Department File Number : | M201782671 |
Claim Number : | 345052 |
Date Submitted : | 7/25/2017 |
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 | Roberto | A | Guerrero | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 12959 Palms West Drive Suite 210 | ||||
City | State | Zip Code | County | ||
Loxahatchee | FL | 33470 | Palm Beach | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
0070155 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME71612 | Gastroenterology - Minor Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Palm Beach | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
PALMS WEST HOSPITAL | 110006 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | Patients Room | ||||
Date of Occurrence | Date Reported to Insurer | ||||
3/12/2015 | 7/20/2016 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Ulcerative colitis. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Alleged failure to timely recognize and treat hyper-coagulation problem in patient with ulcerative colitis resulting in stroke. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Stroke resulting in neurological deficits. | |||||
Severity Of Injury | |||||
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
11/9/2016 | 50-2016-CA-012561 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Palm Beach | 6/27/2017 | ||||
Other Defendants Involved in this Claim | |||||
Palms West Hospital Children's Gastroenterology of South Florida, PA Carter, Timothy Florida United Radiology LLC Radiology Physician Solutions of Florida, LLC Marante, Alberto McLean, Erika Ponte, Jose P Coombs-Bynum, Melanie Santiago, Annette Florida Pediatric Critical Care Kitterman, Christopher K Maggard, Amy Barnes, Jessica Shankaraiah, Pallavi Hahn, Alana Integrated Regional Laboratories Pathology Services, LLC | |||||
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 | |||||
6/27/2017 |
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 | $21,801 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $20,881 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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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. |
Updates | |
No updates found. |
*NR: Prior to 04/28/1999 this field was not required in submitted claims. This page is not displaying certain sensitive information.
Does Dr. ROBERTO A GUERRERO, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ROBERTO A GUERRERO, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).