| Department File Number : | M201678947 |
| Claim Number : | 0AB126322 |
| Date Submitted : | 7/7/2016 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| HOMELAND INSURANCE COMPANY OF NEW YORK | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 52-1568827 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Mike | Clark | |||
| Street Address | |||||
| 199 Scott Swamp Road | |||||
| City | State | Zip | |||
| Farmington | CT | 06032 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (860) 321 - 2544 | (877) 256 - 5067 | mclark@onebeacon.com | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | SANTIAGO | HERNANDEZ | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 1613 N. Harrison Parkway | ||||
| City | State | Zip Code | County | ||
| Sunrise | FL | 33323 | Broward | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| PHY071114 | $1,000,000 | $3,000,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME62568 | Internal Medicine - No Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| F | Broward | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Inpatient Facility | |||||
| Name of Institution | Code | ||||
| NORTHWEST MEDICAL CENTER | 100189 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Other | Not known | ||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 4/23/2013 | 4/17/2015 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Kidney biopsy to detect lupus nephritis. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Dr Hernandez performed an kidney biopsy | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| No misdiagnosis was made | |||||
| Principal Injury Giving Rise To The Claim | |||||
| The plaintiffs alleged the kidney biopsy was unnecessary. We are not aware of any known injury.**this claim was closed for lack of activity. No suit was made and the statue of limitations has passed with no activity.** | |||||
| 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 | 6/23/2016 | ||||
| Other Defendants Involved in this Claim | |||||
| Stage of Legal System at which Settlement was Reached or Award Made | |||||
| Claim or suit abandoned. | |||||
| 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? | No | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $0 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $14,065 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| There where several co-defendants listed on the notice of intent but we do not have any of their specific information. Claim was closed for lack of activity. No suit was made and statue of limitations passed with no activity | |||||||||||||||||||||
| 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. SANTIAGO HERNANDEZ, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. SANTIAGO HERNANDEZ, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).