Department File Number : | M201575406 |
Claim Number : | CA 14-1417 |
Date Submitted : | 8/4/2015 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
Lin, Wen I | Primary | ||||
Insurer FEIN | Professional License Number | ||||
none | ME32460 | ||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Matthew | P | McLauchlin | ||
Street Address | |||||
50 N. Laura St., Suite 4100 | |||||
City | State | Zip | |||
Jacksonville | FL | 32202 | |||
Phone | Ext | Fax | E-Mail Address | ||
(904) 665 - 3655 | matt.mclauchlin@nelsonmullins.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Wen | I | Lin | ||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 3100 US 1 SOUTH, SUITE 2 | ||||
City | State | Zip Code | County | ||
St. Augustine | FL | 32086 | St. Johns | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
01 | $1 | *NR | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME32460 | Surgery - Urological |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | St. Johns | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Outpatient Facility | |||||
Name of Institution | Code | ||||
FLAGLER HOSPITAL | 100219 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
7/26/2012 | 9/12/2014 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Gross Hematuria; Bladder Mass | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Allegation of misdiagnosis and/or improper treatment of bladder cancer | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Alleged misdiagnosis of muscle invasive bladder cancer | |||||
Principal Injury Giving Rise To The Claim | |||||
Alleged Metastatic Bladder Cancer | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
11/20/2014 | CA 14-1417 | ||||
County Suit Filed in | Date of Final Disposition | ||||
St. Johns | 7/16/2015 | ||||
Other Defendants Involved in this Claim | |||||
Wen I Lin, M.D., P.A. | |||||
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 | |||||
7/30/2015 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $160,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $0 | ||||||||||||||||||||
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 | |||||||||||||||||||||
When indicated and/or necessary, additional follow up biopsies may be performed. |
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. WEN I LIN, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. WEN I LIN, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).