I agree with the purpose of port forwarding.
If your ATA works directly connected to the modem, and not behind a router, I would question your network, or the quality of the router. Port forwarding in that case can be a bandaid to overcome your network issues.
People may sometimes forward Port 80 to an internal web server. This allows a web server to be reachable from an otherwise unreachable NAT address. These are techniques to overcome the normal rules of the router.
In SPI firewalling, the ATA will send a packet on a regular interval to the VoIP provider. The SPI firewall blocks all uninitiated communication to the router. Same as when your browser requests network data, there is a short interval where replies can come back via the outbound info sent. The response must be quick enough or the whole deal is over and the SPI firewall opening is again closed. The registration interval of an ATA must be compatible with the window of opportunity the SPI firewall allows.
No dial tone for example, can be the effect of loss of this registration. Poor ISP connectivity can also muddy this scenario. Port forwarding allows a limited way in to the ATA to establish communications. Beyond the Port 5060 port being forwarded, I would hazard a guess that the network traversal by the modem is doing a poor job. I would seriously think about replacing the router if it works fine directly connected to the modem.
It would be an interesting statistic, to learn about what modem combinations need port forwarding, and if more than the key port needs to be forwarded.
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