palm Beach | 5/11/2020 | ||||
Other Defendants Involved in this Claim | |||||
Munne, Rafael Port ST Lucie Hospital Desai, Amit R | |||||
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 | ||||
Other | Dismissed with prejudice | ||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
5/6/2020 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $99,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $0 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Patient was being safely detox. Insurance had an opportunity to resolve the case for a very favorable amount, that was significantly lower than the cost of taking the case to trial. |
Updates | |
No updates found. |
Department File Number : | M202092890 |
Claim Number : | 105-18-0066 |
Date Submitted : | 6/29/2020 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
FAIR AMERICAN INSURANCE AND REINSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
13-3333610 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Vanessa | Mejia | |||
Street Address | |||||
1401 Wilson Blvd., Ste. 700 | |||||
City | State | Zip | |||
Arlington | VA | 22209 | |||
Phone | Ext | Fax | E-Mail Address | ||
(703) 907 - 3810 | 3810 | mejia@prms.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Pierre | J | Montrose | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 5762 Okeechobee Blve., Ste. 607 | ||||
City | State | Zip Code | County | ||
West Palm Beach | FL | 33417 | Palm Beach | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
IN-FCO05-033312528 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME69838 | Psychiatry - All Other |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | St. Lucie | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Other Location | Port St. Lucie Hospital | ||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
9/19/2017 | 10/1/2018 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Alcohol and opioid addiction | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Consulting psychiatrist during inpatient hospitalization | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Failure to recognize a complication | |||||
Principal Injury Giving Rise To The Claim | |||||
Death | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
4/4/2019 | 50-2018-CP-002705-XX | ||||
County Suit Filed in | Date of Final Disposition | ||||
Palm Beach | 6/29/2020 | ||||
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 | |||||
5/4/2020 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $99,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $0 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
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 | |||||||||||||||||||||
None |
Updates | |
No updates found. |
Does Dr. PIERRE J MONTROSE, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. PIERRE J MONTROSE, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).