Send email alert to csm@trellahealth.com anytime an NPI is added or deleted from a MAR account. This would allow the CSM to verify that the NPIs are in SFDC and if there is a pricing change that we must prepare for. Also, if it is a removal of NPIs, this could help alert of an at risk event and allow the Trella Team to proactively engage versus react to the pending "bad news."