32203: SIP: Call blocked by Twilio

Twilio blocked this outbound Elastic SIP Trunking call before it reached the destination. This error occurs when Twilio identifies the destination as high risk for fraud, cannot complete the call for regulatory reasons, or requires a valid Primary Customer Profile for calls to a +1 destination.

• Twilio identified the destination as high risk for fraud.
• Regulatory restrictions prevent the destination from being reached.
• You are calling a +1 destination and your account does not have a valid Primary Customer Profile.
• You are calling a +1 destination from an account that only has an Individual Customer Profile approved after October 2025. That profile type does not satisfy the Primary Customer Profile requirement for +1 calling.

• Review the destination and your call use case. If you believe the destination was blocked incorrectly and you have a legitimate need to call it, contact Support through the Console or the Help Center.
• If you are calling a +1 destination, verify that your main account has a Primary Customer Profile in Trust Hub.
• If your account only has an Individual Customer Profile approved after October 2025, create a Business/Organization Primary Customer Profile and submit it for review.
• If your Primary Customer Profile was rejected, correct the rejection reasons shown in the Console and resubmit it.
• Retry the call only after the profile reaches Twilio Approved status.

• Troubleshooting your Trunk
• Customer Profiles
• Calls blocked by Twilio due to Primary Customer Profile requirements