Department File Number : | M201884332 |
Claim Number : | 7475 |
Date Submitted : | 2/14/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
Martin Memorial Medical Center, Inc. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
59-063787 | 4102 | ||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Sharon | Laverty | |||
Street Address | |||||
200 Hospital Avenue | |||||
City | State | Zip | |||
Stuart | FL | 34994 | |||
Phone | Ext | Fax | E-Mail Address | ||
(772) 288 - 5899 | sharon.laverty@martinhealth.org |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Tracey | Cerbone | |||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 200 Hospital Avenue | ||||
City | State | Zip Code | County | ||
Stuart | FL | 34994 | Martin | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
Trust-2017 HPL | $5,000,000 | *NR | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME59501 | Internal Medicine - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Martin | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Physician's Office | |||||
Name of Institution | Code | ||||
N/A | 000000 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | Physician's Office | ||||
Date of Occurrence | Date Reported to Insurer | ||||
1/31/2013 | 9/19/2016 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Multiple Sclerosis | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
The physician treated the patient over the course of several years to monitor, control and suppress her neurological symptoms using medication. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
The plaintiff alleged she was misdiagnosed with Multiple Sclerosis. | |||||
Principal Injury Giving Rise To The Claim | |||||
The plaintiff alleged emotional pain and suffering | |||||
Severity Of Injury | |||||
Emotional Only - Fright, no physical damage |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
12/23/2016 | 16-137OCA | ||||
County Suit Filed in | Date of Final Disposition | ||||
Martin | 2/5/2018 | ||||
Other Defendants Involved in this Claim | |||||
Martin Memorial Physician Corporation, Inc. | |||||
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 | |||||
2/8/2018 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $70,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $242,000 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Favorable expert opinions obtained on behalf of the insured physician |
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.
Department File Number : | M201884544 |
Claim Number : | 215336 |
Date Submitted : | 10/29/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
PROASSURANCE CASUALTY COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
38-2317569 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Denise | Stokes | |||
Street Address | |||||
100 Brookwood Place | |||||
City | State | Zip | |||
Birmingham | AL | 35209 | |||
Phone | Ext | Fax | E-Mail Address | ||
(205) 802 - 4790 | (205) 802 - 4710 | claimscompliancereporting@proassurance.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Tracey | E | Cerbone | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 2660 NW Collins Cover Road | ||||
City | State | Zip Code | County | ||
Stuart | FL | 34994 | St. Lucie | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
MP37769 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME59501 | Neurology - Including Child - Minor Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | St. Lucie | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Physician's Office | |||||
Name of Institution | Code | ||||
N/A | 000000 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
12/29/2003 | 9/21/2016 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Multiple Sclerosis | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
No operation, diagnostic or treatment procedures | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
No misdiagnosis | |||||
Principal Injury Giving Rise To The Claim | |||||
Alleged false diagnosis of MS leading to years of unnecessary treatment. | |||||
Severity Of Injury | |||||
Temporary: Slight - Lacerations, contusions, minor scars, rash. No delay. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
12/23/2016 | 16-1370CA | ||||
County Suit Filed in | Date of Final Disposition | ||||
St. Lucie | 1/30/2018 | ||||
Other Defendants Involved in this Claim | |||||
Martin Memorial Physician Corporation | |||||
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 | |||||
Dropped before Action Filed | |||||
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 | $52,178 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $23,287 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Insured discussed case with defense counsel, insurance personnel, and medical experts. |
Updates | ||||||||||
Date of Change: | 3/14/2018 9:55:22 AM | |||||||||
Reason for Change: | Updated ALAE information | |||||||||
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Date of Change: | 4/4/2018 4:51:33 PM | |||||||||
Reason for Change: | Updated ALAE information | |||||||||
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Date of Change: | 5/24/2018 8:53:43 AM | |||||||||
Reason for Change: | updated alae | |||||||||
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Date of Change: | 8/3/2018 2:54:56 PM | |||||||||
Reason for Change: | updated alae | |||||||||
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Date of Change: | 10/29/2018 2:23:50 PM | |||||||||
Reason for Change: | updated alae | |||||||||
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This page is not displaying certain sensitive information.
Department File Number : | M201783909 |
Claim Number : | 7475 |
Date Submitted : | 12/22/2017 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
Martin Memorial Medical Center, Inc. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
59-063787 | 4102 | ||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Maureen | Williams | |||
Street Address | |||||
P.O. Box 9010 | |||||
City | State | Zip | |||
Stuart | FL | 34995 | |||
Phone | Ext | Fax | E-Mail Address | ||
(772) 288 - 5899 | maureen.williams@martinhealth.org |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | TRACEY | CERBONE | |||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 200 Hospital Ave | ||||
City | State | Zip Code | County | ||
Stuart | FL | 34994 | Martin | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
Trust-2017 HPL | $5,000,000 | *NR | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME59501 | Internal Medicine - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Martin | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Physician's Office | |||||
Name of Institution | Code | ||||
N/A | 000000 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | Physician's office | ||||
Date of Occurrence | Date Reported to Insurer | ||||
11/22/1996 | 9/19/2016 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
The plaintiff's wife was diagnosed with multiple sclerosis. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
The plaintiff's wife received neurological services over the course of many years which included Avonex medication. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
The plaintiff's wife alleges she was misdiagnosed with multiple sclerosis. | |||||
Principal Injury Giving Rise To The Claim | |||||
The plaintiff's claim is for loss of consortium. | |||||
Severity Of Injury | |||||
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
12/23/2016 | 16-1370CA | ||||
County Suit Filed in | Date of Final Disposition | ||||
Martin | 11/30/2017 | ||||
Other Defendants Involved in this Claim | |||||
Martin Memorial Physician Corp., Inc. | |||||
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 | |||||
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 | $10,000 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Inservice education as indicated. |
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. TRACEY CERBONE, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. TRACEY CERBONE, MD has at least 3 medical malpractice case(s), lawsuit(s), or complaint(s).