Patients may report that pressing number 1 to confirm or delete an appointment is not working, sending them into an endless loop trying to confirm or delete an appointment. If the message goes to voicemail, pressing number 1 won't work because you're now in a voicemail account that has its commands (e.g., press 7 to delete the message). Pressing a number to confirm or delete an appointment won't work in the voicemail account.
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