Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
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Department File Number : | M201471799 |
Claim Number : | PLFHAL063106 |
Date Submitted : | 9/8/2014 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
Florida Hospital Medical Center | Primary | ||||
Insurer FEIN | Professional License Number | ||||
59-1479658 | 4369 | ||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Judith | A | Henderson | ||
Street Address | |||||
900 Hope Way | |||||
City | State | Zip | |||
Altamonte Springs | FL | 32714 | |||
Phone | Ext | Fax | E-Mail Address | ||
(407) 357 - 2292 | (407) 975 - 1570 | judith.henderson@ahss.org |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Wayne | W | Windham | ||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 150 N. Westmonte Drive | ||||
City | State | Zip Code | County | ||
Altamonte Springs | FL | 32714 | Seminole | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
8528-2011 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME41937 | Radiology - Diagnostic - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Seminole | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Emergency Room | |||||
Name of Institution | Code | ||||
FLORIDA HOSPITAL - ALTAMONTE | 120004 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Radiology, Emergency Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
7/18/2009 | 5/12/2011 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Patient presented to ED with complaint of sudden onset and persistent left flank pain with nausea and vomiting, blood in urine. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Failure to identify cancerous mass in lower left kidney | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Chemotherapy delayed | |||||
Severity Of Injury | |||||
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
10/10/2011 | 11-CA-3730 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Seminole | 7/10/2014 | ||||
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 | |||||
7/10/2014 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $500,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $55,842 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $32,663 | ||||||||||||||||||||
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. WAYNE W WINDHAM, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. WAYNE W WINDHAM, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).