Hi,Tim
Is your SIP trunk provider listed on the OIP page?If not you should get some more help from your provider,the Audio Coedc they are using for your trunk should be G711.
http://technet.microsoft.com/en-us/lync/gg131938.aspx
Also please follow the TechNet document to configure the trunk and translation rules,meanwhile check the firewall and ports.
http://technet.microsoft.com/en-us/library/gg398170.aspx
Regards,
Sharon
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