A database will be created with user logins for the client. Eligible Patients will be identified by the client’s EMR, exported and uploaded in Synergy Care Management’s data base. Many EMRs allow for the identification of Medicare patients and further filter for ICD 10 codes. However, this may miss many prospective patients with non-traditional chronic conditions. Synergy Care Management’s staff will access and review the medical records of the client’s EMR to ensure no lost eligible patients.