Claim update question

Hi all, never been here and this is regarding my first ever claim (first year on my own) so sorry for any improprieties.

Update to address the auto-mod thing – I'm 23M in North Carolina. My deductible is super high, so I'm not expecting even a dollar of this to be covered. I just want some understanding and clarity.

2 months ago, I got a very simple prescription, a whopping 10 pills of a somewhat uncommon antibiotic. Anyway, I paid the claim in full and thought I was good.

I just got a text from the provider stating I suddenly had a large unpaid balance – more than the whole amount of the original claim. Turns out, a week or two ago they sneakily updated my claim without any warning or notification or reason. The text they sent states that I am 90 days past due, and threatens consequences to my credit.

My insurance company tells me providers have 200 days to update claims. Is this true? If I'm suddenly 90 days past due for this, can't they come back to a 190 day old claim, add more charges, and then ding my credit since it's past 90 days from the original claim?

Does the provider or insurance company have any obligation to tell me what the charges are for? Customer service relentlessly says "EOB" over and over – the EOB contains literally zero information at all.

Final little question: this visit comes out to about $1000/hour. Is this anywhere in the realm of normal? I have nothing to reference my experiences with.

Edit – they say they just submitted the wrong code for the service performed. Does this happen often? More than a month seems like a long time to not notice such a significant error?

submitted by /u/Any_Tea_7845
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