SYFR was started by a clinician who was pushing innovation in the musculoskeletal arena of healthcare. His billing and coding needs were unique as the treatment and payment models he was using did not fit into the standard systems. SYFR was created to fit the needs of the innovative models he was using. What started out as an in-house service to support the innovations in the musculoskeletal arena, expanded to a full service medical billing and coding company that is adaptable among specialized coding/ billing protocols such as laboratory testing, preventative services, and unique technological advances that are new to the medical space.