| Department File Number : | M201783825 |
| Claim Number : | 3189435957US |
| Date Submitted : | 12/11/2017 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| NATIONAL UNION FIRE INSURANCE CO. OF PITTSBURGH, PA | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 25-0687550 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | carolyn | r | ewell | ||
| Street Address | |||||
| 17200 W 119th St | |||||
| City | State | Zip | |||
| Olathe | KS | 66061 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (913) 495 - 4217 | carolynranee.ewell@aig.com | ||||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Taina | Cortes | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 1620 West Oakland Park Blvd | ||||
| City | State | Zip Code | County | ||
| Fort Lauderdale | FL | 33311 | Broward | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 019509827 | $1,000,000 | $3,000,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Chiropractic Physician | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| CH9878 | Physicians - 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 | ||||
| Other Location | Broward Spine Associates | ||||
| Name of Institution | Code | ||||
| N/A | 000000 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Other | Chiropractor office | ||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 10/5/2015 | 5/31/2017 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Alleged negligent chiropractor treatment resulting in knee burns of 46-year-old female. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Plaintiff presented to Broward Spine and received iced pack treatments for bilateral knees and was provided a terry cloth towel or pillow case to use with the ice on each visit. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| Plaintiff did not follow the order to use a cloth between the ice pack and her skin. | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Alleged negligent chiropractor treatment resulting in knee burns of 46-year-old female. | |||||
| Severity Of Injury | |||||
| Temporary: Major - Burns, surgical material left, drug side effect, brain damage. Recovery delayed. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| *NR | |||||
| County Suit Filed in | Date of Final Disposition | ||||
| *NR | 11/20/2017 | ||||
| Other Defendants Involved in this Claim | |||||
| Stage of Legal System at which Settlement was Reached or Award Made | |||||
| Settlement Reached Prior to Pre-Suit Period | |||||
| Final Method of Claim Disposition | |||||
| Settled by parties | |||||
| Court Decision | Other | ||||
| No Court Proceedings. | |||||
| Arbitration | |||||
| Claim not subject to Arbitration. | |||||
| Date of Payment | |||||
| 12/8/2017 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $45,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $6,825 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $1,930 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| N/A | |||||||||||||||||||||
| 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. TAINA CORTES, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. TAINA CORTES, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).