; (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; and (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. .