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One scheme involved inducing users to download a program known as a dialer that surreptitiously dialed a premium-rate number, accumulating charges on the user's phone bill without their knowledge.
While the billing is different, calls are usually routed the same way they are for a toll-free telephone number, being anywhere despite the area code used.
These telephone numbers are usually allocated from a national telephone numbering plan in such a way that they are easily distinguished from other numbers.
Telephone companies typically offer blocking services to allow telephone customers to prevent access to these number ranges from their telephones.
In some jurisdictions, telephone companies are required by law to offer such blocking.
Adult chat lines (phone sex) and tech support are a very common use of premium-rate numbers.