Hello, mrjoshau44!
Thanks for reaching out in Apple Support Communities! We understand you're having trouble connecting and making calls between your iPhone and truck. We'd like to lend a hand to get things connecting again!
To clarify, have you been able to connect and make phone calls from your iPhone/truck in the past? If so, let's go ahead and unpair your iPhone and truck, then pair like it was the first time to help establish a fresh connection.
On your iPhone, go to Settings > Bluetooth, tap the "i" next to the Bluetooth name for your truck, then "Forget This Device".
You can then go to your Bluetooth settings on your truck stereo and remove it there as well. You might want to refer to the user guide for specific steps.
Once they are both removed, use the steps in the following resource to connect them again:
Pair a third-party Bluetooth accessory with your iPhone, iPad, or iPod touch - Apple Support
Feel free to post an update for continued support.
All the best.