Bangash
06/23/2026, 3:46 PMAI Evy
06/23/2026, 3:46 PMAI Evy
06/23/2026, 3:47 PMAI Evy
06/23/2026, 3:47 PMAI Evy
06/23/2026, 3:47 PMBangash
06/23/2026, 3:51 PMAI Evy
06/23/2026, 3:51 PMAI Evy
06/23/2026, 3:52 PMdigit_to_press field in response events to trigger DTMF tones .
Sending DTMF at call start for "press 1 to accept":
Based on the available sources, DTMF sending is triggered through the agent's response flow, not automatically on answer . The digit_to_press field is set within response events after content is spoken . This means the agent would need to "hear" the prompt first, then respond with the digit.
For your specific scenario where the prompt plays immediately on answer (before normal conversation) , this presents a challenge since the DTMF capability is designed to work after the agent speaks content .
Inbound vs. provider support:
The sources confirm DTMF functionality works with SIP trunking setups [(2) ]() . Retell's SIP server supports DTMF, and the sources indicate you can press digits using SIP trunking . However, the sources don't explicitly detail automatic DTMF on inbound call answer before any agent speech.
Built-in press-to-accept handling:
The available sources don't describe a built-in feature specifically for handling "press to accept" prompts that occur before the caller is bridged through.
Recommendation:
I don't have documentation covering automatic DTMF sending on inbound call answer before conversation begins. For your Spruce Health scenario, you may need to explore telephony-level solutions (handling the "press 1" at the Twilio/SIP layer before routing to Retell) or contact Retell support for guidance on this specific use case.AI Evy
06/23/2026, 3:52 PMAI Evy
06/23/2026, 3:52 PM