I was just as lost as OP. Can someone also explain how it uses DTMF tones? Is it using tones to deliver or receive 2FA codes? Scanned the above url but didn't see the info.
You register with this service, get a new phone number from them that they auto-answer, then provide this number to the security service. When the security service calls this number, it will play back DTMF codes to simulate whatever buttons you need to press to enter your code key.