Indeed, the systems for generating the dollar value on our invoice were almost entirely separate from the systems for generating the line-items on our invoices, and they never did agree, and our upstream provider didn't even see that as a problem.
My boss at one point, if I understood him correctly, claimed that (in 2009 or 2010), the process for the telco to know how much to bill us involved human operators exporting to a reel of magnetic tape, moving the magnetic tape reel across the room, and importing it into a different database. He wasn't much of a one for leg-pulling, but I dunno.