; (iii) if, based on the results of the review, the relevant transaction is suspended— (I) trigger an automatic alert to the applicable beneficiary by electronically sending a Medicare Summary Notice that includes the relevant transaction; (II) require that all subsequent Medicare Summary Notices involving the relevant transaction be sent electronically and in two week intervals for 3 months after the first alert is sent under subclause (I); and (III) include on such Medicare Summary Notices, as determined appropriate by the Secretary, information explaining how the beneficiary may report suspected fraud to relevant law enforcement agencies. (D) have the authority to determine when a Medicare card must be terminated or a new card issued to prevent fraud and abuse. (7) Clarification Any suspension of an account or transaction under the pilot program shall be based on a human review process, informed through the implementation of the predictive risk-scoring algorithm. (8) Definitions In this subsection: (A) Applicable item or service The term applicable item or service means— (i) an item of durable medical equipment (as defined in section 1861(n)); and (ii) a clinical diagnostic laboratory test. (B) Relevant transaction The term relevant transaction means a claim for payment for an applicable item or service furnished to an applicable beneficiary, as determined by the Secretary. .