Department File Number : | M201885433 |
Claim Number : | 118397 |
Date Submitted : | 6/4/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
COVERYS SPECIALTY INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
47-2600307 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | David | Lindquist | |||
Street Address | |||||
Coverys. One Financial Center | |||||
City | State | Zip | |||
Bodton | MA | 02111 | |||
Phone | Ext | Fax | E-Mail Address | ||
(617) 428 - 9838 | dlindquist@coverys.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Teresita | Dieguez | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 231 NW 136 Avenue | ||||
City | State | Zip Code | County | ||
Miami | FL | 33182 | Desoto | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
5-10026 | $3,000,000 | $10,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME81412 | Family Physicians or General Practitioners - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Dade | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Prison | |||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | Correctional Center Clinic | ||||
Date of Occurrence | Date Reported to Insurer | ||||
4/1/2016 | 6/1/2017 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
1.The patient, with an existing colostomy bag, presented to the infirmary via wheelchair complaining of severe abdominal pain. The provider ordered 23 hour observation, Tylenol and clear liquid. The patient¿s condition deteriorated overnight and he was transferred to the hospital where he was diagnosed with a small bowel obstruction and ischemic bowel. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
The patient ultimately ended up undergoing multiple surgeries, a small bowel resection and the placement of a PEG feeding tube. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Alleged failure to diagnose small bowel obstruction and ischemic bowel. | |||||
Principal Injury Giving Rise To The Claim | |||||
The patient underwent multiple surgeries, a small bowel resection and placement of a PEG feeding tube. | |||||
Severity Of Injury | |||||
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 4/11/2018 | ||||
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 | ||||
Other | settled | ||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $1,750,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $11,443 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Safety management steps are in review. |
Updates | |||||||
Date of Change: | 6/4/2018 3:37:12 PM | ||||||
Reason for Change: | Loss Adjust/Counsel was entered incorrectly | ||||||
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*NR: Prior to 04/28/1999 this field was not required in submitted claims. This page is not displaying certain sensitive information.
Department File Number : | M201884488 |
Claim Number : | 111695 |
Date Submitted : | 3/5/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
COVERYS SPECIALTY INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
47-2600307 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Christine | M | Lopez | ||
Street Address | |||||
One Financial Center, 13th Floor | |||||
City | State | Zip | |||
Boston | MA | 02111 | |||
Phone | Ext | Fax | E-Mail Address | ||
(425) 310 - 7140 | (425) 310 - 7210 | clopez@coverys.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Teresita | Dieguez | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 15599 SW 187th Ave. | ||||
City | State | Zip Code | County | ||
Miami | FL | 33196 | Dade | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
5-10026 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Other | Medical Director | ||||
License Number | Specialty Code & Classification | Certification Number | |||
ME81412 |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Dade | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Prison | |||||
Name of Institution | Code | ||||
N/A | 000000 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | Prison Clinic | ||||
Date of Occurrence | Date Reported to Insurer | ||||
7/7/2014 | 8/16/2016 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Patient requested treatment for Gender Dysphoria | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Patient was allegedly denied treatment | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Denial of treatment for Gender Dysphoria | |||||
Severity Of Injury | |||||
Emotional Only - Fright, no physical damage |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
8/15/2016 | 4:16-cv-511 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Leon | 12/11/2017 | ||||
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 | |||||
Disposed of by Court | |||||
Court Decision | Other | ||||
Other | Voluntarily Dismissed | ||||
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 | $178,669 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $8,115 | ||||||||||||||||||||
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 | |||||||||||||||||||||
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. TERESITA DIEGUEZ, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. TERESITA DIEGUEZ, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).