Department File Number : | M201783549 |
Claim Number : | 107968 |
Date Submitted : | 11/1/2017 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
NORCAL MUTUAL INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
94-2301054 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Diane | M | McNab | ||
Street Address | |||||
4651 Salisbury Road, Suite 410 | |||||
City | State | Zip | |||
Jacksonville | FL | 32256 | |||
Phone | Ext | Fax | E-Mail Address | ||
(954) 439 - 0580 | dmcnab@norcal-group.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Santiago | Leyte-Vidal | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 465 Minutemen Cswy | ||||
City | State | Zip Code | County | ||
Cocoa Beach | FL | 32931 | Brevard | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
722541N | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME47809 | Internal Medicine - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Brevard | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Patient's Home | |||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Date of Occurrence | Date Reported to Insurer | ||||
1/14/2016 | 11/28/2016 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Non productive cough and shortness of breath | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
The patient had called the doctor's office requesting an office visit due to a non productive cough and shortness of breath. She was advised by the medical assistant to come into the office but she would have to wait to be seen. The patient declined to come in but requested to have medications called in to her local pharmacy store. She was also advised to seek emergency room treatment if her condition worsened. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
No misdiagnosis | |||||
Principal Injury Giving Rise To The Claim | |||||
Disputed allegation made by Estate of 37 year old female which alleged negligence of a medical assistant employed by insured physician resulting in alleged delay in the diagnosis and treatment of a pulmonary embolism. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
4/26/2017 | 05-2017-CA-024391 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Brevard | 10/11/2017 | ||||
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 | |||||
9/13/2017 |
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 | $40,238 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $40,238 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Insured conference with defense attorney and claims specialist |
Updates | |
No updates found. |
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Does Dr. SANTIAGO LEYTE-VIDAL, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. SANTIAGO LEYTE-VIDAL, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).