MED E AMERICA CORP
S-1/A, 1998-07-17
COMPUTER PROCESSING & DATA PREPARATION
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     AS FILED WITH THE SECURITIES AND EXCHANGE COMMISSION ON JULY 17, 1998
                                                      REGISTRATION NO. 333-55977
    
================================================================================
                      SECURITIES AND EXCHANGE COMMISSION
                            WASHINGTON, D.C. 20549
                               -----------------
                                AMENDMENT NO. 1
                                      TO
                                   FORM S-1
                            REGISTRATION STATEMENT
                                     UNDER
                           THE SECURITIES ACT OF 1933
                               -----------------
                           MEDE AMERICA CORPORATION
            (Exact name of registrant as specified in its charter)
<TABLE>
<S>                                  <C>                              <C>
                 DELAWARE                        7374                              11-3270245
   State or other jurisdiction of    (Primary Standard Industrial     (I.R.S. Employer Identification No.)
   incorporation or organization)     Classification Code Number)
</TABLE>

                         90 MERRICK AVENUE, SUITE 501
                          EAST MEADOW, NEW YORK 11554
                                (516) 542-4500

       (Address, including zip code, and telephone number, including area
               code, of registrant's principal executive offices)
                               -----------------
                            DAVID M. GOLDWIN, ESQ.
                                GENERAL COUNSEL
                           MEDE AMERICA CORPORATION
                         90 MERRICK AVENUE, SUITE 501
                          EAST MEADOW, NEW YORK 11554
                                (516) 542-4500
 (Name, address, including zip code, and telephone number, including area code,
                              of agent for service)
                               -----------------
                                  COPIES TO:
<TABLE>
<S>                                   <C>
         MARK J. TANNENBAUM, ESQ.      FREDERICK W. KANNER, ESQ.
      REBOUL, MACMURRAY, HEWITT,          DEWEY BALLANTINE LLP
             MAYNARD & KRISTOL        1301 AVENUE OF THE AMERICAS
            45 ROCKEFELLER PLAZA           NEW YORK, NY 10019
             NEW YORK, NY 10111              (212) 259-8000
             (212) 841-5700
</TABLE>
APPROXIMATE  DATE OF  COMMENCEMENT  OF PROPOSED  SALE TO THE PUBLIC:  As soon as
practicable after this Registration Statement becomes effective.

     If any of the securities being registered on this Form are to be offered on
a delayed or continuous  basis  pursuant to Rule 415 under the Securities Act of
1933, check the following box: [ ]
    
     If this Form is filed to  register  additional  securities  for an offering
pursuant to Rule 462(b) under the Securities Act, please check the following box
and list  the  Securities  Act  registration  statement  number  of the  earlier
effective registration statement for the same offering. [ ]     

     If this Form is a  post-effective  amendment  filed pursuant to Rule 462(c)
under the  Securities  Act,  check the following box and list the Securities Act
registration  statement number of the earlier effective  registration  statement
for the same offering. [ ]

     If this Form is a  post-effective  amendment  filed pursuant to Rule 462(d)
under the  Securities  Act,  check the following box and list the Securities Act
registration  statement number of the earlier effective  registration  statement
for the same  offering.  [ ]

   
     If delivery of the  prospectus is expected to be made pursuant to Rule 434,
please check the following box. [ ]

                               -----------------
    
     THE REGISTRANT  HEREBY AMENDS THIS  REGISTRATION  STATEMENT ON SUCH DATE OR
DATES AS MAY BE NECESSARY TO DELAY ITS EFFECTIVE DATE UNTIL THE REGISTRANT SHALL
FILE A FURTHER  AMENDMENT  WHICH  SPECIFICALLY  STATES  THAT  THIS  REGISTRATION
STATEMENT SHALL  THEREAFTER  BECOME EFFECTIVE IN ACCORDANCE WITH SECTION 8(A) OF
THE SECURITIES  ACT OF 1933 OR UNTIL THIS  REGISTRATION  STATEMENT  SHALL BECOME
EFFECTIVE  ON SUCH  DATE  AS THE  SECURITIES  AND  EXCHANGE  COMMISSION,  ACTING
PURSUANT TO SAID SECTION 8(A), MAY DETERMINE.

================================================================================
<PAGE>
   
                  SUBJECT TO COMPLETION, DATED JULY 17, 1998

    

PROSPECTUS

                               3,600,000 SHARES

                                    [LOGO]

                           MEDE AMERICA CORPORATION

                                 COMMON STOCK

                              ------------------
     All of the shares of Common Stock offered hereby (the "Offering") are being
sold by MEDE AMERICA Corporation ("MEDE AMERICA" or the "Company"). Prior to the
Offering,  there has been no public  market for the Common Stock of the Company.
It is currently estimated that the initial public offering price will be between
$13.00 and $15.00 per share. See "Underwriting" for information  relating to the
factors to be considered in determining the initial public  offering price.  The
Company  intends  to apply to have  the  Company's  Common  Stock  approved  for
quotation on the Nasdaq National Market under the symbol "MEDE."

                              ------------------
   SEE "RISK FACTORS" BEGINNING ON PAGE 9 FOR A DISCUSSION OF CERTAIN FACTORS
               THAT SHOULD BE CONSIDERED BY PROSPECTIVE PURCHASERS
                      OF THE COMMON STOCK OFFERED HEREBY.

      THESE SECURITIES HAVE NOT BEEN APPROVED OR DISAPPROVED BY THE SECUR-
      ITIES AND EXCHANGE COMMISSION OR ANY OTHER STATE SECURITIES COMMIS-
           SION NOR HAS THE SECURITIES AND EXCHANGE COMMISSION OR ANY
             STATE SECURITIES COMMISSION PASSED UPON THE ACCURACY OR
                 ADEQUACY OF THIS PROSPECTUS. ANY REPRESENTATION
                     TO THE CONTRARY IS A CRIMINAL OFFENSE.

================================================================================
<TABLE>
<CAPTION>
                         PRICE       UNDERWRITING       PROCEEDS
                          TO         DISCOUNTS AND         TO
                        PUBLIC      COMMISSIONS(1)     COMPANY(2)
<S>                   <C>          <C>                <C>
Per Share .........   $            $                  $
Total(3) ..........   $            $                  $
</TABLE>

================================================================================
(1) The  Company  has  agreed  to  indemnify  the  Underwriters  against certain
    liabilities,  including  liabilities  under  the  Securities Act of 1933, as
    amended. See "Underwriting."

(2) Before deducting expenses estimated at $950,000, payable by the Company.

(3) The Company has granted to the  Underwriters  a 30-day option to purchase up
    to 540,000  additional shares of Common Stock on the same terms as set forth
    above solely to cover  over-allotments,  if any. If such option is exercised
    in full, the total Price to Public,  Underwriting  Discounts and Commissions
    and  the  Proceeds  to  Company  will  be $ , $  and $ ,  respectively.  See
    "Underwriting."

                              ------------------
     The shares of Common  Stock are being  offered by the several  Underwriters
named herein,  subject to prior sale,  when, as and if delivered and accepted by
them,  and  subject to their right to reject  orders in whole or in part.  It is
expected  that  certificates  for  such  shares  of  Common  Stock  will be made
available  for  delivery  at the  offices of Smith  Barney  Inc.,  333 West 34th
Street, New York, New York 10001, on or about , 1998.

                              ------------------
SALOMON SMITH BARNEY
                             WILLIAM BLAIR & COMPANY
                                                    VOLPE BROWN WHELAN & COMPANY

      , 1998

Information   contained  herein  is  subject  to  completion  or  amendment.   A
registration  statement  relating  to these  securities  has been filed with the
Securities  and Exchange  Commission.  These  securities may not be sold nor may
offers to buy be accepted prior to the time the registration  statement  becomes
effective.  This  prospectus  shall  not  constitute  an  offer  to  sell or the
solicitation of an offer to buy nor shall there be any sale of these  securities
in any State in which such offer,  solicitation  or sale would be unlawful prior
to registration or qualification under the securities laws of any such State.

<PAGE>
























CERTAIN  PERSONS  PARTICIPATING IN THIS OFFERING MAY ENGAGE IN TRANSACTIONS THAT
STABILIZE,  MAINTAIN  OR  OTHERWISE  AFFECT  THE  PRICE  OF  THE  COMMON  STOCK,
INCLUDING  BY  OVER-ALLOTMENT,  STABILIZING  BIDS,  EFFECTING SYNDICATE COVERING
TRANSACTIONS   OR   IMPOSING  OF  PENALTY  BIDS.  FOR  A  DESCRIPTION  OF  THESE
ACTIVITIES, SEE "UNDERWRITING."

     MEDE  AMERICA  is a  trademark  of the  Company.  All  other  trade  names,
trademarks or service  marks  appearing in this  Prospectus  are the property of
their respective owners and are not the property of the Company.

<PAGE>
                              PROSPECTUS SUMMARY

     The  following  summary is qualified in its entirety by, and should be read
in conjunction with, the more detailed information and the financial statements,
including the notes thereto, appearing elsewhere in this Prospectus.

                                  THE COMPANY

     MEDE AMERICA is a leading provider of electronic data  interchange  ("EDI")
products and services to a broad range of providers and payors in the healthcare
industry.  The Company  offers an integrated  suite of EDI solutions that allows
hospitals,  pharmacies,  physicians, dentists and other healthcare providers and
provider groups to electronically edit, process and transmit claims, eligibility
and  enrollment  data,  track claims  submissions  throughout the claims payment
process  and obtain  faster  reimbursement  for their  services.  In addition to
offering greater  processing speed, the Company's EDI products reduce processing
costs,  increase  collection rates and result in more accurate data interchange.
The Company  maintains over 540 direct  connections  with  insurance  companies,
Medicare and  Medicaid  agencies,  Blue Cross and Blue Shield  systems and other
third party payors,  as well as over 500 indirect  connections  with  additional
payors  through claims  clearinghouses.  Currently,  the Company  processes over
900,000 transactions per day for over 65,000 providers located in all 50 states.

     Since its  formation in March 1995,  the Company has expanded  both through
internal   growth  and  the   acquisition  of  five  healthcare  EDI  processing
businesses.  As part of its  strategy of providing  an  integrated  suite of EDI
solutions to a broad range of healthcare  providers,  the Company has focused on
acquisitions  that  provided  entry into new markets or expanded  the  Company's
product  suite.  The  Company  has  actively  pursued  the  integration  of  its
acquisitions  and, in the process,  has either divested,  closed or restructured
various  operations of the acquired  entities in order to eliminate  non-core or
redundant operations and achieve cost savings and operating efficiencies.

     Innovations  over  the  past  decade  in  computer  and  telecommunications
technologies  have resulted in the development of EDI systems to  electronically
process  and  transmit   information  among  the  various  participants  in  the
healthcare  industry.  These  systems were  designed to replace the  paper-based
recording and transmission of information,  enabling greater  processing  speed,
reduced processing costs and more accurate data interchange. According to Health
Data Directory,  in 1997 over 4.1 billion  electronic and paper claims were paid
in all  sectors  of the  healthcare  services  market.  From  1993 to 1997,  the
proportion  of  total  healthcare  claims  that  were  electronically  processed
increased from 41% to approximately 60%, at an average rate of 16% per year. The
Company  expects the electronic  processing of healthcare  claims to continue to
increase as a result of increased reliance on electronic  commerce and increased
emphasis on cost containment in the healthcare industry.

     The penetration of electronic  processing  varies  significantly  among the
different  markets  within the  healthcare  industry.  According  to Health Data
Directory,  in 1997 electronic  processing  accounted for  approximately  13% of
total  dental  claims,  38% of  total  physician  medical  claims,  83% of total
hospital medical claims and 86% of total pharmacy  claims.  The Company believes
that there is significant  market  potential for EDI processing in the non-claim
area, including eligibility verification, remittance transactions and other data
exchange   transactions  such  as  claims  tracking,   referrals  and  physician
scripting.  The  Company  believes  that  EDI  penetration  in  these  non-claim
transaction  categories is low, and as a result,  the EDI transaction  growth in
these areas will exceed that of the EDI claims processing market.

     The Company believes that it has several  competitive  strengths which will
enable  it  to  capitalize  on  the  significant  growth  opportunities  in  the
healthcare EDI marketplace.

     COMPREHENSIVE  SUITE OF EDI PRODUCTS AND SERVICES. The Company has followed
a  strategy  of  developing  or  acquiring EDI products and services that may be
offered  to  a  broad  range  of  healthcare  providers.  The Company's products
incorporate open architecture designs and "best of

                                       3

<PAGE>
breed"  technology  and may be  purchased  as modular  additions to the client's
existing data storage and retrieval  system,  or as part of a comprehensive  EDI
processing  system. The Company believes it is well positioned to take advantage
of the  expected  growth  of EDI in  areas  such as  eligibility,  managed  care
transactions and physician scripting.

     BROAD AND  DIVERSIFIED  CLIENT BASE.  The  Company's  client base is highly
diversified,   consisting  of  approximately  42,000  pharmacies,  8,000  dental
offices, 1,000 hospitals and clinics and 14,000 physicians.  The Company's broad
and  diversified  client base provides it with  transaction-based  revenues that
tend to be recurring and  positions it to capitalize on the rapid  consolidation
taking place within the healthcare industry.

     DIRECT RELATIONSHIPS WITH PROVIDERS AND PAYORS. The range of MEDE AMERICA's
services and the extent of its connectivity with payors provides the opportunity
to achieve  deeper  penetration  of its  provider  base,  while at the same time
offering more complete  solutions to new clients.  MEDE AMERICA believes that it
is strongly positioned to offer reliable, one-stop shopping to providers for all
their EDI needs.

     FOCUS ON CLIENT  SERVICE.  The Company has focused on  implementing  a wide
range of client  service and support  functions  including  the use of automated
client  service  tracking  software,  expanded  client  help  desk  and  account
executive  support  functions  and extensive  client  feedback  mechanisms.  The
Company  believes that its high quality client service enhances the satisfaction
of its clients and generates new revenue  opportunities  in the form of expanded
transaction volume and sales of new products and services.

     LEADING  TECHNOLOGY AND PRODUCT  PLATFORMS.  Over the past two years,  MEDE
AMERICA has invested significant capital in new hardware and software systems to
increase its  transaction  processing  capacity.  As a result of such technology
investments, MEDE AMERICA believes it is able to provide high quality service to
its  clients  in the  form  of  high  network  availability,  batch  transaction
reliability  and high  rates of  payor  claims  acceptance.  MEDE  AMERICA  also
believes  that its  technology  platform,  which is operating  at  approximately
one-third of its total capacity, provides the Company with substantial operating
leverage.

     EXPERIENCED MANAGEMENT TEAM. Each member of the Company's senior management
team  has  over  15  years  of  experience  in the  information  technology  and
transaction  processing  industries and has extensive background in working with
emerging companies in the information  processing industry. The Company believes
that the range and depth of its senior  management  team  position it to address
the evolving  requirements  of its clients and to manage the growth  required to
meet its strategic goals.

     The  Company's  mission  is  to  be  the  leading  provider  of  integrated
healthcare transaction processing technology,  networks and databases,  enabling
its clients to improve the quality and efficiency of their services.  To achieve
this  objective,  the Company is  pursuing a growth  strategy  comprised  of the
following  elements:  provide a  comprehensive  suite of EDI solutions;  further
penetrate its existing client base through  cross-selling  of emerging  products
and  services;  develop  new EDI  solutions  to  meet  the  evolving  electronic
transaction  processing  needs of its  clients;  continue  to utilize  strategic
alliances  with key players in the  healthcare  industry;  and pursue  strategic
acquisitions  in order to expand  the  Company's  product  offerings,  enter new
markets and capitalize on the Company's operating leverage.

     The Company's  executive  offices are located at 90 Merrick  Avenue,  Suite
501, East Meadow, New York 11554, and its telephone number is (516) 542-4500.

                                       4

<PAGE>
                                 THE OFFERING

COMMON STOCK OFFERED BY THE COMPANY..    3,600,000 shares

   
COMMON STOCK TO BE OUTSTANDING AFTER 
 THE OFFERING........................    11,581,204 shares (1)(2)
    

USE  OF  PROCEEDS....................    To  retire   all  outstanding  bank and
                                         subordinated  indebtedness and  accrued
                                         interest thereon, and for other general
                                         corporate   purposes, including working
                                         capital.

PROPOSED NASDAQ NATIONAL MARKET
  SYMBOL............................     MEDE

- -----------
(1) Reflects the proposed  recapitalization  of the Company's capital stock (the
    "Recapitalization").  The  Recapitalization  involves the  conversion of all
    outstanding  Preferred Stock,  including accrued but unpaid dividends,  into
    Common Stock and the exercise of all  outstanding  warrants,  however,  cash
    realized by the Company upon any exercise of the Underwriters' overallotment
    option  would be applied to the  payment  of  accrued  dividends  in lieu of
    having such dividends convert into Common Stock.

   

(2) Excludes  483,041 shares of Common Stock issuable upon the exercise of stock
    options  outstanding as of June 30, 1998 under the MEDE AMERICA  Corporation
    and Its  Subsidiaries  Stock Option and Restricted  Stock Purchase Plan (the
    "Stock  Plan"),  of which  212,758 are  exercisable.  The  weighted  average
    exercise  price of all  outstanding  stock  options is $4.84 per share.  See
    "Management -- Employee Benefit Plans."

                              RECENT DEVELOPMENTS

     The Company is currently in the process of compiling  preliminary financial
results  for the three  months  ended  June 30,  1998 and  expects to report the
following financial information:

     Revenues  for the three  months  ended  June 30,  1998 were  $12.1  million
compared  to  $10.3  million  in  the  corresponding   period  of  fiscal  1997,
representing  an increase of 18%.  Net loss for the three  months ended June 30,
1998 was $(738,000)  compared to $(3.6 million) in the  corresponding  period of
fiscal 1997,  representing a decrease of 80%. The Company processed 63.8 million
transactions  in the three months ended June 30, 1998,  compared to 49.3 million
transactions processed in the corresponding period of fiscal 1997,  representing
an increase of 29%.     

                                 RISK FACTORS

     Prospective  purchasers should consider all of the information contained in
this  Prospectus  before  making an  investment  in shares of Common  Stock.  In
particular,  prospective purchasers should consider the factors set forth herein
under "Risk Factors."

                                       5

<PAGE>

                      SUMMARY CONSOLIDATED FINANCIAL DATA
   
<TABLE>
<CAPTION>
                                                                      YEAR ENDED JUNE 30,
                                              -------------------------------------------------------------------
                                                                     ACTUAL                         PRO FORMA(1)
                                              ---------------------------------------------------- --------------
                                                    1995             1996              1997             1997
                                              ---------------- ---------------- ------------------ --------------
                                                             (IN THOUSANDS, EXCEPT PER SHARE DATA)
<S>                                           <C>              <C>              <C>                <C>
STATEMENT OF OPERATIONS DATA:
 Revenues(3) ................................    $ 16,246         $ 31,768          $  35,279        $  41,824
 Operating expenses:
  Operations ................................       9,753           19,174             16,817           18,601
  Sales, marketing and client services ......       3,615            7,064              8,769           10,450
  Research and development ..................       2,051            2,132              3,278            3,513
  General and administrative ................       3,119            6,059              5,263            5,516
  Depreciation and amortization .............       2,995            5,176              5,293            7,062
  Write-down of intangible assets ...........       8,191 (4)        9,965 (5)             --               --
  Acquired in-process research and
   development(6) ...........................          --               --              4,354            4,354
  Other charges(7) ..........................       2,864              538              2,301            3,581
                                                 ---------        ---------         ---------        ---------
 Total operating expenses ...................      32,588           50,108             46,075           53,077
                                                 ---------        ---------         ---------        ---------
 Loss from operations .......................     (16,342)         (18,340)           (10,796)         (11,253)
 Other (income) expense .....................          --              313               (893)            (893)
 Interest expense (income), net .............         189              584              1,504              356
                                                 ---------        ---------         ---------        ---------
 Loss before provision for income taxes .....     (16,531)         (19,237)           (11,407)         (10,716)
 Provision for income taxes .................          70               93                 57               57
                                                 ---------        ---------         ---------        ---------
 Net loss ...................................     (16,601)         (19,330)           (11,464)         (10,773)
 Preferred stock dividends ..................         (27)          (2,400)            (2,400)              --
                                                 ---------        ---------         ---------        ---------
 Net loss applicable to common
  stockholders...............................    $(16,628)        $(21,730)         $ (13,864)       $ (10,773)
                                                 =========        =========         =========        =========
 Basic net loss per common share ............    $  (3.17)        $  (4.14)        $    (2.56)(8)    $   (1.18)
 Weighted average common shares
  outstanding - Basic .......................       5,238            5,245              5,425            9,131
</TABLE>

<TABLE>
<CAPTION>
                                                               NINE MONTHS
                                                             ENDED MARCH 31,
                                              ---------------------------------------------
                                                          ACTUAL               PRO FORMA(2)
                                              ------------------------------- -------------
                                                  1997            1998             1998
                                              ------------ ------------------ -------------
                                                  (IN THOUSANDS, EXCEPT PER SHARE DATA)
<S>                                           <C>          <C>                <C>
STATEMENT OF OPERATIONS DATA:
 Revenues(3) ................................   $ 24,964       $  30,189         $31,835
 Operating expenses:
  Operations ................................     12,104          12,485          12,730
  Sales, marketing and client services ......      6,143           7,769           8,067
  Research and development ..................      2,455           2,886           2,929
  General and administrative ................      3,340           3,307           3,468
  Depreciation and amortization .............      3,502           4,846           5,156
  Write-down of intangible assets ...........         --              --              --
  Acquired in-process research and
   development(6) ...........................      4,354              --              --
  Other charges(7) ..........................        990              --              --
                                                --------       ---------         -------
 Total operating expenses ...................     32,888          31,293          32,350
                                                --------       ---------         -------
 Loss from operations .......................     (7,924)         (1,104)           (515)
 Other (income) expense .....................       (885)             13              13
 Interest expense (income), net .............        779           2,470            (134)
                                                --------       ---------         -------
 Loss before provision for income taxes .....     (7,818)         (3,587)           (394)
 Provision for income taxes .................         43              37              37
                                                --------       ---------         -------
 Net loss ...................................     (7,861)         (3,624)           (431)
 Preferred stock dividends ..................     (1,800)         (1,800)             --
                                                --------       ---------         -------
 Net loss applicable to common
  stockholders...............................   $ (9,661)      $  (5,424)        $  (431)
                                                ========       =========         =======
 Basic net loss per common share ............  $   (1.81)     $    (0.96)(8)     $ (0.05)
 Weighted average common shares
  outstanding - Basic .......................      5,345           5,677           9,277

</TABLE>
    
<PAGE>
   
<TABLE>
<CAPTION>
                                                          AS OF MARCH 31, 1998
                                                       ---------------------------
                                                          ACTUAL       AS ADJUSTED
                                                       ------------   ------------
<S>                                                    <C>            <C>
BALANCE SHEET DATA:
 Working capital ...................................    $   3,276        $ 7,889
 Total assets ......................................       54,179         58,363
 Long-term debt, including current portion .........       40,499          1,324
 Redeemable cumulative preferred stock .............       30,623             --
 Stockholders' equity (deficit) ....................      (25,337)        49,362
</TABLE>
    
   
<TABLE>
<CAPTION>
                                                                YEAR ENDED JUNE 30,
                                              -------------------------------------------------------
                                                               ACTUAL                   PRO FORMA(1)
                                              ---------------------------------------- --------------
                                                   1995          1996         1997          1997
                                              ------------- ------------- ------------ --------------
                                                    (IN THOUSANDS, EXCEPT PER TRANSACTION DATA)
<S>                                           <C>           <C>           <C>          <C>
OTHER DATA:
 EBITDA(9) ..................................   $ (13,347)    $ (13,164)   $  (5,503)     $ (4,191)
 Adjusted EBITDA(9) .........................      (2,292)       (2,052)       2,211         4,803
 Cash flows from operating activities .......      (3,561)       (1,653)      (4,020)           --
 Cash flows from investing activities .......     (22,074)       (4,919)     (12,221)           --
 Cash flows from financing activities .......      33,434           657       15,521            --
 Transactions processed(10)
  Pharmacy ..................................          --       107,032      126,201       145,903
  Medical ...................................          --        16,030       23,085        27,814
  Dental ....................................          --         6,021       12,188        12,188
                                                ---------     ---------    ---------      --------
   Total transactions processed .............          --       129,083      161,474       185,905
 Transactions per FTE(10)(11) ...............          --           322          415           478
 Revenue per FTE(11) ........................   $      48     $      79    $      91      $    108
 Operating expenses per transaction(10) .....          --          0.39         0.29          0.29
</TABLE>

<TABLE>
<CAPTION>
                                                            NINE MONTHS
                                                          ENDED MARCH 31,
                                              ---------------------------------------
                                                       ACTUAL            PRO FORMA(2)
                                              ------------------------- -------------
                                                  1997         1998          1998
                                              ------------ ------------ -------------
                                             (IN THOUSANDS, EXCEPT PER TRANSACTION DATA)
<S>                                           <C>          <C>          <C>
OTHER DATA:
 EBITDA(9) ..................................  $  (4,422)   $    3,742    $   4,641
 Adjusted EBITDA(9) .........................        922         3,742        4,641
 Cash flows from operating activities .......     (2,991)       (3,842)          --
 Cash flows from investing activities .......    (11,630)      (11,630)          --
 Cash flows from financing activities .......     15,818        15,008           --
 Transactions processed(10)
  Pharmacy ..................................     88,463       136,685      140,234
  Medical ...................................     14,921        23,514       23,514
  Dental ....................................      8,759        10,767       10,767
                                               ---------    ----------    ---------
   Total transactions processed .............    112,143       170,966      174,515
 Transactions per FTE(10)(11) ...............        293           478          487
 Revenue per FTE(11) ........................  $      65    $       84    $      89
 Operating expenses per transaction(10) .....       0.29          0.18         0.19
</TABLE>
                                                   (Footnotes on following page)

    
                                       6

<PAGE>
(1) Gives effect to (i) the  acquisition of Time-Share  Computer  Systems,  Inc.
    ("TCS") in February 1997, (ii) the  acquisition of The Stockton Group,  Inc.
    ("Stockton")  in  November  1997,  (iii) the  Recapitalization  and (iv) the
    Offering, as if they had occurred on July 1, 1996.

(2) Gives effect to (i) the  acquisition of Stockton in November 1997,  (ii) the
    Recapitalization and (iii) the Offering,  as if they had occurred on July 1,
    1996.

(3) During the periods presented,  the Company made a series of acquisitions and
    divested certain non-core or unprofitable operations.  Revenues attributable
    to these  divested  operations,  which  are  included  in the  statement  of
    operations data, were  $1,595,000,  $3,517,000,  $2,252,000,  $1,941,000 and
    $241,000 in the fiscal years ended June 30, 1995, 1996 and 1997 and the nine
    months ended March 31, 1997 and 1998, respectively.

(4) Reflects  the  write-off  of goodwill related to the acquisitions of Medical
    Processing Center, Inc. ("MPC") and Wellmark, Inc. ("Wellmark").

(5) Reflects  the  write-down  of costs  relating  to client  lists and  related
    allocable   goodwill   obtained  in  the  acquisition  of  General  Computer
    Corporation,  subsequently  renamed MEDE AMERICA  Corporation of Ohio ("MEDE
    OHIO").

(6) Reflects the write-off of acquired in-process research and development costs
    upon the consummation of the TCS acquisition.

(7) Reflects (i) expenses recorded relating to contingent  consideration paid to
    former owners of acquired businesses of $538,000, $2,301,000 and $990,000 in
    the fiscal  years  ended June 30,  1996 and 1997 and the nine  months  ended
    March 31, 1997,  respectively,  (ii) expenses of $2,864,000  relating to the
    spin-off of the Company by Card Establishment  Services, Inc. ("CES") in the
    fiscal year ended June 30, 1995 and (iii)  non-cash  stock  compensation  of
    $1,280,000  relating to Stockton in the pro forma fiscal year ended June 30,
    1997.

   
(8) Supplemental  net loss per  share,  giving  effect to the  Recapitalization,
    would be $(1.55) and $(0.47) for the fiscal year ended June 30, 1997 and the
    nine months ended March 31, 1998, respectively.
    

(9) EBITDA  represents  net income (loss) plus  provision for income taxes,  net
    interest expense,  other (income) expense and depreciation and amortization.
    EBITDA is not a measurement in accordance with generally accepted accounting
    principles  ("GAAP") and should not be considered an alternative to, or more
    meaningful  than,  earnings (loss) from  operations,  net earnings (loss) or
    cash  flow  from  operations  as  defined  by  GAAP or as a  measure  of the
    Company's profitability or liquidity.  Not all companies calculate EBITDA in
    the same manner and, accordingly,  EBITDA shown herein may not be comparable
    to EBITDA shown by other  companies.  The Company has  included  information
    concerning EBITDA herein because management  believes EBITDA provides useful
    information. Adjusted EBITDA represents EBITDA plus certain other charges as
    described below.  The following table summarizes  EBITDA and adjusted EBITDA
    for all periods presented:

<TABLE>
<CAPTION>
                                                             YEAR ENDED JUNE 30,
                                            ------------------------------------------------------
                                                              ACTUAL                    PRO FORMA
                                            ------------------------------------------ -----------
                                                 1995           1996          1997         1997
                                            -------------- -------------- ------------ -----------
                                                                (IN THOUSANDS)
<S>                                         <C>            <C>            <C>          <C>
  EBITDA ..................................   $  (13,347)    $  (13,164)    $ (5,503)   $ (4,191)
  Contingent consideration paid to
    former owners of acquired busi-
    nesses ................................           --            538        2,301       2,301
  Write-down of intangible assets .........        8,191          9,965           --          --
  Acquired in-process research and
    development ...........................           --             --        4,354       4,354
  Expenses related to the CES spin-
    off ...................................        2,864             --           --          --
  Non-cash stock compensation .............           --             --           --       1,280
  Contract and legal settlement provi-
    sions .................................           --            609        1,059       1,059
                                              ----------     ----------     --------    --------
  Adjusted EBITDA .........................   $   (2,292)    $   (2,052)    $  2,211    $  4,803
                                              ==========     ==========     ========    ========
</TABLE>


<PAGE>
<TABLE>
<CAPTION>
                                                    NINE MONTHS ENDED
                                                        MARCH 31,
                                            ----------------------------------
                                                    ACTUAL           PRO FORMA
                                            ----------------------- ----------
                                                1997        1998       1998
                                            ------------ ---------- ----------
                                                      (IN THOUSANDS)
<S>                                         <C>          <C>        <C>
  EBITDA ..................................   $ (4,422)   $ 3,742    $ 4,641
  Contingent consideration paid to
    former owners of acquired busi-
    nesses ................................        990         --         --
  Write-down of intangible assets .........         --         --         --
  Acquired in-process research and
    development ...........................      4,354         --         --
  Expenses related to the CES spin-
    off ...................................         --         --         --
  Non-cash stock compensation .............         --         --         --
  Contract and legal settlement provi-
    sions .................................         --         --         --
                                              --------    -------    -------
  Adjusted EBITDA .........................   $    922    $ 3,742    $ 4,641
                                              ========    =======    =======
</TABLE>
- -----------
(10) Transaction  volumes are not  available  for the fiscal year ended June 30,
     1995.

(11) Full-time  equivalents ("FTE") represents the number of full-time employees
     and  part-time  equivalents  of  full-time  employees  as of the end of the
     period shown.

                                       7
<PAGE>
                        QUARTERLY FINANCIAL INFORMATION
   
     The following table summarizes certain quarterly financial  information for
all periods presented:

    

   
<TABLE>
<CAPTION>
                                                                         THREE MONTHS ENDED
                                          ---------------------------------------------------------------------------------
                                            9/30/96    12/31/96    3/31/97     6/30/97     9/30/97    12/31/97    3/31/98
                                          ----------- ---------- ----------- ----------- ----------- ---------- -----------
                                                                           (IN THOUSANDS)
<S>                                       <C>         <C>        <C>         <C>         <C>         <C>        <C>
STATEMENT OF OPERATIONS DATA:
 Revenues ...............................  $  8,179    $  7,831   $  8,954    $ 10,315    $  9,241    $  9,849   $ 11,099
 Income (loss) from operations ..........    (1,301)     (1,108)    (5,515)     (2,872)       (850)       (264)        10
 Net loss ...............................    (1,465)     (1,324)    (5,072)     (3,603)     (1,517)     (1,191)      (916)
OTHER DATA:
 EBITDA (1) .............................  $   (199)   $    (64)  $ (4,159)   $ (1,081)    $   704    $  1,309   $  1,729
 Contingent consideration paid to former
   owners of acquired businesses ........       330         330        330       1,311          --          --         --
 Acquired in-process research and devel-
   opment ...............................        --          --      4,354          --          --          --         --
 Contract and legal settlement provisions        --          --         --       1,059          --          --         --
                                           --------    --------   --------    --------    --------    --------   --------
 Adjusted EBITDA(1) .....................  $    131    $    266   $    525    $  1,289    $    704    $  1,309   $  1,729
                                           ========    ========   ========    ========    ========    ========   ========
</TABLE>
    

     See  "Management's  Discussion  and  Analysis  of  Financial  Condition and
Results of Operations -- Quarterly Operating Results."

- -----------
(1) EBITDA  represents  net income (loss) plus  provision for income taxes,  net
    interest expense,  other (income) expense and depreciation and amortization.
    EBITDA  is not a  measurement  in  accordance  with GAAP and  should  not be
    considered an alternative to, or more meaningful than,  earnings (loss) from
    operations,  net earnings  (loss) or cash flow from operations as defined by
    GAAP or as a measure of the Company's  profitability  or liquidity.  Not all
    companies calculate EBITDA in the same manner and, accordingly, EBITDA shown
    herein may not be comparable to EBITDA shown by other companies. The Company
    has  included  information   concerning  EBITDA  herein  because  management
    believes  EBITDA  provides useful  information.  Adjusted EBITDA  represents
    EBITDA plus certain other charges as described above.
- -----------
   

     Except as otherwise  noted herein,  all  information in this Prospectus (i)
assumes no exercise of the Underwriters' over-allotment option and (ii) has been
adjusted  to  give  effect  to a  one-for-4.5823  reverse  stock  split  of  all
outstanding  Common Stock (the "Reverse Stock Split").  The Company's  Preferred
Stock,  $.01 par value  ("Preferred  Stock"),  provides  for  conversion  of the
aggregate liquidation value of the Preferred Stock, including accrued but unpaid
dividends,  into Common Stock at the initial  public  offering  price per share.
However,  cash  realized by the Company upon any  exercise of the  Underwriters'
overallotment  option  would be applied to the payment of accrued  dividends  in
lieu of having such  dividends  convert into Common  Stock.  Except as otherwise
noted herein,  each  reference in this  Prospectus to Common Stock issuable upon
conversion of all of the Preferred  Stock assumes a conversion  price of $14.00.
Based  on  an  aggregate  liquidation  preference  of  the  Preferred  Stock  of
$31,220,578  (including  $7,224,978  of accrued  dividends) as of June 30, 1998,
2,229,982  shares of Common  Stock  would be so  issuable  as of such  date.  In
addition,  concurrently  with the  consummation  of the Offering,  an additional
66,375  shares  of  Common  Stock  will  be  issued  upon  the  exercise  of all
outstanding  Common Stock purchase  warrants.  Such  conversion of the Preferred
Stock,   and   exercise   of   warrants,   are   referred   to   herein  as  the
"Recapitalization".   See  "Capitalization,"   "Description  of  Common  Stock,"
"Principal Stockholders" and "Underwriting."     

                                       8
<PAGE>
                                 RISK FACTORS

     In addition to other information contained in this Prospectus,  prospective
investors should carefully consider the following risk factors before purchasing
the  shares  of  Common  Stock  offered   hereby.   This   Prospectus   contains
forward-looking  statements  relating to future  events or the future  financial
performance  of the  Company.  Prospective  investors  are  cautioned  that such
forward-looking  statements are not guarantees of future performance and involve
risks and  uncertainties.  Actual events or results may differ  materially  from
those discussed in the forward-looking statements as a result of various factors
and the matters set forth in this Prospectus generally.

HISTORY OF OPERATING LOSSES; LIMITED OPERATING HISTORY

     The Company has experienced substantial net losses, including net losses of
$16.6  million,  $19.3  million,  $11.5  million and $3.6 million for the fiscal
years  ended June 30,  1995,  1996 and 1997,  respectively,  and the nine months
ended March 31, 1998.  The Company had an accumulated  deficit of  approximately
$51.5  million  as of March  31,  1998.  In  connection  with  its  acquisitions
completed  to date,  the Company has  incurred  significant  acquisition-related
charges and will record significant amortization expense related to goodwill and
other  intangible  assets in future periods.  There can be no assurance that the
Company will be able to achieve or sustain revenue growth or  profitability on a
quarterly  or annual  basis.  See  "Selected  Consolidated  Financial  Data" and
"Management's  Discussion  and  Analysis of Financial  Condition  and Results of
Operations."

     The Company's operating history is limited. The Company's prospects must be
considered  in  light  of  the  risks,  expenses  and  difficulties   frequently
encountered  by  companies  with  limited  operating   histories,   particularly
companies  in new and  rapidly  evolving  markets  such  as EDI and  transaction
processing.  Such  risks  include,  but are not  limited  to,  an  evolving  and
unpredictable  business model and the difficulties inherent in the management of
growth.  To address these risks, the Company must, among other things,  maintain
and increase its client base,  implement and  successfully  execute its business
and marketing  strategies,  continue to develop and upgrade its  technology  and
transaction-processing  systems,  provide  superior client  service,  respond to
competitive developments,  and attract, retain and motivate qualified personnel.
There can be no assurance that the Company will be successful in addressing such
risks or in  achieving  profitability,  and the  failure  to do so could  have a
material  adverse  effect on the  Company's  business,  financial  condition and
results of operations.

ACQUISITION STRATEGY; NEED FOR ADDITIONAL CAPITAL

     The Company's  strategy includes  acquisitions of healthcare EDI businesses
that  complement or supplement  the  Company's  business.  The success of such a
strategy  will  depend on many  factors,  including  the  Company's  ability  to
identify   suitable   acquisition   candidates,   the  purchase  price  and  the
availability  and terms of financing.  Significant  competition  for acquisition
opportunities  exists in the  healthcare EDI industry,  which may  significantly
increase the costs of and decrease the opportunities for acquisitions.  Although
the  Company  is  actively  pursuing  possible  acquisitions,  there  can  be no
assurance that any acquisition  will be consummated.  No assurances can be given
that the Company will be able to operate any acquired  businesses  profitably or
otherwise successfully implement its expansion strategy. The Company may finance
future  acquisitions  through  borrowings  or the  issuance  of debt  or  equity
securities.  There can be no assurance that future lenders will extend credit on
favorable terms, if at all. Further, any borrowings would increase the Company's
interest  expense and any  issuance of equity  securities  could have a dilutive
effect on the holders of Common  Stock.  The Company will not be able to account
for acquisitions  under the "pooling of interests" method for at least two years
following  the Offering.  Accordingly,  such future  acquisitions  may result in
significant goodwill and a corresponding  increase in the amount of amortization
expense and could also result in write-downs of purchased  assets,  all of which
could adversely affect the Company's operating results in future periods.

INTEGRATION OF ACQUIRED BUSINESSES

     The success of the Company's  acquisition  strategy also depends to a large
degree on the Company's  ability to effectively  integrate the acquired products
and  services,  facilities,  technologies,  personnel  and  operations  into the
Company. The process of integration often requires substantial management atten-

                                       9

<PAGE>
tion  and  other  corporate  resources,  and  the  Company  may  not be  able to
accurately  predict  the  resources  that will be needed to  integrate  acquired
operations.  There  can be no  assurance  that  the  Company  will  be  able  to
effectively  integrate any or all acquired companies or operations.  Any failure
to do so could  result in  operating  inefficiencies,  redundancies,  management
distraction  or  technological   difficulties   (among  other  possible  adverse
consequences),  any  of  which  could  have a  material  adverse  effect  on the
Company's business, financial condition and results of operations.

EVOLVING INDUSTRY STANDARDS AND RAPID TECHNOLOGICAL CHANGES

     The market for the  Company's  products  and services is  characterized  by
rapidly  changing  technology,  evolving  industry  standards  and the  frequent
introduction  of new and enhanced  services.  The Company's  success will depend
upon its ability to enhance its existing services, to introduce new products and
services  on  a  timely  and  cost-effective   basis  to  meet  evolving  client
requirements,  to achieve market  acceptance for new products or services and to
respond to emerging industry standards and other  technological  changes.  There
can be no  assurance  that the Company  will be able to respond  effectively  to
technological  changes  or new  industry  standards.  Moreover,  there can be no
assurance  that  other  companies  will  not  develop  competitive  products  or
services,  or that any such  competitive  products or services  will not have an
adverse  effect on the Company's  business,  financial  condition and results of
operations.

DEPENDENCE ON CONNECTIONS TO PAYORS

     The  Company's  business is enhanced  by the  substantial  number of payors
(such as insurance companies, Medicare and Medicaid agencies and Blue Cross/Blue
Shield  organizations)  to which the Company has electronic  connections.  These
connections  may either be made  directly  or through a  clearinghouse  or other
intermediary.  The  Company has  attempted  to enter into  suitable  contractual
relationships to ensure long term payor connectivity;  however,  there can be no
assurance  that the Company  will be able to maintain  its links with all payors
with whom it currently has connections.  In addition,  there can be no assurance
that the Company  will be able to develop new  connections  (either  directly or
through  clearinghouses)  on  satisfactory  terms,  if at all.  Lastly,  certain
third-party  payors  provide  EDI  systems  directly  to  healthcare  providers,
bypassing  third-party  processors such as the Company.  The failure to maintain
its  existing  connections  with  payors and  clearinghouses  or to develop  new
connections  as  circumstances  warrant,  or an increase in the  utilization  of
direct links between providers and payors,  could have a material adverse effect
on the Company's business, financial condition and results of operations.

DEVELOPMENT OF EDI PROCESSING IN THE HEALTHCARE INDUSTRY

     The Company's strategy anticipates that electronic processing of healthcare
transactions,  including  transactions  involving  clinical as well as financial
information,  will become more  widespread  and that  providers and  third-party
payors  increasingly  will use EDI  processing  networks for the  processing and
transmission  of data.  Electronic  transmission  of healthcare  transactions is
still developing, and complexities in the nature and types of transactions which
must be processed have hindered,  to some degree, the development and acceptance
of EDI  processing  in this  market.  There can be no assurance  that  continued
conversion  from  paper-based  transaction  processing to EDI  processing in the
healthcare industry will occur or that, to the extent it does occur,  healthcare
providers  and  payors  will use  independent  processors  such as the  Company.
Furthermore,  if EDI processing  extensively penetrates the healthcare market or
becomes highly  standardized,  it is possible that competition among transaction
processors will focus increasingly on pricing. If competition causes the Company
to reduce its pricing in order to retain market share,  the Company may suffer a
material  adverse  change in its  business,  financial  condition and results of
operations.

POTENTIAL VARIABILITY IN QUARTERLY OPERATING RESULTS

     The Company's quarterly operating results have varied  significantly in the
past and are likely to vary from  quarter to  quarter in the  future.  Quarterly
revenues  and  operating  results  may  fluctuate  as a result of a  variety  of
factors, including:  integration of acquired businesses; seasonal variability of
demand

                                       10

<PAGE>
for  healthcare  services  generally;  the number,  timing and  significance  of
announcements  and  releases  of product  enhancements  and new  products by the
Company  and its  competitors;  the timing  and  significance  of  announcements
concerning the Company's present or prospective strategic alliances; the loss of
clients due to consolidation in the healthcare industry;  legislation or changes
in government  policies or regulations  relating to healthcare  EDI  processing;
delays in product  installation  requested  by clients;  the length of the sales
cycle or the timing of sales;  client  budgeting  cycles  and  changes in client
budgets; marketing and sales promotional activities;  software defects and other
quality factors; and general economic conditions.

     The  Company's  operating  expense  levels,  which will  increase  with the
addition of acquired  businesses,  are relatively  fixed.  If revenues are below
expectations,  net income is likely to be disproportionately adversely affected.
Further, in some future quarters the Company's revenues or operating results may
be below the expectations of securities  analysts and investors.  In such event,
the trading  price of the  Company's  Common  Stock would  likely be  materially
adversely  affected.  See  "Summary  --  Quarterly  Financial  Information"  and
"Management's  Discussion  and  Analysis of Financial  Condition  and Results of
Operations -- Quarterly Operating Results."

PROPOSED HEALTHCARE DATA CONFIDENTIALITY LEGISLATION

     Legislation that imposes restrictions on third-party processors' ability to
analyze  certain  patient  data  without   specific  patient  consent  has  been
introduced in the U.S. Congress.  Although the Company does not currently access
or analyze individually identifiable patient information,  such legislation,  if
adopted,  could  adversely  affect the  ability  of  third-party  processors  to
transmit  information  such as treatment and clinical data, and could  adversely
affect the Company's  ability to expand into related areas of the EDI healthcare
market. In addition,  the Health Insurance  Portability and Accountability  Act,
passed  in  1997,  mandates  the  establishment  of  federal  standards  for the
confidentiality,   format  and   transmission   of  patient  data,  as  well  as
recordkeeping and data security  obligations.  It is possible that the standards
so developed will necessitate changes to the Company's  operations,  which could
have a material adverse effect on the Company's  business,  financial  condition
and results of operations.

COMPETITION

     The   Company   faces   significant   competition   from   healthcare   and
non-healthcare  EDI  processing  companies.  The  Company  also faces  potential
competition  from  other  companies,  such as vendors  of  provider  information
management  systems,  which  have  added or may add  their own  proprietary  EDI
processing systems to existing or future products and services.  Competition may
be  experienced  in the form of  pressure  to reduce per  transaction  prices or
eliminate per  transaction  pricing  altogether.  If EDI processing  becomes the
standard for claims and  information  processing,  a number of larger and better
capitalized  entities  may  elect to enter the  industry  and  further  increase
competitive  pricing  pressures.  Many of the  Company's  existing and potential
competitors  are larger and have  significantly  greater  financial,  marketing,
technological  and other  resources than the Company.  There can be no assurance
that  increased  competition  will not have a  material  adverse  effect  on the
Company's business, financial condition and results of operations. See "Business
- -- Competition."

RISK OF INTERRUPTION OF DATA PROCESSING

     The  Company  currently  processes  its  data  through  its  facilities  in
Twinsburg,  Ohio, Mitchel Field, New York, and Atlanta,  Georgia.  The Twinsburg
and Mitchel Field sites are designed to be redundant.  Additionally, the Company
transmits data through a number of different  telecommunications networks, using
a variety of different  technologies.  However,  the occurrence of an event that
overcomes the data processing and transmission  redundancies then in place could
lead to service  interruptions  and could have a material  adverse effect on the
Company's business, financial condition and results of operations.

YEAR 2000 COMPLIANCE

     Many currently  installed  computer systems and software products are coded
to accept only two digit entries in the date code field.  These date code fields
will need to accept four digit  entries to  distinguish  21st century dates from
20th century dates. As a result, prior to January 1, 2000, computer systems

                                       11

<PAGE>
   
and/or  software used by many companies  (including the Company) will need to be
upgraded to comply with such "Year 2000" requirements.  Significant  uncertainty
exists in the software  industry  concerning the potential  consequences  of the
Year 2000 phenomenon.  Although the Company  currently offers software  products
that  are  designed  or  have  been  modified  to  comply  with  the  Year  2000
requirements,  there can be no assurance  that the  Company's  current  software
contains all  necessary  date code  changes.  The Company  believes that certain
installations of its products and certain products currently used by its clients
in conjunction with third-party  vendors'  products are not Year 2000 compliant.
Certain of the Company's physician benefit management clients are being migrated
from the Company's PBM system in Ohio to its PBM system  acquired from Stockton.
The total revenue from such clients is expected to be $6,351,000 in fiscal 1999.
A testing and migration timetable for all such clients has been developed,  with
migration activities scheduled for completion in mid-1999.

     While the  Company  has plans to address  the  problems  related to its own
products  within the coming year,  there can be no  assurance  that the costs of
bringing these systems into  compliance will not be  significantly  greater than
expected or that  compliance  will be achieved in a timely manner.  In addition,
there can be no assurance  that the  Company's  current  products do not contain
undetected  errors or defects  associated with Year 2000 date functions that may
result  in  material  costs  to the  Company.  Moreover,  even if the  Company's
products  and  services  satisfy  such  requirements,  the products and services
provided to the Company's  clients by other  software  vendors,  and the systems
used by certain payors,  may not be Year 2000 compliant,  thereby disrupting the
ability of the  Company's  clients to use the  Company's  software  or to obtain
reimbursement  in a timely manner.  An adverse impact on such clients due to the
Year 2000  issue  could  also have a material  adverse  effect on the  Company's
business,  financial condition and results of operations.  See "Business -- Year
2000 Compliance."     

DEPENDENCE ON KEY PERSONNEL

   
     The  Company's  performance  depends in  significant  part on the continued
service of its executive officers, its product managers and key sales, marketing
and development personnel. The Company considers its key management personnel to
be Thomas P. Staudt,  President and Chief Executive Officer,  William M. McManus
and Roger L. Primeau, in charge of the  pharmacy/medical  and dental operations,
respectively,  James T. Stinton,  the Company's Chief Information  Officer,  and
Richard Bankosky, the Company's Chief Financial Officer. No single individual is
considered by the Company to be critical to the Company's  success.  The Company
does not maintain  employment  agreements with these officers or other employees
(with limited exceptions) and the failure to retain the services of such persons
could  have a  material  adverse  effect on the  Company's  business,  financial
condition and results of operations.

    
UNCERTAINTY AND CONSOLIDATION IN THE HEALTHCARE INDUSTRY

     The  healthcare  industry is subject to changing  political,  economic  and
regulatory  influences that may affect the procurement  practices and operations
of healthcare industry participants. Federal and state legislatures periodically
consider programs to modify or amend the United States healthcare system at both
the federal and state level.  These  programs may contain  proposals to increase
governmental  involvement in healthcare,  lower reimbursement rates or otherwise
change  the  environment  in which  healthcare  industry  participants  operate.
Healthcare   industry   participants  may  react  to  these  proposals  and  the
uncertainty  surrounding such proposals by curtailing or deferring  investments,
including investments in the Company's products and services. In addition,  many
healthcare  providers are  consolidating  to create larger  healthcare  delivery
organizations.  This  consolidation  reduces the number of potential clients for
the  Company's   services,   and  the  increased   bargaining   power  of  these
organizations  could lead to  reductions  in the amounts paid for the  Company's
services.  Other healthcare information companies,  such as billing services and
practice  management  vendors,  which currently utilize the Company's  services,
could develop or acquire transaction processing and networking  capabilities and
may cease  utilizing the Company's  services in the future.  The impact of these
developments in the healthcare industry is difficult to predict and could have a
material  adverse  effect on the  Company's  business,  financial  condition and
results of operations. To the extent that the current trend toward consolidation
in the industry  continues,  MEDE  AMERICA may find it more  difficult to obtain
access to payors, information provid-

                                       12

<PAGE>
ers and  practice  management  software  vendors on whom its  ability to deliver
services  and enroll new clients now depends.  Loss of access to these  industry
participants could materially adversely affect the Company's business, financial
condition and results of operations.

DEPENDENCE ON INTELLECTUAL PROPERTY; RISK OF INFRINGEMENT

     The  Company's  ability to  compete  effectively  depends to a  significant
extent on its ability to protect its proprietary information. The Company relies
on a  combination  of statutory  and common law  copyright,  trademark and trade
secret laws, client licensing agreements, employee and third-party nondisclosure
agreements and other methods to protect its proprietary rights. The Company does
not include in its software any  mechanisms  to prevent or inhibit  unauthorized
use, but generally enters into confidentiality  agreements with its consultants,
clients and  potential  clients and limits access to, and  distribution  of, its
proprietary information.  The Company has not filed any patent applications with
respect to its intellectual  property.  It is the Company's policy to defend its
intellectual  property;  however, there can be no assurance that the steps taken
by the  Company to protect  its  proprietary  information  will be  adequate  to
prevent  misappropriation  of its  technology or that the Company's  competitors
will not independently develop technologies that are substantially equivalent or
superior to the Company's technology.

     The Company is also  subject to the risk of alleged  infringement  by it of
intellectual  property  rights of others.  Although the Company is not currently
aware of any  pending or  threatened  infringement  claims  with  respect to the
Company's  current  or future  products,  there can be no  assurance  that third
parties will not assert such claims.  Any such claims could  require the Company
to enter into  license  arrangements  or could result in  protracted  and costly
litigation,  regardless of the merits of such claims.  No assurance can be given
that any  necessary  licenses  will be available  or that,  if  available,  such
licenses  can  be  obtained  on  commercially  reasonable  terms.   Furthermore,
litigation  may be  necessary  to enforce the  Company's  intellectual  property
rights,  to protect the Company's  trade secrets,  to determine the validity and
scope of the  proprietary  rights  of  others  or to  defend  against  claims of
infringement. Such litigation could result in substantial costs and diversion of
resources and could have a material  adverse  effect on the Company's  business,
financial condition and results of operations.

     The Company expects that software  developers will  increasingly be subject
to such claims as the number of products and competitors  providing software and
services to the  healthcare  industry  increases  and overlaps  occur.  Any such
claim, with or without merit, could result in costly litigation or might require
the Company to enter into  royalty or licensing  agreements,  any of which could
have a material adverse effect on the Company's  business,  financial  condition
and results of operations.  Such royalty or licensing  agreements,  if required,
may not be available on terms acceptable to the Company or at all.

RISK OF PRODUCT DEFECTS

   
     Products  such as those  offered  by the  Company  may  contain  errors  or
experience  failures,  especially when initially introduced or when new versions
are  released.  While the Company  conducts  extensive  testing to address these
errors  and  failures,  there can be no  assurance  that  errors or  performance
failures will not occur in products  under  development  or in  enhancements  to
current  products.  Any such errors or failures could result in loss of revenues
and clients,  delay in market  acceptance,  diversion of development  resources,
damage to the Company's  reputation  or increased  service  costs,  any of which
could  have a  material  adverse  effect on the  Company's  business,  financial
condition and results of operations.  To date,  the Company has not  experienced
any material product defects.     

CONTROL BY EXISTING STOCKHOLDERS

     After the  Offering,  49.7% of the Common Stock will be owned by investment
funds affiliated with Welsh, Carson, Anderson & Stowe, a private investment firm
("WCAS")  and 7.9% will be owned by  investment  funds  affiliated  with William
Blair  Capital  Partners  L.L.C.  ("WBCP").  See  "Principal  Shareholders"  and
"Description  of  Capital  Stock  --  Recapitalization."  As a  result  of  this
concentration of ownership,  these  shareholders may be able to exercise control
over matters requiring shareholder ap-

                                       13

<PAGE>
   
proval,  including  the  election  of  directors  and  approval  of  significant
corporate  transactions.  Such  control  may  have  the  effect  of  delaying or
preventing  a change in control of the Company. The Company's Board of Directors
currently  includes  Thomas  E. McInerney and Anthony J. de Nicola, designees of
WCAS,  and Timothy M. Murray, a designee of WBCP. The funds affiliated with WCAS
may  be  deemed  to  be  controlled  by  their  respective general partners, the
general  partners  of  each  of  which  include  some  or  all  of the following
individuals:  Thomas  E.  McInerney  and  Anthony J. de Nicola, directors of the
Company,  Patrick  J.  Welsh,  Russell  L. Carson, Bruce K. Anderson, Richard H.
Stowe,  Andrew  M.  Paul,  Robert  A.  Minicucci,  Paul  B. Queally and Laura M.
VanBuren.  The  funds  affiliated  with  WBCP  may be deemed to be controlled by
their  respective  general  partners,  the  general  partners  of  which include
William  Blair  & Company L.L.C. and certain of its employees, including Timothy
E. Murray, a director of the Company.
    

NO PUBLIC MARKET FOR THE COMMON STOCK; PRICE AND MARKET VOLATILITY

     Prior to this  Offering,  there has been no public  market  for the  Common
Stock,  and there can be no assurance that an active trading market will develop
or be sustained after this Offering or that the market price of the Common Stock
will not decline below the initial  public  offering  price.  The initial public
offering price has been determined by  negotiations  between the Company and the
Representatives  of the  Underwriters  and may not be  indicative  of the market
price of the Common Stock in the future.  See "Underwriting" for a discussion of
the factors  considered in determining the initial public  offering  price.  The
stock  market  has  from  time to time  experienced  extreme  price  and  volume
fluctuations, particularly in the securities of technology companies, which have
often been  unrelated to the  operating  performance  of  individual  companies.
Announcements  of  technological  innovations  or new  and  enhanced  commercial
products by the Company or its competitors,  market  conditions in the industry,
developments or disputes  concerning  proprietary  rights,  changes in earnings,
economic  and other  external  factors,  political  and other  developments  and
period-to-period  fluctuations  in  financial  results of the Company may have a
significant impact on the market price and marketability of the Company's Common
Stock.  Fluctuations in the trading price of the Common Stock may also adversely
affect the liquidity of the trading market for the Common Stock.

POTENTIAL ADVERSE EFFECT OF ANTI-TAKEOVER PROVISIONS

     The  Company's  Board of Directors is  authorized  to issue up to 5,000,000
shares of Preferred  Stock and to determine the price,  rights,  preferences and
privileges  of those shares  without any further vote or action by the Company's
stockholders.  The rights of the holders of Common Stock will be subject to, and
may be  adversely  affected  by,  the  rights of the  holders  of any  shares of
Preferred  Stock  that may be issued in the  future.  While the  Company  has no
present  intention to issue shares of Preferred Stock, any such issuance,  while
providing  desirable  flexibility in connection with possible  acquisitions  and
other corporate purposes,  could have the effect of making it more difficult for
a third  party to  acquire a majority  of the  outstanding  voting  stock of the
Company.  In addition,  such  Preferred  Stock may have other rights,  including
economic  rights  senior to the Common  Stock,  and, as a result,  the  issuance
thereof could have a material  adverse  effect on the market value of the Common
Stock.  Furthermore,  the Company is subject to the anti-takeover  provisions of
Section  203 of  the  Delaware  General  Corporation  Law  (the  "DGCL"),  which
prohibits  the  Company  from  engaging  in a  "business  combination"  with  an
"interested  stockholder"  for a period  of three  years  after  the date of the
transaction  in which such person  first  becomes an  "interested  stockholder,"
unless  the  business  combination  is  approved  in a  prescribed  manner.  The
application of these  provisions could have the effect of delaying or preventing
a change of control of the Company.  Certain other provisions of the Amended and
Restated  Certificate of Incorporation  and the Company's Bylaws could also have
the effect of delaying or  preventing  changes of control or  management  of the
Company,  which could adversely  affect the market price of the Company's Common
Stock.  See  "Description of Capital Stock -- Preferred  Stock" and "-- Delaware
Laws and Certain Charter and Bylaw Provisions; Anti-Takeover Measures."

SHARES  ELIGIBLE FOR FUTURE SALE; POSSIBLE ADVERSE EFFECT ON FUTURE MARKET PRICE

     Sales of Common Stock  (including  Common Stock issued upon the exercise of
outstanding  stock  options)  in the public  market  after this  Offering  could
materially  adversely  affect the market  price of the  Common  Stock.  Upon the
completion of this Offering and giving effect to the Recapitalization, the

                                       14

<PAGE>
   
Company will have  11,581,204  shares of Common Stock  outstanding,  assuming no
exercise of stock  options and no exercise of the  Underwriters'  over-allotment
option. Of these  outstanding  shares of Common Stock, the 3,600,000 shares sold
in this  Offering  will be  freely  tradeable,  without  restriction  under  the
Securities Act of 1933, as amended (the "Securities  Act"),  unless purchased by
"affiliates"  of the  Company,  as that  term is  defined  in Rule 144 under the
Securities Act. The remaining  7,981,204 shares of Common Stock held by existing
stockholders  are  "restricted  securities"  as that term is defined in Rule 144
under the  Securities Act and were issued and sold by the Company in reliance on
exemptions  from the  registration  requirements  of the  Securities  Act. These
shares may be resold in the public  market only if  registered or pursuant to an
exemption  from  registration,  such as Rule 144 under the  Securities  Act. All
officers,  directors and certain holders of Common Stock beneficially owning, in
the  aggregate,  approximately  shares of Common  Stock and  options to purchase
shares of Common Stock,  have agreed,  pursuant to certain  lock-up  agreements,
that they will not sell, offer to sell,  solicit an offer to purchase,  contract
to sell, grant any option to sell,  pledge, or otherwise transfer or dispose of,
directly or indirectly,  any shares of Common Stock owned by them, or that could
be purchased by them through the exercise of options to purchase Common Stock of
the Company,  for a period of 180 days after the date of this Prospectus without
the prior written  consent of Smith Barney Inc.  Upon  expiration of the lock-up
agreements, all shares of Common Stock currently outstanding will be immediately
eligible  for resale,  subject to the  requirements  of Rule 144. The Company is
unable to predict the effect that sales may have on the then  prevailing  market
price  of  the  Common  Stock.  See  "Management  --  Employee  Benefit  Plans,"
"Description of Capital Stock" and "Shares Eligible for Future Sale."     

BENEFITS OF THE OFFERING TO CURRENT STOCKHOLDERS

   
     Prospective investors should be aware that current holders of the Company's
Common Stock and Preferred  Stock will benefit from the Offering.  Approximately
$25.2  million of the net  proceeds of the  Offering  will be used to prepay all
then outstanding  principal and accrued interest on a Senior  Subordinated  Note
(as herein defined) held by WCAS Capital Partners II, L.P., one of the Company's
principal  stockholders.  In addition,  approximately  $17.8  million of the net
proceeds  will be used to repay  all then  outstanding  indebtedness  under  the
Company's  current Credit  Facility (as herein  defined).  The Credit  Facility,
which is  guaranteed  by the  Company's  four  principal  stockholders,  will be
replaced with a new facility, which will not be guaranteed by a third party. See
"Use of Proceeds" and "Certain Transactions."

     After the  Offering,  all existing  stockholders  will benefit from certain
changes  including  the  creation of a public  market for the  Company's  Common
Stock.  Moreover, the current shareholders will realize an immediate increase in
market and tangible book value.  Assuming an initial  public  offering  price of
$14.00 per share, the aggregate  unrealized gain to current  stockholders of the
Company,  based on the  difference  between  such public  offering  price of the
Common Stock and the  acquisition  cost of their equity,  will be $82.7 million.
See "Dilution."

    

IMMEDIATE AND SUBSTANTIAL DILUTION

     Purchasers  of  Common  Stock in the  Offering  will  incur  immediate  and
substantial dilution in the net tangible book value per share of Common Stock in
the amount of $12.98 per share,  at an assumed  initial public offering price of
$14.00 per share.  To the extent that  outstanding  options to  purchase  Common
Stock are exercised, there will be further dilution. See "Dilution."

ABSENCE OF DIVIDENDS

   
     No  dividends  have been paid on the Common  Stock to date and the  Company
does not  anticipate  paying  dividends on the Common  Stock in the  foreseeable
future.  Moreover,  it is expected that the terms of the Amended Credit Facility
will  prohibit  the  Company  from paying  dividends  on the Common  Stock.  See
"Dividend Policy."     

                                       15
<PAGE>
RISKS ASSOCIATED WITH FORWARD-LOOKING STATEMENTS

   
     This  Prospectus  contains  certain  statements  that are  "forward-looking
statements," which include, among other things, the discussions of the Company's
business strategy and expectations concerning developments in the healthcare EDI
industry, the Company's market position, future operations,  transaction growth,
margins and profitability, and liquidity and capital resources. Investors in the
Common Stock offered  hereby are cautioned that such  forward-looking  statement
involves risks and  uncertainties,  and that although the Company  believes that
the assumptions on which the  forward-looking  statements  contained  herein are
reasonable,  any of those  assumptions  could prove to be  inaccurate,  and as a
result, the forward-looking  statements based on those assumptions also could be
incorrect.  The  uncertainties  in this regard include,  but are not limited to,
those  identified  in the risk factors  discussed  above.  In light of these and
other uncertainties,  the inclusion of a forward-looking statement herein should
not be regarded as a representation  by the Company that the Company's plans and
objectives will be achieved.

    

























                                       16
<PAGE>
                                  THE COMPANY

     MEDE AMERICA is a leading  provider of EDI products and services to a broad
range of providers and payors in the healthcare industry.  The Company offers an
integrated suite of EDI solutions that allows hospitals, pharmacies, physicians,
dentists and other  healthcare  providers and provider groups to  electronically
edit, process and transmit claims, eligibility and enrollment data, track claims
submissions   throughout   the  claims   payment   process  and  obtain   faster
reimbursement  for their services.  In addition to offering  greater  processing
speed, the Company's EDI products reduce processing costs,  increase  collection
rates and result in more accurate data  interchange.  The Company maintains over
540 direct connections with insurance companies, Medicare and Medicaid agencies,
Blue Cross and Blue Shield systems and other third party payors, as well as over
500 indirect  connections with additional payors through claims  clearinghouses.
Currently,  the Company  processes  over 900,000  transactions  per day for over
65,000 providers  located in all 50 states.  The Company's  mission is to be the
leading provider of integrated  healthcare  transaction  processing  technology,
networks  and  databases,  enabling  its  clients to  improve  the  quality  and
efficiency of their services.

     The  Company  was  formed  in March  1995  through  the  consolidation  and
subsequent spin-off of three subsidiaries of Card Establishment  Services,  Inc.
("CES"),  in connection with the  acquisition by First Data  Corporation of CES'
credit card processing  business.  The three subsidiaries,  MedE America,  Inc.,
Medical Processing Center, Inc. ("MPC") and Wellmark,  Inc. ("Wellmark"),  which
comprised  the heathcare  services  business of CES,  historically  provided EDI
services to  hospitals  and  physicians.  After the  spin-off,  the Company made
several strategic acquisitions to strengthen its core hospital/medical  business
and to expand into the  pharmaceutical  and dental  markets.  In March 1995, the
Company acquired General Computer Corporation, subsequently renamed MEDE AMERICA
Corporation  of Ohio  (referred  to herein as "MEDE  OHIO"),  a developer of EDI
systems  and  services  for the  pharmaceutical  industry,  and in June 1995 the
Company acquired Latpon Health Systems,  Incorporated ("Latpon"), a developer of
proprietary EDI claims processing  software for hospitals and physicians.  These
acquisitions  were followed by  acquisitions  of Electronic  Claims and Funding,
Inc. ("EC&F"), and Premier Dental Systems, Corp.  ("Premier"),  in October 1995.
These  companies were engaged in the EDI and management  software  businesses in
the dental market.  The Company  enhanced its presence in the pharmacy market by
acquiring  Time-Share  Computer Systems,  Inc. ("TCS"), in February 1997 and The
Stockton Group, Inc. ("Stockton") in November 1997.

     The Company's  executive  offices are located at 90 Merrick  Avenue,  Suite
501, East Meadow, New York 11554, and its telephone number is (516) 542-4500.











                                       17

<PAGE>
                                USE OF PROCEEDS

     The net proceeds to the Company from the sale of the shares of Common Stock
offered  hereby,  assuming an initial public offering price of $14.00 per share,
are  estimated  to  be  $45.9  million  ($53.0  million  if  the   Underwriters'
over-allotment  option is  exercised in full),  after  deducting  the  estimated
offering fees and expenses  payable by the Company.  The Company  intends to use
the net proceeds from the Offering as follows:  (i) approximately  $25.2 million
to prepay all then outstanding principal and accrued interest on its outstanding
10% Senior  Subordinated  Note due February  14, 2002 (the "Senior  Subordinated
Note");   (ii)  approximately  $17.8  million  to  repay  all  then  outstanding
indebtedness  under its current  credit  facility (the "Credit  Facility");  and
(iii) the balance for general  corporate  and  working  capital  purposes.  Cash
realized by the Company  upon any  exercise of the  Underwriters'  overallotment
option  would be applied to the payment of accrued  dividends  in lieu of having
such dividends  convert into Common Stock. See "Certain  Transactions."  Pending
application to the foregoing uses, such proceeds will be invested in short-term,
investment-grade, interest-bearing obligations.

   
     Outstanding borrowings under the Credit Facility currently bear interest at
a weighted  average rate of 6.93% per annum, are guaranteed by WCAS and WBCP and
mature on October 31,  1999.  The Company has  received a letter from the lender
under the Credit Facility  committing to provide an amended credit facility (the
"Amended Credit  Facility")  with total  available  credit of $10.0 million upon
substantially  the same terms and conditions as the Credit Facility.  Borrowings
under the Amended Credit  Facility will not be guaranteed by any third party. It
is  anticipated  that the  Amended  Credit  facility  will take  effect upon the
consummation  of the  Offering.  See  "Management's  Discussion  and Analysis of
Financial   Condition  and  Results  of  Operations  --  Liquidity  and  Capital
Resources."     

                                DIVIDEND POLICY
   
     The Company has never  declared or paid any  dividends  on its Common Stock
and does not  anticipate  paying any cash dividends in the  foreseeable  future.
Moreover,  it is expected  that the terms of the Amended  Credit  Facility  will
prohibit the Company  from paying  dividends  on the Common  Stock.  The Company
currently intends to retain any earnings to fund future growth and the operation
of its business. See "Risk Factors -- Absence of Dividends."     











                                       18

<PAGE>
                                CAPITALIZATION

     The  following  table sets forth the  capitalization  of the  Company as of
March  31,   1998  on  an  actual   basis  and  as   adjusted   to  reflect  the
Recapitalization and the issuance and sale by the Company of 3,600,000 shares of
Common Stock offered hereby, assuming an initial public offering price of $14.00
per share,  after deducting the estimated  offering fees and expenses payable by
the Company,  and the application of the net proceeds thereof as described under
"Use of Proceeds." The following  table should be read in  conjunction  with the
Consolidated  Financial  Statements and the notes thereto and the "Unaudited Pro
Forma  Consolidated   Financial   Information"   appearing   elsewhere  in  this
Prospectus.

   
<TABLE>
<CAPTION>
                                                      AS OF MARCH 31, 1998
                                                  -----------------------------
                                                     ACTUAL      AS ADJUSTED(1)
                                                  -----------   ---------------
                                                         (IN THOUSANDS)
<S>                                               <C>           <C>
Long-term debt (including current portion)
 Senior Subordinated Note(2) ..................    $  23,250       $      --
 Credit Facility(2) ...........................       15,925              --
 Other debt ...................................        1,324           1,324
                                                   ---------       ---------
   Total long-term debt .......................       40,499           1,324
                                                   ---------       ---------
Redeemable cumulative preferred stock .........       30,623              --
                                                   ---------       ---------
Stockholders' (deficit) equity
 Common Stock(3) ..............................           57             116
 Additional paid-in capital ...................       26,069         102,555
 Accumulated deficit ..........................      (51,463)        (53,309)
                                                   ---------       ---------
 Total stockholders' (deficit) equity .........      (25,337)         49,362
                                                   ---------       ---------
 Total capitalization .........................    $  45,785       $  50,686
                                                   =========       =========
</TABLE>
    
- ----------
(1) As adjusted to reflect the Recapitalization and the sale of 3,600,000 shares
    of Common Stock offered by the Company  hereby at an assumed  initial public
    offering  price of $14.00 per share and the  anticipated  application of the
    estimated net proceeds therefrom.
   

(2) As of June 30, 1998, the outstanding  principal amount plus accrued interest
    on the Senior  Subordinated  Note was  approximately  $25.6  million and the
    outstanding indebtedness under the Credit Facility plus accrued interest was
    approximately $16.9 million.

(3) Excludes  483,041 shares of Common Stock reserved for issuance upon exercise
    of stock options  outstanding under the Stock Plans, as of June 30, 1998, at
    a weighted  average  exercise price of $4.84 per share, of which 212,758 are
    exercisable. See "Management-Employee Benefit Plans." Includes 66,375 shares
    of Common Stock issuable upon exercise of the Common Stock purchase warrants
    as contemplated by the Recapitalization. See "Description of Capital Stock."

    










                                       19
<PAGE>
                                   DILUTION

     The pro forma deficit in net tangible book value of the Company as of March
31, 1998, after giving effect to the Recapitalization, was approximately $(32.4)
million or $(4.08) per share of Common Stock.  Pro forma net deficit in tangible
book value per share is determined by dividing the net tangible  deficit in book
value of the Company (pro forma tangible  assets less total  liabilities) by the
number of shares of Common Stock outstanding.  Dilution per share represents the
difference  between the amount per share paid by  purchasers of shares of Common
Stock in the  Offering  and the pro forma net  tangible  book value per share of
Common Stock immediately  after completion of the Offering.  Without taking into
account  any changes in such pro forma net  tangible  book value after March 31,
1998,  other than to give effect to (i) the sale of  3,600,000  shares of Common
Stock by the Company in this  Offering  at an assumed  initial  public  offering
price of $14.00 per share and after  deducting the  estimated  fees and offering
expenses, (ii) the application of the estimated net proceeds therefrom and (iii)
the Recapitalization, the pro forma net tangible book value of the Company as of
March 31, 1998 would have been  approximately  $11.7 million or $1.02 per share.
This  represents  an immediate  increase in pro forma net tangible book value of
$5.10 per share to existing  stockholders and an immediate dilution in pro forma
net  tangible  book value of $12.98 per share to new  investors.  The  following
table illustrates this dilution on a per share basis.

   
<TABLE>
<S>                                                                        <C>          <C>
   Assumed initial public offering price per share ......................               $ 14.00
     Pro forma net tangible book value per share before this Offering(1).  $(4.08)
     Increase per share attributable to new investors ...................    5.10
                                                                           ------
   Pro forma net tangible book value per share after this Offering ......                 1.02
                                                                                        -------
   Dilution per share to new investors(2) ...............................               $ 12.98
                                                                                        =======
</TABLE>
    
- ----------
(1) Pro forma net tangible book value per share of Common Stock is determined by
    dividing the Company's pro forma deficit in net tangible book value at March
    31,  1998 of $(32.4)  million,  by the pro forma  number of shares of Common
    Stock outstanding, in each case after giving effect to the Recapitalization.

(2) Dilution per share to new investors is determined by  subtracting  pro forma
    net  tangible  book value per share  after this  Offering  from the  initial
    public offering price per share.

     The following  table sets forth, on a pro forma basis as of March 31, 1998,
after  giving  effect to the  Recapitalization,  the  number of shares of Common
Stock purchased from the Company,  the total  consideration paid and the average
price per share  paid by  existing  stockholders  (excluding  the fair  value of
companies contributed in the March 1995 spin-off from CES) and to be paid by new
investors, based on an assumed initial public offering price of $14.00 per share
and before deducting estimated fees and expenses payable by the Company:

   
<TABLE>
<CAPTION>
                                      SHARES PURCHASED          TOTAL CONSIDERATION         AVERAGE
                                  ------------------------   --------------------------      PRICE
                                     NUMBER       PERCENT        AMOUNT        PERCENT     PER SHARE
                                  ------------   ---------   --------------   ---------   ----------
<S>                               <C>            <C>         <C>              <C>         <C>
Existing stockholders .........    7,932,917      68.8%      $28,325,000       36.0%      $ 3.57
New investors .................    3,600,000      31.2        50,400,000       64.0       14.00
                                   ---------     -----       -----------      -----
Total .........................   11,532,917     100.0%      $78,725,000      100.0%
                                  ==========     =====       ===========      =====
</TABLE>

     The foregoing tables assume no exercise of any outstanding stock options to
purchase  Common  Stock.  At March 31, 1998 there were 488,497  shares of Common
Stock  issuable  upon  the  exercise  of stock  options  outstanding  under  the
Company's Stock Plans, of which 212,083 were currently exercisable. Such options
have a weighted  average  exercise price of $4.83 per share.  To the extent such
options are exercised,  there will be further dilution to the new investors. See
"Capitalization,"  "Management -- Employee  Benefit Plans" and  "Description  of
Capital Stock."     

                                       20

<PAGE>
            UNAUDITED PRO FORMA CONSOLIDATED FINANCIAL INFORMATION

     The following  unaudited pro forma consolidated  financial  information has
been  prepared by the  Company's  management  from the  historical  Consolidated
Financial  Statements of the Company and the notes thereto included elsewhere in
this Prospectus.  The unaudited pro forma consolidated  statements of operations
for the year  ended  June 30,  1997 and the nine  months  ended  March 31,  1998
include  adjustments  that give effect to (i) the acquisition of TCS in February
1997,   (ii)  the   acquisition  of  Stockton  in  November   1997,   (iii)  the
Recapitalization  and (iv) the  Offering,  as if they had occurred as of July 1,
1996.  The unaudited pro forma  consolidated  balance sheet as of March 31, 1998
gives  effect to (i) the  Recapitalization  and (ii) the Offering as if they had
occurred on such date.

     The pro forma adjustments are based upon available  information and certain
assumptions that the Company  believes are reasonable  under the  circumstances.
The unaudited pro forma  consolidated  financial  information  should be read in
conjunction with the historical financial statements of the Company and Stockton
and the  respective  notes  thereto,  "Management's  Discussion  and Analysis of
Financial   Condition  and  Results  of  Operations"  and  the  other  financial
information  included  herein.  The unaudited pro forma  consolidated  financial
information is provided for information purposes only and does not purport to be
indicative of the results which would have been obtained had the acquisitions of
TCS and Stockton,  the  Recapitalization  and the Offering been completed on the
dates indicated or which may be expected to occur in the future.







                                       21

<PAGE>
           UNAUDITED PRO FORMA CONSOLIDATED STATEMENT OF OPERATIONS
                       FOR THE YEAR ENDED JUNE 30, 1997
                     (IN THOUSANDS, EXCEPT PER SHARE DATA)
   
<TABLE>
<CAPTION>
                                                              ACTUAL
                                                ---------------------------------------
                                                    COMPANY      TCS(1)    STOCKTON(2)
                                                -------------- ---------- -------------
<S>                                             <C>            <C>        <C>
Revenues ......................................   $   35,279    $ 2,743      $ 3,802
Operating expenses:
 Operations ...................................       16,817      1,145          563
 Sales, marketing and client services .........        8,769        781          900
 Research and development .....................        3,278        132          103
 General and administrative ...................        5,263         93          160
 Depreciation and amortization ................        5,293         90          109
 Non-cash stock compensation ..................           --         --        1,280
 Contingent consideration paid to former
  owners of acquired businesses ...............        2,301         --           --
 Acquired in-process research and
  development .................................        4,354         --           --
                                                  ----------    -------      -------
Total operating expenses ......................       46,075      2,241        3,115
                                                  ----------    -------      -------
Income (loss) from operations .................      (10,796)       502          687
Other (income) expense ........................         (893)        --           --
Interest expense, net .........................        1,504         --          100
                                                  ----------    -------      -------
Income (loss) before provision for income
 taxes ........................................      (11,407)       502          587
Provision for income taxes ....................           57         --           --
                                                  ----------    -------      -------
Net income (loss) .............................      (11,464)       502          587
Preferred stock dividends .....................       (2,400)        --           --
                                                  ----------    -------      -------
Net income (loss) applicable to common
 stockholders .................................   $  (13,864)   $   502      $   587
                                                  ==========    =======      =======
Basic net loss per common share ...............   $    (2.56)
Weighted average common shares
 outstanding - Basic ..........................        5,425         --           --
</TABLE>

<TABLE>
<CAPTION>
                                                 RECAPITALIZATION
                                                 AND ACQUISITIONS       PRO           OFFERING       PRO FORMA,
                                                    ADJUSTMENTS        FORMA        ADJUSTMENTS      AS ADJUSTED
                                                ------------------ ------------- ----------------- --------------
<S>                                             <C>                <C>           <C>               <C>
Revenues ......................................    $      --         $  41,824     $       --        $   41,824
Operating expenses:
 Operations ...................................           76 (3)        18,601             --            18,601
 Sales, marketing and client services .........           --            10,450             --            10,450
 Research and development .....................           --             3,513             --             3,513
 General and administrative ...................           --             5,516             --             5,516
 Depreciation and amortization ................        1,627 (4)         7,062                            7,062
                                                         (57)(5)
 Non-cash stock compensation ..................           --             1,280             --             1,280
 Contingent consideration paid to former
  owners of acquired businesses ...............           --             2,301             --             2,301
 Acquired in-process research and
  development .................................           --             4,354             --             4,354
                                                   ---------         ---------     ----------        ----------
Total operating expenses ......................       (1,646)           53,077             --            53,077
                                                   ---------         ---------     ----------        ----------
Income (loss) from operations .................       (1,646)          (11,253)            --           (11,253)
Other (income) expense ........................           --              (893)            --              (893)
Interest expense, net .........................        1,583 (6)         3,187         (2,831)(7)           356
                                                   ---------         ---------     ----------        ----------
Income (loss) before provision for income
 taxes ........................................       (3,229)          (13,547)         2,831           (10,716)
Provision for income taxes ....................           --                57             --                57
                                                   ---------         ---------     ----------        ----------
Net income (loss) .............................       (3,229)          (13,604)         2,831 (8)       (10,773)
Preferred stock dividends .....................        2,400 (9)            --             --                --
                                                   ---------         ---------     ----------        ----------
Net income (loss) applicable to common
 stockholders .................................    $    (829)        $ (13,604)    $    2,831        $  (10,773)
                                                   =========         =========     ==========        ==========
Basic net loss per common share ...............                                                      $    (1.18)
Weighted average common shares
 outstanding - Basic ..........................          106 (10)        5,531          3,600 (11)        9,131
</TABLE>
    

                                       22
<PAGE>
           UNAUDITED PRO FORMA CONSOLIDATED STATEMENT OF OPERATIONS
                   FOR THE NINE MONTHS ENDED MARCH 31, 1998
                     (IN THOUSANDS, EXCEPT PER SHARE DATA)
   
<TABLE>
<CAPTION>
                                                       ACTUAL
                                            ----------------------------
                                               COMPANY     STOCKTON(12)
                                            ------------- --------------
<S>                                         <C>           <C>
Revenues ..................................   $  30,189       $1,646
Operating expenses:
 Operations ...............................      12,485          216
 Sales, marketing and client services.            7,769          298
 Research and development .................       2,886           43
 General and administrative ...............       3,307          161
 Depreciation and amortization ............       4,846           54

                                              ---------       -------
Total operating expenses ..................      31,293          772
                                              ---------       ------
Income (loss) from operations .............      (1,104)         874
Other (income) expense ....................          13           --
Interest expense (income), net ............       2,470           27
                                              ---------       ------
Income (loss) before provision for
 income taxes .............................      (3,587)         847
Provision for income taxes ................          37           --
                                              ---------       ------
Net income (loss) .........................      (3,624)         847
Preferred stock dividends .................      (1,800)          --
                                              ---------       ------
Net income (loss) applicable to
 common stockholders ......................   $  (5,424)      $  847
                                              =========       ======
Basic net loss per common share ...........   $   (0.96)
Weighted average common shares
 outstanding - Basic ......................       5,677           --
</TABLE>


<TABLE>
<CAPTION>
                                             RECAPITALIZATION
                                             AND ACQUISITIONS                     OFFERING      PRO FORMA,
                                                ADJUSTMENTS      PRO FORMA      ADJUSTMENTS     AS ADJUSTED
                                            ------------------ ------------- ----------------- ------------
<S>                                         <C>                <C>           <C>               <C>
Revenues ..................................     $      --        $  31,835     $       --        $ 31,835
Operating expenses:
 Operations ...............................            29 (3)       12,730             --          12,730
 Sales, marketing and client services.                 --            8,067             --           8,067
 Research and development .................            --            2,929             --           2,929
 General and administrative ...............            --            3,468             --           3,468
 Depreciation and amortization ............           291 (4)        5,156             --           5,156
                                                      (35)(5)
                                                ---------        ---------     ----------        ---------
Total operating expenses ..................           285           32,350             --          32,350
                                                ---------        ---------     ----------        --------
Income (loss) from operations .............          (285)            (515)            --            (515)
Other (income) expense ....................            --               13             --              13
Interest expense (income), net ............           258 (6)        2,755         (2,889)(7)        (134)
                                                ---------        ---------     ----------        --------
Income (loss) before provision for
 income taxes .............................          (543)          (3,283)         2,889            (394)
Provision for income taxes ................            --               37             --              37
                                                ---------        ---------     ----------        --------
Net income (loss) .........................          (543)          (3,320)         2,889 (8)        (431)
Preferred stock dividends .................         1,800 (9)           --             --              --
                                                ---------        ---------     ----------        --------
Net income (loss) applicable to
 common stockholders ......................     $   1,257        $  (3,320)    $    2,889        $   (431)
                                                =========        =========     ==========        ========
Basic net loss per common share ...........                                                     $   (0.05)
Weighted average common shares
 outstanding - Basic ......................            --            5,677          3,600 (10)      9,277
</TABLE>
    

                                       23

<PAGE>
   
      NOTES TO UNAUDITED PRO FORMA CONSOLIDATED STATEMENTS OF OPERATIONS

 DESCRIPTION OF ACQUISITIONS

     The  acquisitions of TCS and Stockton were accounted for using the purchase
    method of accounting  and,  accordingly,  the net assets  acquired have been
    recorded at estimated  fair value on their  respective  dates of acquisition
    and the historical  statement of operations  data of the Company reflect the
    results of operations of these  businesses  from their  respective  dates of
    acquisition.  The purchase  prices and the allocation of the purchase prices
    to the acquired assets are as follows:
<TABLE>
<CAPTION>
                                                         TCS       STOCKTON
                                                     ----------   ---------
                                                         (IN THOUSANDS)
<S>                                                  <C>          <C>
     Cash purchase price .........................    $11,645      $10,674
                                                      =======      =======
     Computer equipment ..........................    $   400      $   260
     Purchased client lists ......................         --          742
     Purchased software and technology ...........      2,619          968
     Goodwill ....................................      4,092        8,704
     In-process research and development .........      4,354           --
                                                      -------      -------
                                                      $11,645      $10,674
                                                      =======      =======
</TABLE>
    

   
     The Company is also contingently liable for additional  consideration of up
     to  $2,600,000  (plus  interest at an annual  rate of 7.25%) if  Stockton's
     revenue  during the 12-month  period ending  September 30, 1998 is at least
     $5,000,000.  No accrual has been made for the  contingent  liability  as of
     March 31, 1998. Such contingent consideration will be treated as additional
     purchase  price and will,  therefore,  be added to goodwill  when and if it
     becomes accruable.

     The Stockton  purchased client lists are being amortized on a straight-line
     basis over five years. The purchased  software and technology  generally is
     being amortized on a straight-line  basis over three years for TCS and over
     five years for  Stockton.  Goodwill is being  amortized on a  straight-line
     basis over seven  years for the TCS  acquisition  and over 20 years for the
     Stockton   acquisition.   Computer   equipment  is  being  amortized  on  a
     straight-line basis over three years.

 (1) Represents  the  historical  results of operations of TCS from July 1, 1996
     through the date of acquisition by the Company in February 1997.

 (2) Represents  the  historical  results of operations of Stockton from July 1,
     1996 through June 30, 1997.

 (3) Represents rent expense  relating to a new operating lease for the Stockton
     facility.

 (4) Represents adjustments for amortization expense related to the acquisitions
     of TCS and Stockton as if they had occurred July 1, 1996, as follows:
<TABLE>
<CAPTION>
                                                              YEAR ENDED               NINE MONTHS ENDED
                                                            JUNE 30, 1997               MARCH 31, 1998
                                                   --------------------------------   ------------------
                                                     TCS      STOCKTON      TOTAL          STOCKTON
                                                   -------   ----------   ---------   ------------------
                                                                      (IN THOUSANDS)
<S>                                                <C>       <C>          <C>         <C>
     Purchased client lists ....................    $ --        $ 148      $  148            $  55
     Purchased software and technology .........     509          194         703               73
     Goodwill ..................................     341          435         776              163
                                                    ----        -----      ------            -----
                                                    $850        $ 777      $1,627            $ 291
                                                    ====        =====      ======            =====
</TABLE>

 (5) Represents  the  elimination  of  depreciation  and  amortization  expenses
     relating to assets of Stockton that were not acquired.

    
                                       24

<PAGE>
   
 (6) The  interest  expense   adjustment   relating  to  the  TCS  and  Stockton
     acquisitions is as follows:

    
   
<TABLE>
<CAPTION>
                                                                            YEAR ENDED      NINE MONTHS ENDED
                                                                          JUNE 30, 1997      MARCH 31, 1998
                                                                         ---------------   ------------------
                                                                                    (IN THOUSANDS)
<S>                                                                      <C>               <C>
    Elimination of historical interest expense of Stockton ...........       $  (111)            $  (38)
    Interest expense on portion of Senior Subordinated Note used
      to fund TCS acquisition including amortization of discount .....           939                 --
    Interest expense on borrowings under the Credit Facility used
      to fund Stockton  acquisition  at a composite  interest rate of 7.07% (The
      effect  of a  .125%  variance  in  the  interest  rate  on the  pro  forma
      adjustment  for the year ended  June 30,  1997 and the nine  months  ended
      March 31, 1998 would be $14 and
      $5, respectively.)..............................................           755                296
                                                                             -------             ------
                                                                             $ 1,583             $  258
                                                                             =======             ======
</TABLE>
    

 (7) The interest expense adjustment relating to the Offering is as follows:

   
<TABLE>
<CAPTION>
                                                            YEAR ENDED      NINE MONTHS ENDED
                                                          JUNE 30, 1997      MARCH 31, 1998
                                                         ---------------   ------------------
                                                                    (IN THOUSANDS)
<S>                                                      <C>               <C>
       Interest expense on Senior Subordinated Note
        including amortization of discount ...........      $ (1,992)           $ (2,125)
       Interest expense on borrowings under the Credit
        Facility .....................................          (839)               (764)
                                                            --------            --------
                                                            $ (2,831)           $ (2,889)
                                                            ========            ========
</TABLE>
 (8) In connection  with the  repayment of  outstanding  indebtedness  under the
     Credit Facility and the Senior  Subordinated  Note, the Company will record
     an extraordinary  charge relating to the elimination of deferred  financing
     costs  associated  with  the  Credit  Facility  and  the  write-off  of the
     remaining discount on the Senior  Subordinated Note. Such charge would have
     approximated $86,000 as of July 1, 1996,  representing solely the write-off
     of deferred  financing  costs  associated  with the Credit  Facility.  Such
     charge would have approximated  $1,846,000 as of March 31, 1998, consisting
     of $96,000 relating to the write-off of deferred financing costs associated
     with the Credit  Facility and  $1,750,000  relating to the write-off of the
     remaining  discount on the Senior  Subordinated  Note. Such charge has been
     excluded from the pro forma statements of operations.

 (9) Represents the elimination of the dividends  accrued on the Preferred Stock
     due to the Recapitalization.

 (10) Represents the pro rata portion of Common Stock issued in connection  with
      the Senior Subordinated Note relating to the TCS acquisition.

 (11) Represents the sale by the Company of 3,600,000  shares of Common Stock in
      the Offering.

    
 (12) Represents the  historical  results of operations of Stockton from July 1,
      1997 through the date of acquisition by the Company in November 1997.

                                       25

<PAGE>
                 UNAUDITED PRO FORMA CONSOLIDATED BALANCE SHEET
<TABLE>
<CAPTION>
                                                           AS OF MARCH 31, 1998
                                                      -------------------------------
                                                                       ADJUSTMENTS
                                                                     RELATING TO THE
                                                         ACTUAL     RECAPITALIZATION
                                                      ------------ ------------------
                                                              (IN THOUSANDS)
<S>                                                   <C>          <C>
ASSETS
Current Assets:
 Cash and cash equivalents ..........................  $   1,455      $        --
 Accounts receivable, less allowance for doubt-
   ful accounts .....................................      7,463               --
 Formulary receivables ..............................      1,502               --
 Inventory ..........................................        240               --
 Prepaid expenses and other current assets ..........        489               --
                                                       ---------      -----------
   Total current assets .............................     11,149               --
Property and equipment, Net .........................      4,944               --
Goodwill-Net ........................................     32,408               --
Other intangible assets-Net .........................      5,247               --
Other assets ........................................        431               --
                                                       ---------      -----------
Total ...............................................  $  54,179      $        --
                                                       =========      ===========
LIABILITIES AND STOCKHOLDERS' EQUITY (DEFICIT)
Current Liabilities:
 Accounts payable ...................................  $   2,753      $        --
 Accrued expenses and other current liabilities.           4,880               --
 Current portion of long-term debt ..................        240               --
                                                       ---------      -----------
   Total current liabilities ........................      7,873               --
Long-term debt ......................................     40,259               --
Other long-term liabilities .........................        761               --
Redeemable cumulative preferred stock ...............     30,623          (30,623)(1)
Stockholders' equity (deficit): .....................
 Common Stock .......................................         57               22 (1)
                                                                                1 (2)
 Additional paid-in capital .........................     26,069           30,601 (1)
                                                                               (1)(2)
 Accumulated deficit ................................    (51,463)              --
                                                       ---------      -----------
   Total stockholders' equity (deficit) .............    (25,337)          30,623
                                                       ---------      -----------
Total ...............................................  $  54,179      $        --
                                                       =========      ===========
</TABLE>
<PAGE>
<TABLE>
<CAPTION>
                                                                  AS OF MARCH 31, 1998
                                                      ---------------------------------------------
                                                                       ADJUSTMENTS
                                                                       RELATING TO      PRO FORMA,
                                                       PRO FORMA      THE OFFERING      AS ADJUSTED
                                                      ----------- -------------------- ------------
                                                                     (IN THOUSANDS)
<S>                                                   <C>         <C>                  <C>
ASSETS
Current Assets:
 Cash and cash equivalents ..........................  $   1,455     $      4,280 (3)   $   5,735
 Accounts receivable, less allowance for doubt-
   ful accounts .....................................      7,463               --           7,463
 Formulary receivables ..............................      1,502               --           1,502
 Inventory ..........................................        240               --             240
 Prepaid expenses and other current assets ..........        489               --             489
                                                       ---------     ------------       ---------
   Total current assets .............................     11,149            4,280          15,429
Property and equipment, Net .........................      4,944               --           4,944
Goodwill-Net ........................................     32,408               --          32,408
Other intangible assets-Net .........................      5,247               --           5,247
Other assets ........................................        431              (96)(4)         335
                                                       ---------     ------------       ---------
Total ...............................................  $  54,179     $      4,184       $  58,363
                                                       =========     ============       =========
LIABILITIES AND STOCKHOLDERS' EQUITY (DEFICIT)
Current Liabilities:
 Accounts payable ...................................  $   2,753               --       $   2,753
 Accrued expenses and other current liabilities.           4,880             (717)(3)       4,163
 Current portion of long-term debt ..................        240              384 (4)         624
                                                       ---------     ------------       ---------
   Total current liabilities ........................      7,873             (333)(3)       7,540
Long-term debt ......................................     40,259          (40,925) (3)        700
                                                                     1,366  (4)
Other long-term liabilities .........................        761               --             761
Redeemable cumulative preferred stock ...............         --               --              --
Stockholders' equity (deficit): .....................
 Common Stock .......................................         80               36 (3)         116
 Additional paid-in capital .........................     56,669           45,886 (3)     102,555
 Accumulated deficit ................................    (51,463)          (1,846)(4)     (53,309)
                                                       ---------     ------------       ---------
   Total stockholders' equity (deficit) .............      5,286           44,076          49,362
                                                       ---------     ------------       ---------
Total ...............................................  $  54,179     $      4,184       $  58,363
                                                       =========     ============       =========
</TABLE>

                                       26

<PAGE>
            NOTES TO UNAUDITED PRO FORMA CONSOLIDATED BALANCE SHEET

(1) Represents the conversion of outstanding  Preferred  Stock and $6,627,000 of
    accrued  dividends on the  Preferred  Stock into Common Stock in  connection
    with the Recapitalization.

   

(2) Represents the exercise of all Common Stock purchase  warrants in connection
    with the Recapitalization.

(3) Represents the sale by the Company of 3,600,000 shares of Common Stock at an
    assumed public offering price of $14.00 per share and the application of the
    net proceeds to the Company as follows:


<TABLE>
<S>                                                                      <C>
       PROCEEDS
        Gross proceeds from Offering .................................    $  50,400
        Underwriting discount and commissions ........................       (3,528)
        Estimated Offering expenses ..................................         (950)
                                                                          ---------
          Net proceeds ...............................................       45,922
                                                                          ---------
       USES
        Repay Senior Subordinated Note ...............................      (25,000)
        Repay borrowings under the Credit Facility ...................      (15,925)
        Repay accrued interest on Senior Subordinated Note and borrow-
          ings under the Credit Facility .............................         (717)
                                                                          ---------
          Total uses .................................................      (41,642)
                                                                          ---------
          Excess proceeds ............................................    $   4,280
                                                                          =========
</TABLE>
    
(4) Represents a $96,000 decrease in other assets relating to the elimination of
    deferred  financing  costs  associated  with  the  Credit  Facility  and the
    write-off  of the  remaining  discount  on the Senior  Subordinated  Note of
    $1,750,000,  both of which will be recorded as extraordinary  items upon the
    consummation of the Offering.

                                       27

<PAGE>
                     SELECTED CONSOLIDATED FINANCIAL DATA

     The statement of operations  data presented  below for the years ended June
30, 1995, 1996 and 1997 and the nine months ended March 31, 1998 and the balance
sheet data as of June 30, 1996 and 1997 and March 31,  1998,  are derived  from,
and qualified by reference to, the audited consolidated  financial statements of
the Company  included  elsewhere  herein.  The balance sheet data as of June 30,
1995 and March 31, 1997 are derived  from,  and  qualified by reference  to, the
respective  audited  and  unaudited  consolidated  financial  statements  of the
Company not included herein. The statement of operations data for the nine month
period ended March 31, 1997 is derived from the unaudited consolidated financial
statements  of  the  Company  included  elsewhere  herein.  In  the  opinion  of
management,  the unaudited  consolidated financial statements have been prepared
on the same basis as the audited  consolidated  financial statements and include
all adjustments, consisting only of normal recurring adjustments necessary for a
fair  presentation of the financial  position and results of operations for such
period.  The  results  for the nine month  period  ended  March 31, 1998 are not
necessarily indicative of the results to be expected for the related full fiscal
year.  The selected  consolidated  financial  data should be read in conjunction
with, and is qualified in its entirety by, the Consolidated Financial Statements
of the Company,  the notes thereto and the other financial  information included
elsewhere in this Prospectus.

   
<TABLE>
<CAPTION>
                                                                        YEAR ENDED JUNE 30,
                                                        ----------------------------------------------------
                                                              1995             1996              1997
                                                        ---------------- ---------------- ------------------
                                                               (IN THOUSANDS, EXCEPT PER SHARE DATA)
<S>                                                     <C>              <C>              <C>
STATEMENT OF OPERATIONS DATA:
 Revenues(1) ..........................................    $ 16,246         $ 31,768          $  35,279
 Operating expenses:
  Operations ..........................................       9,753           19,174             16,817
  Sales, marketing and client services ................       3,615            7,064              8,769
  Research and development ............................       2,051            2,132              3,278
  General and administrative ..........................       3,119            6,059              5,263
  Depreciation and amortization .......................       2,995            5,176              5,293
  Write-down of intangible assets .....................       8,191 (2)        9,965 (3)             --
  Acquired in-process research and development (4)..             --               --              4,354
  Other charges (5) ...................................       2,864              538              2,301
                                                           ---------        ---------         ---------
 Total operating expenses .............................      32,588           50,108             46,075
                                                           ---------        ---------         ---------
 Loss from operations .................................     (16,342)         (18,340)           (10,796)
 Other (income) expense ...............................          --              313               (893)
 Interest expense, net ................................         189              584              1,504
                                                           ---------        ---------         ---------
 Loss before provision for income taxes ...............     (16,531)         (19,237)           (11,407)
 Provision for income taxes ...........................          70               93                 57
                                                           ---------        ---------         ---------
 Net loss .............................................     (16,601)         (19,330)           (11,464)
 Preferred stock dividends ............................         (27)          (2,400)            (2,400)
                                                           ---------        ---------         ---------
 Net loss applicable to common stockholders ...........    $(16,628)        $(21,730)         $ (13,864)
                                                           =========        =========         =========
 Basic net loss per common share ......................    $  (3.17)        $  (4.14)        $    (2.56)(6)
 Weighted average common shares outstanding-Basic .....       5,238            5,245              5,425
</TABLE>
<PAGE>
<TABLE>
<CAPTION>
                                                                  NINE MONTHS
                                                                ENDED MARCH 31,
                                                        -------------------------------
                                                            1997            1998
                                                        ------------ ------------------
                                                        (IN THOUSANDS, EXCEPT PER SHARE
                                                                     DATA)
<S>                                                     <C>          <C>
STATEMENT OF OPERATIONS DATA:
 Revenues(1) ..........................................   $ 24,964       $  30,189
 Operating expenses:
  Operations ..........................................     12,104          12,485
  Sales, marketing and client services ................      6,143           7,769
  Research and development ............................      2,455           2,886
  General and administrative ..........................      3,340           3,307
  Depreciation and amortization .......................      3,502           4,846
  Write-down of intangible assets .....................         --              --
  Acquired in-process research and development (4)..         4,354              --
  Other charges (5) ...................................        990              --
                                                          --------       ---------
 Total operating expenses .............................     32,888          31,293
                                                          --------       ---------
 Loss from operations .................................     (7,924)         (1,104)
 Other (income) expense ...............................       (885)             13
 Interest expense, net ................................        779           2,470
                                                          --------       ---------
 Loss before provision for income taxes ...............     (7,818)         (3,587)
 Provision for income taxes ...........................         43              37
                                                          --------       ---------
 Net loss .............................................     (7,861)         (3,624)
 Preferred stock dividends ............................     (1,800)         (1,800)
                                                          --------       ---------
 Net loss applicable to common stockholders ...........   $ (9,661)      $  (5,424)
                                                          ========       =========
 Basic net loss per common share ......................  $   (1.81)     $    (0.96)(6)

 Weighted average common shares outstanding-Basic .....      5,345           5,677
</TABLE>
    
<PAGE>
   
<TABLE>
<CAPTION>
                                                                    AS OF JUNE 30,                      AS OF MARCH 31,
                                                       -----------------------------------------   --------------------------
                                                          1995          1996            1997           1997          1998
                                                       ---------   -------------   -------------   -----------   ------------
                                                                                   (IN THOUSANDS)
<S>                                                    <C>         <C>             <C>             <C>           <C>
BALANCE SHEET DATA:
 Working capital ...................................    $   504      $  (4,207)      $  (2,567)     $    (546)    $   3,276
 Total assets ......................................     59,511         43,031          45,459         47,784        54,179
 Long-term debt, including current portion .........      5,805         11,601          25,161         25,278        40,499
 Redeemable cumulative preferred stock .............     24,023         26,423          28,823         28,223        30,623
 Stockholders' equity (deficit) ....................     12,942         (8,472)        (20,069)       (15,916)      (25,337)
</TABLE>
    

                                       28
<PAGE>
   
<TABLE>
<CAPTION>
                                                                                                            NINE MONTHS
                                                                 YEAR ENDED JUNE 30,                      ENDED MARCH 31,
                                                    ---------------------------------------------   ---------------------------
                                                         1995            1996            1997            1997           1998
                                                    -------------   -------------   -------------   -------------   -----------
                                                                    (IN THOUSANDS, EXCEPT PER TRANSACTION DATA)
<S>                                                 <C>             <C>             <C>             <C>             <C>
OTHER DATA:
 EBITDA (7) .....................................     $ (13,347)      $ (13,164)      $  (5,503)      $  (4,422)     $   3,742
 Adjusted EBITDA (7) ............................        (2,292)         (2,052)          2,211             922          3,742
 Cash flows from operating activities ...........        (3,561)         (1,653)         (4,020)         (2,991)        (3,842)
 Cash flows from investing activities ...........       (22,074)         (4,919)        (12,221)        (11,630)       (11,630)
 Cash flows from financing activities ...........        33,434             657          15,521          15,818         15,008
 Transactions processed(8)
  Pharmacy ......................................            --         107,032         126,201          88,463        136,685
  Medical .......................................            --          16,030          23,085          14,921         23,514
  Dental ........................................            --           6,021          12,188           8,759         10,767
                                                      ---------       ---------       ---------       ---------      ---------
   Total transactions processed .................            --         129,083         161,474         112,143        170,966
 Transactions per FTE (8)(9) ....................            --             322             415             293            478
 Revenue per FTE (9) ............................     $      48       $      79       $      91       $      65      $      84
 Operating expenses per transaction (8) .........            --             0.39            0.29            0.29           0.18
</TABLE>
- ----------
(1) During the periods presented,  the Company made a series of acquisitions and
    divested certain non-core or unprofitable operations.  Revenues attributable
    to these  divested  operations,  which  are  included  in the  statement  of
    operations data, were  $1,595,000,  $3,517,000,  $2,252,000,  $1,941,000 and
    $241,000 in the fiscal years ended June 30, 1995, 1996 and 1997 and the nine
    months ended March 31, 1997 and 1998, respectively.

    

(2) Reflects the write-off of goodwill  related to the  acquisitions  of MPC and
    Wellmark.

(3) Reflects  the  write-down  of costs  relating  to client  lists and  related
    allocable goodwill obtained in the acquisition of MEDE OHIO.

(4) Reflects the write-off of acquired in-process research and development costs
    upon the consummation of the TCS acquisition.

   

(5) Reflects: (i) expenses recorded relating to contingent consideration paid to
    former owners of acquired businesses of $538,000,  $2,301,000,  and $990,000
    in the fiscal  years ended June 30, 1996 and 1997 and the nine months  ended
    March 31, 1997,  respectively;  and (ii) expenses of $2,864,000  relating to
    the spin-off of the Company by CES in the fiscal year ended June 30, 1995.

(6) Supplemental  net loss per  share,  giving  effect to the  Recapitalization,
    would be $(1.55) and $(0.47) for the fiscal year ended June 30, 1997 and the
    nine months ended March 31, 1998, respectively.

    

(7) EBITDA  represents  net income (loss) plus  provision for income taxes,  net
    interest expense,  other (income) expense and depreciation and amortization.
    EBITDA  is not a  measurement  in  accordance  with GAAP and  should  not be
    considered an alternative to, or more meaningful than,  earnings (loss) from
    operations,  net earnings  (loss) or cash flow from operations as defined by
    GAAP or as a measure of the Company's  profitability  or liquidity.  Not all
    companies calculate EBITDA in the same manner and, accordingly, EBITDA shown
    herein may not be comparable to EBITDA shown by other companies. The Company
    has  included  information   concerning  EBITDA  herein  because  management
    believes  EBITDA  provides useful  information.  Adjusted EBITDA  represents
    EBITDA plus certain other charges as described  below.  The following  table
    summarizes EBITDA and adjusted EBITDA for all periods presented:
<PAGE>
<TABLE>
<CAPTION>
                                                                                                          NINE MONTHS
                                                                    YEAR ENDED JUNE 30,                 ENDED MARCH 31,
                                                         ------------------------------------------ ------------------------
                                                              1995           1996          1997          1997        1998
                                                         -------------- -------------- ------------ ------------- ----------
                                                                                   (IN THOUSANDS)
<S>                                                      <C>            <C>            <C>          <C>           <C>
  EBITDA ...............................................   $  (13,347)    $  (13,164)    $ (5,503)    $  (4,422)   $ 3,742
  Contingent consideration paid to former owners of ac-
   quired businesses ...................................           --            538        2,301           990         --
  Write-down of intangible assets ......................        8,191          9,965           --            --         --
  Acquired in-process research and development .........           --             --        4,354         4,354         --
  Expenses related to the CES spin-off .................        2,864                                        --         --
  Contract and legal settlement provisions .............           --            609        1,059            --         --
                                                           ----------     ----------     --------     ---------    -------
  Adjusted EBITDA ......................................   $   (2,292)    $   (2,052)    $  2,211     $     922    $ 3,742
                                                           ==========     ==========     ========     =========    =======
</TABLE>

- ----------
(8) Transaction  volumes  are not  available  for the fiscal year ended June 30,
    1995.

(9) Full-time  equivalents  ("FTE") represents the number of full-time employees
    and part-time equivalents of full-time employees as of the end of the period
    shown.

                                       29

<PAGE>

                    MANAGEMENT'S DISCUSSION AND ANALYSIS OF
                 FINANCIAL CONDITION AND RESULTS OF OPERATIONS

     The  following  discussion  of  the  financial  condition  and  results  of
operations  of the  Company  should be read in  conjunction  with the  financial
statements,  including the notes thereto,  of the Company included  elsewhere in
this Prospectus. This Prospectus contains forward-looking statements relating to
future  events or  future  financial  performance  of the  Company.  Prospective
investors  are  cautioned  that  any  such  forward-looking  statements  are not
guarantees of future  performance  and involve risks and  uncertainties.  Actual
events  or  results  may  differ   materially   from  those   discussed  in  the
forward-looking  statements as a result of various  factors,  including the risk
factors  set  forth  under  "Risk  Factors"  and the  matters  set forth in this
Prospectus generally.

OVERVIEW

     MEDE AMERICA is a leading  provider of EDI products and services to a broad
range  of  providers  and  payors  in the  healthcare  industry.  The  Company's
integrated  suite of EDI solutions and services  allows  hospitals,  pharmacies,
physicians,  dentists and other  healthcare  providers  and  provider  groups to
electronically  edit,  process and transmit  claims,  eligibility and enrollment
data, track claims submissions  throughout the claims payment process and obtain
faster reimbursement for their services.  Currently,  the Company processes over
900,000 transactions per day for over 65,000 providers located in all 50 states.

     The  Company  was  formed  in March  1995  through  the  consolidation  and
subsequent  spin-off  of  three  subsidiaries  of CES,  in  connection  with the
acquisition by First Data  Corporation of CES' credit card processing  business.
The three subsidiaries,  MedE America,  Inc., MPC and Wellmark,  which comprised
the heathcare  services business of CES,  historically  provided EDI services to
hospitals and physicians.  Their combined financial results are reflected in the
fiscal 1995 financial statements on a full year basis.

   

     Since its formation,  the Company has expanded both through internal growth
and the acquisition of five healthcare  transaction  processing  businesses.  As
part of its strategy of providing an integrated suite of EDI products to a broad
range of  healthcare  providers,  the Company has focused on  acquisitions  that
provided  entry into new markets or expanded the Company's  product  suite.  All
acquisitions  have been  accounted for under the purchase  method of accounting.
The Company has actively pursued the integration of its acquisitions and, in the
process,  has either  divested,  closed or modified  various  operations  of the
acquired  entities in order to eliminate  non-core or redundant  operations  and
achieve cost savings and operating  efficiencies.  These integration  activities
impacted  the  Company's  financial  results in the fiscal  years ended June 30,
1995,  1996 and 1997 and the nine months  ended March 31, 1998 and are  ongoing.
    

                                       30

<PAGE>
     The following  table  summarizes  the Company's  acquisitions  and divested
products and operations:
<TABLE>
<CAPTION>
                                                        PRIMARY PRODUCTS        DIVESTED PRODUCTS
                             DATE                         OF FOUNDING/             OF FOUNDING/        DATE
FOUNDING COMPANIES      ACQUIRED         MARKET         ACQUIRED COMPANY        ACQUIRED COMPANY    DIVESTED
- ------------------      --------         ------         ----------------        ----------------    --------
<S>                     <C>           <C>         <C>                         <C>                   <C>
 MedE America, Inc.      4/94(1)        Medical   Eligibility Verification,   --                        --
                                                  Enrollment
 
 MPC                     5/94(1)        Medical   Hospital Claims,            Data Entry               1/97
                                                  Physician Billing           Physician Billing       12/96
                                                                              Physician Billing        8/97

 Wellmark                5/94(1)        Medical   Hospital Claims,            --                        --
                                                  Physician Billing

 
 COMPANIES ACQUIRED BY
 MEDE AMERICA
  MEDE OHIO              3/95           Pharmacy  Switching, PBM,             Practice Management      2/96
                                                  Third Party Billing         Software

                                                                              Practice Management     12/97
                                                                              Software

 Latpon                  6/95            Medical   Hospital Claims            Physician Billing        3/96
 
 
 EC&F/Premier           10/95            Dental   Dental Claims, Practice     Practice Management      3/97
                                                  Management Software         Software

 TCS                     2/97           Pharmacy/  PBM, Switching,             --                        --
                                         Medical   Eligibility Verification

                        11/97           Pharmacy  PBM                         --                        --
 Stockton
</TABLE>
- -----------------
 (1) Represents date acquired by CES.

   
     In March 1995, the majority  stockholder of the Company acquired all of the
outstanding  shares  of MEDE  OHIO for a cash  purchase  price of  approximately
$22,593,000,   including   transaction   expenses.   The  majority   stockholder
subsequently  merged MEDE OHIO into the Company.  MEDE OHIO develops EDI systems
for the pharmacy market and provides transaction switching/routing services. The
acquisition was accounted for under the purchase method and the Company recorded
total  intangible  assets of  $25,814,000,  consisting  of $892,000 of software,
$2,527,000 of client lists and $22,395,000 of goodwill. During fiscal year 1996,
the Company wrote-down  $9,965,000 of costs relating to client lists and related
allocable  goodwill due to a loss of approximately 25% of the acquired MEDE OHIO
client base. The loss of this significant portion of MEDE OHIO's client base was
primarily  due to  problems  experienced  by  the  Company  in  the  post-merger
integration  of MEDE  OHIO's  operations  into the  Company's  operations.  This
post-merger  integration  process took place during the same general time period
in  which  the  Company  was  spun-off  from CES and a new  management  team was
installed at the Company.  The Company generally is amortizing the software over
three years and the remaining value of client lists is being amortized over five
years. The goodwill is being amortized over 20 years.

     In June  1995,  the  Company  acquired  substantially  all of the assets of
Latpon  for  a  cash  purchase  price  of  approximately  $2,470,000,  plus  the
assumption of approximately  $963,000 of liabilities (primarily long-term debt).
Latpon,  a developer of claims  processing  software,  provided EDI  transaction
processing  services to hospitals and  hospital-based  physician groups.  Latpon
also provided electronic and manual business office administrative services. The
acquisition was accounted for under the purchase method and the Company recorded
total  intangible  assets of $2,291,000,  consisting of $993,000 of software and
client lists and $1,298,000 of goodwill. The Company generally is amortizing the
software  over five years and is  amortizing  the client lists and goodwill over
five years and 20 years, respectively.     

                                       31

<PAGE>
   
     In October 1995, the Company acquired two commonly-owned  companies,  EC&F,
an all payor  EDI  dental  claims  processor,  and  Premier,  a dental  practice
management  software vendor.  The acquisitions  were funded with an initial cash
payment of $4,050,000,  including transaction  expenses,  and contingent earnout
payments  based on the  achievement of certain EBITDA growth targets by the EC&F
business over three  one-year  periods ending on September 30, 1998. The Company
recorded expenses of $538,000 during fiscal year 1996 relating to the first such
period and an aggregate $2,301,000 during fiscal year 1997 primarily relating to
the  second  and third such  periods.  The  Company  does not  believe  that any
additional  amounts will be payable pursuant to this earn-out  arrangement.  The
acquisitions  of EC&F and Premier were  accounted for under the purchase  method
and the Company  recorded total intangible  assets of $4,350,000,  consisting of
$764,000 of  software,  and  $3,586,000  of goodwill.  The Company  generally is
amortizing  the software over three years and is amortizing the goodwill over 20
years.  The Company sold Premier in January 1997 for a cash payment of $388,000.
There was no gain or loss on the sale of Premier.

     In  February  1997,  the  Company  acquired  TCS,  a provider  of  pharmacy
switching and PBM transaction processing systems and services for pharmacies and
eligibility  verification  services for physicians,  for a total cash payment of
$11,465,000,  including transaction expenses.  The acquisition was accounted for
under the purchase method and the Company  recorded total  intangible  assets of
$11,065,000,  consisting of $4,354,000 of in-process  research and  development,
$2,619,000  of  software  and  $4,092,000  of  goodwill.  As of the  date of the
acquisition,  the  Company  wrote  off  the  acquired  in-process  research  and
development  which  had  not  reached  technological   feasibility  and  had  no
alternative  future use. The Company  generally is amortizing  the software over
three years and is amortizing the goodwill over seven years.

     The  in-process  research and  development  acquired  from TCS consisted of
advanced  Windows  software  technology  for PC and client server  platforms for
healthcare EDI  transactions.  Products under development  included:  (1) a plan
member  eligibility  verification for workers  compensation;  (2) medical claims
processing system to meet the HCFA 1500 EDI standard; and (3) a switching system
for internet claims from retail pharmacies. At the time of the acquisition,  the
Company  estimated that continued  development  activities for six months to one
year  resulting  in  additional  estimated  research  and  development  costs of
$460,000 would be required in order to prove  feasibility  and bring the project
to commercial viability. It was the opinion of management that such projects had
an above average  probability of successful  completion and could  contribute to
revenue,  profit and cash flow within 18 to 24 months from the date of purchase.
At this time, all three projects are substantially complete. However, any or all
of these  projects  could fail to produce an economic  gain.  Such  failure,  if
encountered,  would not affect the Company's current product suite and financial
results,  but would decrease the Company's  opportunities for growth.  Estimated
costs to complete the acquired in-process  research and development  projects as
of the date of acquisition were as follows:

           ESTIMATED RESEARCH AND DEVELOPMENT EXPENSE (IN THOUSANDS)
<TABLE>
<CAPTION>
                          WORKERS COMP.     HCFA 1500     PHARMACY     TOTAL
                         ---------------   -----------   ----------   ------
<S>                      <C>               <C>           <C>          <C>
Fiscal 1997 ..........         $ 58            $ 70         $ 65       $193
Fiscal 1998 ..........           80              97           90        267
                               ----            ----         ----       ----
 Total ...............         $138            $167         $155       $460
                               ====            ====         ====       ====
</TABLE>

     In  November  1997,  the  Company  acquired  Stockton,  a  provider  of PBM
transaction  processing  systems and related  services for the pharmacy  market.
Stockton was  purchased  for an initial cash  payment of  $10,674,000  including
transaction   expenses,   and  a  contingent  earnout  payment  based  upon  the
achievement  of certain  revenue  growth  targets.  If such revenue  targets are
achieved over the 12-month  period ending  September 30, 1998, a maximum payment
of  $2,600,000  (plus  interest  at an  annual  rate of  7.25%)  will be made in
December  1998.  Such  additional  consideration  will be treated as  additional
purchase price and will, therefore,  be added to goodwill when and if it becomes
accruable.  The  acquisition was accounted for under the purchase method and the
Company recorded total intangible assets of     

                                       32

<PAGE>
   
$10,414,000,   consisting  of  $1,710,000  of  software  and  client  lists  and
$8,704,000  of  goodwill.  The Company generally is amortizing the software over
five  years  and is amortizing the client lists and goodwill over five years and
20 years, respectively.
    

Revenues

     Revenues are derived from the sale of transaction  processing  products and
services  primarily  on  a  fee-for-transaction  basis.  Transaction  fees  vary
depending upon  transaction  type and service  provided.  The Company  currently
receives  fees from  providers  for the majority of its  transactions  including
claims processing,  eligibility verification,  claims switching, pharmacy script
processing and tracking and Medicaid enrollment.  The Company also receives fees
from payors for the  transmission  of electronic  claims and formulary  payments
from  pharmaceutical   manufacturers   relating  to  the  Company's  PBM  script
processing and management reporting services.  These transaction-based  revenues
comprise the predominant  portion of the Company's total revenues and tend to be
recurring.   Other  revenue  is  derived  from  one-time   payments  related  to
installation and implementation services,  software license fees and EDI systems
equipment sales. See "Business -- Suite of EDI Products and Services."

   
     Transaction-based  revenues  and related  formulary  services  revenues (if
applicable),  which constitute the majority of the Company's total revenues, are
recognized  at the time the  transactions  are  processed  and the  services are
provided.  Revenues  associated with software support and  implementation  fees,
each  constituting  less than 3% of the  Company's  revenues for the nine months
ended March 31, 1998, are recognized  ratably over the contract period or as the
service is provided.  Revenue from licensing of software, which also constitutes
less than 3% of the Company's total revenues for the nine months ended March 31,
1998, is recognized  upon  installation if it is determined that the Company has
no  significant  remaining  obligations  and  collectibility  of  the  resulting
receivable is probable.     

Operating Expenses

     Operations   Expense.   Operations  expense  consists  of  data  and  voice
telecommunications  expense,  salaries and benefits for operations employees and
other costs  associated  with  transaction  processing and services  provided to
clients,  such  as  network  and   telecommunications,   maintenance,   computer
operations and systems administration,  facilities and other additional indirect
expenses.  Since  1996,  operations  expense as a  percentage  of  revenues  and
operations  expense per  transaction  have declined as a result of the Company's
integration  and  restructuring   efforts  and  increased   operating  leverage.
Restructuring  charges  recorded in connection  with the  Company's  integration
activities  have resulted in  variability in the Company's  quarterly  operating
results.

     Sales,  Marketing and Client Services Expense.  Sales, marketing and client
services  expense  consists  primarily of salaries,  benefits,  commissions  and
related  indirect costs and expenditures  for marketing  programs,  trade shows,
advertising,  help desk  software  and  related  client  communications.  As the
Company continues to implement its growth strategy,  sales, marketing and client
services expenses are expected to continue to increase.

   
     Research and Development Expense. Research and development expense consists
primarily of salaries,  benefits and related indirect  expenses  associated with
the design,  research  and  development  of new  products  and  enhancements  to
existing  current  products.  The  development  of  new  software  products  and
enhancements  to existing  software  products  are  expensed  as incurred  until
technological feasibility has been established.  After technological feasibility
has been established,  any additional software development costs are capitalized
in accordance with Statement of Financial  Accounting Standards ("SFAS") No. 86,
"Accounting  For the Cost of Computer  Software To Be Sold,  Leased or Otherwise
Marketed."  Amortization of purchased software and technology and of capitalized
software  development  costs is  provided on a  product-by-product  basis at the
greater of the amount  computed  using (a) the ratio of current  revenues  for a
product to the total of  current  and  anticipated  future  revenues  or (b) the
straight-line  method over the remaining estimated economic life of the product.
Generally,  an  original  estimated  economic  life of  three  to five  years is
assigned to purchased software and technology and an original estimated economic
life of five  years is  assigned  to  capitalized  software  development  costs.
Amortization  begins in the period in which the related product is available for
general release to customers. During     

                                       33

<PAGE>
the nine  months  ended March 31,  1998,  the  Company  capitalized  $319,000 of
software development costs on a project for which technological  feasibility had
been established but was not yet available for client release.  Prior to July 1,
1997,  the  Company did not have any  software  development  projects  for which
significant  development  costs  were  incurred  between  the  establishment  of
technological feasibility and general client release of the product. The Company
believes  that  the  development  of  enhanced  and new  product  offerings  are
essential to remaining competitive and it expects that development expenses will
increase in the future.

     General and  Administrative  Expense.  General and  administrative  expense
primarily  consists of  salaries,  benefits and related  indirect  costs for the
administrative,  executive, finance, legal, human resources and internal systems
personnel,  as well as accounting and legal fees. As the Company  implements its
growth strategy, general and administrative expenses are expected to increase.

     Depreciation and Amortization  Expense. The Company depreciates the cost of
its tangible capital assets on a straight-line basis over the estimated economic
life of the asset:  three to five years for computer  equipment,  five years for
furniture  and  fixtures,  and 20 to 25 years for  buildings  and  improvements.
Acquisition-related  intangible assets,  which include the value of software and
client lists,  are amortized based on the estimated  useful economic life of the
asset at the time of  acquisition,  and therefore will vary among  acquisitions.
The  Company  recorded  amortization  expense  relating  to  goodwill  and other
intangible assets of $3,541,000 and $3,389,000 during the fiscal year ended June
30, 1997 and the nine months ended March 31, 1998, respectively.

RESULTS OF OPERATIONS

     The following table sets forth,  for the periods  indicated,  certain items
from the  consolidated  statements of  operations of the Company  expressed as a
percentage of total revenues.
<TABLE>
<CAPTION>
                                                                                   NINE MONTHS ENDED
                                                       YEAR ENDED JUNE 30,             MARCH 31,
                                                  ------------------------------   ------------------
                                                    1995       1996       1997       1997       1998
                                                  --------   --------   --------   --------   -------
<S>                                               <C>        <C>        <C>        <C>        <C>
Revenues ......................................      100%       100%       100%       100%      100%
Operating Expenses:
 Operations ...................................       60         60         48         48        41
 Sales, marketing and client services .........       22         22         25         25        26
 Research and development .....................       13          7          9         10        10
 General and administrative ...................       19         19         15         13        11
 Depreciation and amortization ................       18         16         15         14        16

</TABLE>

NINE MONTHS ENDED MARCH 31, 1998 COMPARED TO NINE MONTHS ENDED MARCH 31, 1997

Revenues

     Revenues  for the nine  months  ended  March 31,  1998 were  $30.2  million
compared  to  $25.0  million  in  the  corresponding   period  of  fiscal  1997,
representing  an increase of 21%.  The increase was  primarily  attributable  to
incremental  revenue from the  acquisitions of TCS and Stockton in February 1997
and November 1997,  respectively,  partially offset by the loss of revenues from
operations  that were  divested.  The increase was also due to the growth of the
existing business.

     The Company  processed  171 million  transactions  in the nine months ended
March  31,  1998,  compared  to  112  million  transactions   processed  in  the
corresponding  period of fiscal  1997,  representing  an  increase  of 52%.  The
increase resulted from the addition of new clients, increased transaction volume
from existing  clients and the  acquisitions  of TCS and  Stockton.  The average
price per  transaction  received  by the Company  declined  by 13% between  such
periods,  as a result of the greater proportion of transactions  processed under
contracts with  volume-based  terms and pricing and a larger proportion of lower
priced eligibility  verification  transactions as a result of the acquisition of
TCS.

                                       34

<PAGE>
Operating Expenses

     Operations  expense was $12.5  million for the nine months  ended March 31,
1998  compared  to $12.1  million in the  corresponding  period of fiscal  1997,
representing an increase of 3%. As a percentage of revenues,  operations expense
decreased  from 48% for the  first  nine  months  of  fiscal  1997 to 41% in the
corresponding  period of fiscal 1998. The  containment of operations  expense in
the nine  months  ended March 31,  1998 was a result of ongoing  cost  reduction
programs,  systems  consolidation for recent  acquisitions and the impact of the
divested  operations,  which results are included in the 1997 period but not the
1998 period.

     Sales,  marketing and client services expense was $7.8 million for the nine
months ended March 31, 1998 compared to $6.1 million in the corresponding period
of fiscal 1997,  representing  an increase of 26%. As a percentage  of revenues,
sales,  marketing and client services  expense  increased from 25% for the first
nine months of fiscal 1997 to 26% in the  corresponding  period of fiscal  1998.
This  increase  was  primarily  due to the  inclusion of TCS and Stockton in the
results of operations  for the nine months ended March 31, 1998 and, to a lesser
extent, increases in expenses relating to the hiring of new employees for client
support and help desk service,  the installation of help desk tracking  software
and resources devoted to telesales.

     Research and development expense was $2.9 million for the nine months ended
March 31, 1998  compared to $2.5 million in the  corresponding  period of fiscal
1997, representing an increase of 18%. As a percentage of revenues, research and
development  expense  was 10% for each  such  period.  The  Company  capitalized
$319,000  of  software  development  costs in the  first  nine  months  of 1998,
however,  no software  development  costs were capitalized in the  corresponding
period of fiscal  1997.  Prior to July 1,  1997,  the  Company  did not have any
software  development  projects  for which  significant  development  costs were
incurred  between the  establishment  of  technological  feasibility and general
client release of the product.

     General and  administrative  expense  was $3.3  million for the nine months
ended  March  31,  1998  and the  corresponding  period  of  fiscal  1997.  As a
percentage of revenues,  general and  administrative  expense decreased from 13%
for the first nine months of fiscal 1997 to 11% in the  corresponding  period of
fiscal  1998.  This  decrease  was  primarily a result of cost  controls and the
consolidation  and  integration  activities  related  to  the  Company's  recent
acquisitions.

     Depreciation and amortization  expense was $4.8 million for the nine months
ended March 31, 1998  compared to $3.5  million in the  corresponding  period of
fiscal  1997,  representing  an increase of 38%. As a  percentage  of  revenues,
depreciation  and  amortization  expense  increased  from 14% for the first nine
months of fiscal 1997 to 16% in the  corresponding  period of fiscal 1998.  This
increase  was  primarily  attributable  to the  increased  amortization  expense
related to the  acquisitions  of TCS in February  1997 and  Stockton in November
1997.

     There were no acquisition-related  expenses for the nine months ended March
31,  1998,  as compared to $5.3  million of such  expenses in the  corresponding
period of fiscal  1997.  Included  in the amount for the prior  period is a $4.4
million  write-off  related to  in-process  research  and  development  from the
acquisition of TCS (for software that had not achieved technological feasibility
and had no  alternative  use),  and a  contingent  earnout  charge  of  $990,000
recorded by the  Company in  connection  with the EC&F  purchase  agreement.  In
addition,  in the nine months ended March 31, 1997, the Company  recorded a gain
of $885,000  from a sale of  securities.  See Note 12 of "Notes to  Consolidated
Financial Statements."

YEAR ENDED JUNE 30, 1997 COMPARED TO JUNE 30, 1996

Revenues

     Revenues  for the  fiscal  year  ended  June 30,  1997 were  $35.3  million
compared to $31.8 million in fiscal 1996,  representing  an increase of 11%. The
increase was primarily  attributable  to revenue from the  acquisition of TCS in
February 1997,  partially  offset by the loss of revenues from  operations  that
were divested. The increase was also due to the growth of the existing business.

                                       35

<PAGE>
   

     The Company  processed  161 million  transactions  in the fiscal year ended
June 30, 1997  compared to 129 million  transactions  processed  in fiscal 1996,
representing an increase of 25%. The increase  resulted from the addition of new
clients,  the growth of business from existing  clients and the TCS acquisition.
The average  price per  transaction  in fiscal  1997  declined by 4% from fiscal
1996,  primarily as a result of the divested  operations  having  higher  claims
pricing.     

Operating Expenses

     Operations  expense  was $16.8  million  for the fiscal year ended June 30,
1997 compared to $19.2 million in fiscal 1996,  representing  a decrease of 12%.
As a percentage of revenues,  operations  expense  decreased from 60% during the
first  nine  months  of 1996  to 48% in  fiscal  1996.  The  operations  expense
improvement   was  a  result  of  ongoing  cost  reduction   programs,   systems
consolidation  for recent  acquisitions  and the  divestitures  of  non-core  or
unprofitable operations.

     Sales,  marketing  and client  services  expense  was $8.8  million for the
fiscal  year ended  June 30,  1997  compared  to $7.1  million  in fiscal  1996,
representing an increase of 24%. As a percentage of revenues,  sales,  marketing
and client  service  expense  increased from 22% in fiscal 1996 to 25% in fiscal
1997. This increase was primarily due to the inclusion of the TCS acquisition in
the results for five months and, to a lesser  extent,  to the addition of client
support personnel and the increase in help desk tracking software expenses.

     Research and development expense was $3.3 million for the fiscal year ended
June 30, 1997 compared to $2.1 million in fiscal 1996,  representing an increase
of 54%. As a percentage of revenues,  research and development expense increased
from 7% in fiscal 1996 to 9% in fiscal  1997.  This  increase  in  research  and
development  expense was due to the hiring of new employees  and other  expenses
related  to  the  expansion  of  the  Company's   processing  capacity  and  the
implementation  of new  technology  processing  platforms  throughout  its  data
processing centers.

     General and  administrative  expense  was $5.3  million for the fiscal year
ended June 30, 1997  compared to $6.1  million in fiscal  1996,  representing  a
decrease of 13%. As a percentage of revenues, general and administrative expense
decreased  from 19% in fiscal  1996 to 15% in fiscal  1997.  This  decrease  was
primarily a result of consolidation and integration activities.

     Depreciation  and  amortization  expense  was $5.3  million for fiscal year
ended June 30, 1997  compared to $5.2  million in fiscal 1996,  representing  an
increase of 2%. As a  percentage  of  revenues,  depreciation  and  amortization
expense decreased from 16% in fiscal 1996 to 15% in fiscal 1997.

     Acquisition-related  expenses  for the  fiscal  year  ended  June 30,  1997
included a $4.4 million write-off related to in-process research and development
from the  acquisition  of TCS (for software that had not achieved  technological
feasibility and had no alternative use), and a contingent earnout charge of $2.3
million recorded by the Company in connection with the EC&F purchase  agreement.
In addition,  in the nine months ended March 31,  1997,  the Company  recorded a
gain  of  $885,000  from  a  sale  of  securities.  See  Note  12 of  "Notes  to
Consolidated Financial Statements."

YEAR ENDED JUNE 30, 1996 COMPARED TO JUNE 30, 1995

Revenues

     Revenues  for the  fiscal  year  ended  June 30,  1996 were  $31.8  million
compared to $16.2 million in fiscal 1995,  representing  an increase of 96%. The
increase in revenues was  primarily  attributable  to the inclusion of MEDE OHIO
results for the full 12 months in fiscal 1996, compared to nearly four months in
fiscal 1995, the  acquisition of Latpon in June 1995 and the acquisition of EC&F
and Premier in October 1995.

Operating Expenses

     Operations expense was $19.2 million in the fiscal year ended June 30, 1996
compared to $9.8 million in fiscal 1995,  representing  an increase of 97%. As a
percentage of revenues, operations expense was 60% for both periods.

                                       36

<PAGE>
     Sales, marketing and client services expense was $7.1 million in the fiscal
year ended June 30, 1996  compared to $3.6 million in fiscal 1995,  representing
an increase of 95%,  reflecting the impact of  acquisitions.  As a percentage of
revenues, sales, marketing and client services expense was 22% for both periods.

     Research  and  development  expense was $2.1 million for each of the fiscal
years ended June 30, 1996 and 1995.  As a percentage  of revenues,  research and
development expense decreased from 13% in fiscal 1995 to 7% in fiscal 1996. This
decrease  in  research  and  development  expense as a  percentage  of  revenues
resulted from the inclusion of MEDE OHIO and EC&F in the Company's operations.

Their products tended to be less development intensive.

     General  and  administrative  expense  was $6.1  million in the fiscal year
ended June 30, 1996  compared to $3.1  million in fiscal 1995,  representing  an
increase of 94%,  reflecting  the impact of  acquisitions.  As a  percentage  of
revenues, general and administrative expense was 19% for both periods.

     Depreciation and  amortization  expense was $5.2 million in the fiscal year
ended June 30, 1996  compared to $3.0  million in fiscal 1995,  representing  an
increase of 73%. As a percentage  of  revenues,  depreciation  and  amortization
expense decreased from 18% in fiscal 1995 to 16% in fiscal 1996. The increase in
depreciation  and  amortization   expense  was  predominantly   attributable  to
amortization  related to three acquisitions  treated under purchase  accounting:
MEDE OHIO in March 1995; Latpon in June 1995 and EC&F/Premier in October 1995.

     During  the  fiscal  year  ended  June 30,  1996,  the  Company  wrote down
approximately  $10.0  million  of costs  relating  to client  lists and  related
allocable  goodwill  obtained in the  acquisition of MEDE OHIO.  Such intangible
assets were written down to the net present value of the  estimated  future cash
flows to be derived from these clients as of June 30, 1996.  The  write-down was
required due to a loss of  approximately  25% of the  acquired  MEDE OHIO client
base.  In  addition,  a  contingent  earnout  charge of $538,000 was recorded in
connection  with the EC&F purchase  agreement  during the fiscal year ended June
30, 1996.

                                       37

<PAGE>

QUARTERLY OPERATING RESULTS
<TABLE>
<CAPTION>
                                                                              THREE MONTHS ENDED
                                            --------------------------------------------------------------------------------------
                                              9/30/96     12/31/96     3/31/97      6/30/97      9/30/97     12/31/97     3/31/98
                                            ----------- ------------ ----------- ------------- ----------- ------------ ----------
                                                                                (IN THOUSANDS)
<S>                                         <C>         <C>          <C>         <C>           <C>         <C>          <C>
Revenues ..................................  $  8,179     $  7,831    $  8,954     $10,315      $  9,241     $  9,849    $11,099
Operating Expenses:
 Operations ...............................     4,298        3,683       4,123       4,713         4,285        3,942      4,258
 Sales, marketing and client services.          1,925        1,957       2,261       2,626         2,385        2,432      2,952
 Research and development .................       783          754         918         823           806        1,059      1,021
 General and administrative ...............     1,042        1,171       1,127       1,923         1,061        1,107      1,139
 Depreciation and amortization ............     1,102        1,044       1,356       1,791         1,554        1,573      1,719
 Acquired in-process research and
   development ............................        --           --       4,354          --            --           --         --
 Payment to former owners of ac-
   quired businesses ......................       330          330         330       1,311            --           --         --
                                             --------     --------    --------     -------      --------     --------    -------
Total operating expenses ..................     9,480        8,939      14,469      13,187        10,091       10,113     11,089
                                             --------     --------    --------     -------      --------     --------    -------
Income (loss) from operations .............    (1,301)      (1,108)     (5,515)     (2,872)         (850)        (264)        10
Other (income) expense ....................        --           --        (885)           (8)         --           --         13
Interest expense, net .....................       150          202         427         725           655          915        900
                                             --------     --------    --------     ---------    --------     --------    -------
Loss before provision for income taxes         (1,451)      (1,310)     (5,057)     (3,589)       (1,505)      (1,179)      (903)
Provision for income taxes ................        14           14          15          14            12           12         13
                                             --------     --------    --------     ---------    --------     --------    -------
Net loss ..................................  $ (1,465)    $ (1,324)   $ (5,072)    $(3,603)     $ (1,517)    $ (1,191)   $  (916)
                                             ========     ========    ========     =========    ========     ========    =======
</TABLE>

LIQUIDITY AND CAPITAL RESOURCES
   

     Since inception, the Company has used capital from external sources to fund
its  internal  growth and  operations  and to make  acquisitions.  Such  capital
requirements   have  been   provided  by  (i)  the  Company's   four   principal
stockholders,  through  periodic  purchases  of the  Company's  debt and  equity
securities and (ii) the Credit Facility.  Since June 30, 1995 an investment fund
affiliated with WCAS has purchased a Senior  Subordinated  Note in the principal
amount of $25,000,000 and 370,993 shares of Common Stock from the Company for an
aggregate  $25.0 million,  which was used in connection  with the acquisition of
TCS, to repay  borrowings  under the Credit  Facility  and for  general  working
capital purposes. See "Certain Transactions."

     As of March 31, 1998, the Company had outstanding borrowings of $15,925,000
under the Credit Facility. Such borrowings currently bear interest at a weighted
average  rate of 7.07% per  annum.  The  total  availability  under  the  Credit
Facility is $20.0 million.  See "Certain  Transactions."  All indebtedness under
the Credit Facility has been, and currently is, guaranteed by the Company's four
principal stockholders.  The Company has received a letter from the lender under
the Credit Facility  committing to provide an amended credit facility with total
available  credit of $15.0  million.  This facility would be comprised of a $7.5
million  term  loan to be used for  acquisitions  and a $7.5  million  revolving
credit loan to be used for working capital purposes, each with a maximum term of
two years from  October 31, 1998.  Interest  for the term and revolver  loans is
computed at .25% above the bank's base rate,  or 1.25% above a Eurodollar  based
rate.  Such borrowing  rates are at the option of the Company for any particular
period during which  borrowings  exist.  Covenants under the existing  agreement
include:  customary  covenants and  restrictions  on additional  liabilities and
disposition  of  assets,   achieving  year  2000   compliance  by  August  1999,
maintaining financial records and reporting, a maximum quarterly leverage ratio,
a minimum interest coverage ratio, as well as prior     

                                       38

<PAGE>
   
approval for acquisitions. Borrowings under the Amended Credit Facility will not
be  guaranteed by any third party.  It is  anticipated  that the Amended  Credit
Facility will take effect upon the consummation of the Offering.

     As of March 31,  1998,  the Company had cash and cash  equivalents  of $1.5
million and net working capital of $3.3 million. Net cash used in operations was
$1.7 million,  $4.0 million and $3.8 million for the fiscal years ended June 30,
1996 and 1997 and the nine months ended March 31, 1998,  respectively.  The $3.8
million net cash used in operations for the nine months ended March 31, 1998 was
used  primarily for contingent  earnout  charges on  acquisitions  made in prior
fiscal years,  and other  accounts  payable and accrued  expenses  totaling $3.7
million.  In addition,  $1.1 million of the net cash used was attributable to an
increase in  formulary  accounts  receivable  relating  to  Stockton  (formulary
receivables normally have a 7-12 month collection cycle).

     Cash used for investment purposes was $4.9 million, $12.2 million and $11.6
million  for the fiscal  years  ended June 30, 1996 and 1997 and the nine months
ended March 31, 1998, respectively. Cash used for investment purposes during the
nine months  ended March 31, 1998 was  primarily  used to acquire  Stockton  for
$10.7 million and also to fund capital expenditures  (predominantly computer and
network hardware and software) in the amount of $646,000. The Company expects to
spend at least $2.0  million  per annum for the  foreseeable  future for capital
investment to support growth in transaction processing.

     Cash provided by financing activities was $657,000, $15.5 million and $15.0
million  for the fiscal  years  ended June 30, 1996 and 1997 and the nine months
ended March 31, 1998, respectively. Cash provided by financing activities during
the nine months  ended March 31, 1998 was  primarily  provided  from  borrowings
under the Credit Facility which was partially offset by principal  repayments of
debt and capital lease obligations. In the fiscal year ended June 30, 1997, cash
was  provided by the  issuance of a Senior  Subordinated  Note in the  principal
amount of $25,000,000 and 370,993 shares of Common Stock for aggregate  proceeds
of $25.0  million,  which  proceeds  were  partially  offset by the repayment of
outstanding  borrowings  under the Credit  Facility and principal  repayments of
debt and capital lease obligations.

    
     Approximately $43.0 million of the proceeds of the Offering will be applied
to the  repayment of the  Company's  outstanding  indebtedness  under the Credit
Facility and the Senior  Subordinated  Note. In connection with the repayment of
outstanding  indebtedness under the Credit Facility and the Senior  Subordinated
Note,  the Company will record an  extraordinary  charge of  approximately  $1.7
million relating to the elimination of deferred  financing costs associated with
the Credit  Facility and the write-off of the  remaining  discount on the Senior
Subordinated  Note. The Company  expects to use the Amended  Credit  Facility to
finance the Company's future acquisitions and general working capital needs. The
Company also expects to finance  acquisitions through the issuance of additional
equity and debt  securities.  The  Company  believes  that the  proceeds  of the
Offering,  together with existing cash balances and cash generated by operations
in the near term,  and the borrowings  expected to be made  available  under the
Amended Credit Facility,  will be sufficient to finance the Company's operations
for at least 18 months.  However, future acquisitions may require funding beyond
the Company's  cash  resources and  currently  anticipated  capital or operating
requirements  could change,  with the result that the Company may be required to
raise  additional  funds  through  the  public  or  private  sale of  additional
securities.  See "Risk  Factors --  Acquisition  Strategy;  Need for  Additional
Capital."

YEAR 2000 COMPLIANCE

   
     The Company has  reviewed the Year 2000  compliance  of its systems and has
adopted a program intended to ensure that it achieves compliance with respect to
all products, services and internal systems in a timely manner. Under such plan,
$1,020,000 has been budgeted  through  December 1999, of which $160,000 has been
spent  through  April 30,  1998.  Certain  of the  Company's  physician  benefit
management  clients are being  migrated from the Company's PBM system in Ohio to
its PBM system  acquired from  Stockton.  The total revenue from such clients is
expected to be $6,351,000 in fiscal 1999. A testing and migration  timetable for
all such clients has been  developed,  with migration  activities  scheduled for
completion in mid-1999. The Company believes that it does not require additional
technology to achieve Year 2000 compliance and that it has sufficient  resources
to implement its plan. The Company expects     

                                       39

<PAGE>
that the combined amount of budgeted  expenses for Year 2000 compliance plus the
ongoing  product  development and  development  expenditures  will increase as a
percent of revenue in future  periods.  However,  there can be no assurance that
expenditures required to achieve compliance with Year 2000 requirements will not
exceed those amounts.  See "Risk Factors -- Year 2000  Compliance" and "Business
- -- Year 2000 Compliance."

IMPACT OF INFLATION

     Inflation  has  not  had a  material  impact  on the  Company's  historical
operations or financial condition.

RECENT ACCOUNTING PRONOUNCEMENTS

     Recent  pronouncements of the Financial  Accounting  Standards Board, which
are not required to be adopted at this date,  include  SFAS No. 130,  "Reporting
Comprehensive   Income",  SFAS  No.  131,  "Disclosures  about  Segments  of  an
Enterprise and Related  Information" and SFAS No. 132,  "Employers'  Disclosures
about Pensions and Other Postretirement  Benefits." These pronouncements are not
expected to have a material impact on the Company's financial statements.

     In March 1998,  the  American  Institute of  Certified  Public  Accountants
issued  Statement  of  Position  98-1,  "Accounting  for the  Costs of  Computer
Software Developed or Obtained for Internal Use." This statement is not required
to be adopted at this date.  The Company is currently  evaluating  the impact of
this statement on its financial statements.

NET OPERATING LOSSES

     As of March 31, 1998, the Company had net operating loss  carryforwards for
federal   income  tax   purposes  of   approximately   $34,650,000.   Such  loss
carryforwards  expire in the fiscal years 2005 through 2013.  Because of certain
changes in ownership,  as defined in the Internal  Revenue Code,  which occurred
during 1996 and 1995,  certain of these net  operating  loss  carryforwards  are
subject to annual  limitations.  See Note 7 of "Notes to Consolidated  Financial
Statements."

                                       40

<PAGE>
                                   BUSINESS

GENERAL

     MEDE AMERICA is a leading  provider of EDI products and services to a broad
range of providers and payors in the healthcare industry.  The Company offers an
integrated suite of EDI solutions that allows hospitals, pharmacies, physicians,
dentists and other  healthcare  providers and provider groups to  electronically
edit, process and transmit claims, eligibility and enrollment data, track claims
submissions   throughout   the  claims   payment   process  and  obtain   faster
reimbursement  for their services.  In addition to offering  greater  processing
speed, the Company's EDI products and services reduce processing costs, increase
collection  rates and result in more  accurate  data  interchange.  The  Company
maintains over 540 direct  connections  with insurance  companies,  Medicare and
Medicaid  agencies,  Blue Cross and Blue  Shield  systems  and other third party
payors, as well as over 500 indirect  connections with additional payors through
claims   clearinghouses.   Currently,   the  Company   processes   over  900,000
transactions  per day for over 65,000  providers  located in all 50 states.  The
Company's  mission  is to be  the  leading  provider  of  integrated  healthcare
transaction processing technology,  networks and databases, enabling its clients
to improve the quality and efficiency of their services.

     The  Company  was  formed  in March  1995  through  the  consolidation  and
subsequent  spin-off  of  three  subsidiaries  of CES,  in  connection  with the
acquisition by First Data  Corporation of CES' credit card processing  business.
The three subsidiaries,  MedE America, Inc., MPC, and Wellmark,  which comprised
the healthcare services business of CES,  historically  provided EDI services to
hospitals and  physicians.  Since its  formation,  the Company has expanded both
through  internal  growth and the  acquisition  of five  healthcare  transaction
processing businesses.  As part of its strategy of providing an integrated suite
of EDI  products  and  services to a broad range of  healthcare  providers,  the
Company  has focused on  acquisitions  that  provided  entry into new markets or
expanded the  Company's  product  suite.  The Company has  actively  pursued the
integration of its acquisitions and, in the process, has either divested, closed
or  restructured  various  operations  of the  acquired  entities  in  order  to
eliminate  non-core  or  redundant  operations  and  achieve  cost  savings  and
operating efficiencies.

INDUSTRY OVERVIEW

     Innovations  over  the  past  decade  in  computer  and  telecommunications
technologies  have resulted in the development of EDI systems to  electronically
process  and  transmit   information  among  the  various  participants  in  the
healthcare  industry.   These  systems  were  designed  to  replace  paper-based
recording and transmission of information,  enabling greater  processing  speed,
reduced  processing  costs  and  more  accurate  data  interchange.   Electronic
processing   enables   providers  to  verify   patient   eligibility  or  obtain
authorization  for services at the time of  appointment,  registration or at the
time of claim submission.  The healthcare EDI processor then interfaces with the
payor  to  obtain  an  eligibility  or  authorization  confirmation,   which  is
transmitted  back to the  provider.  To obtain  payment,  providers  must submit
claims information in formats specified by the respective payors. Healthcare EDI
processors can facilitate this process by utilizing customized software programs
that can perform  "edits" to the data supplied by providers  and re-format  that
data to meet the  data  specifications  of  payors.  Electronically  transmitted
claims are sent either  directly from the provider to the payor,  or through the
healthcare  EDI  processor  (which  in turn  transmits  the  claims to the payor
directly  or through  one or more  intermediaries).  The claim is  received  and
reviewed by the payor and the remittance  response is communicated  (usually not
electronically)  back to the  provider.  Each of these  steps in the  healthcare
delivery process gives rise to a current or potential EDI transaction.

     According to Health Data Directory, in 1997 over 4.1 billion electronic and
paper claims were paid in all sectors of the  healthcare  services  market,  and
over the past five years healthcare  claims increased at an average rate of 5.5%
per year.  The Company  expects the volume of  healthcare  claims to continue to
grow as the U.S.  population  ages and life  expectancy  of the U.S.  population
increases.  The  increase in claims has been  accompanied  by an increase in the
proportion of claims that are electronically  processed.  From 1993 to 1997, the
proportion of total healthcare claims that were electronically processed

                                       41

<PAGE>

increased from 41% to approximately  60% at an average rate of 16% per year. The
Company  expects the electronic  processing of healthcare  claims to continue to
increase as a result of increased reliance on electronic  commerce and increased
emphasis on cost containment in the healthcare industry.

     The penetration of electronic  processing  varies  significantly  among the
different  markets  within the  healthcare  industry.  According  to Health Data
Directory,  in 1997 electronic  processing  accounted for  approximately  13% of
total  dental  claims,  38% of  total  physician  medical  claims,  83% of total
hospital medical claims and 86% of total pharmacy  claims.  The Company believes
that there is significant  market  potential for EDI processing in the non-claim
area, including eligibility verification, remittance transactions and other data
exchange   transactions  such  as  claims  tracking,   referrals  and  physician
scripting.  The  Company  believes  that  EDI  penetration  in  these  non-claim
transaction  categories is low, and as a result,  the EDI transaction  growth in
these areas will exceed that of the EDI claims processing market.

     As compared to claims  processing,  the electronic  processing of non-claim
information  transactions  in  the  healthcare  industry,  such  as  eligibility
inquiries,  enrollment in Medicare and Medicaid programs,  referrals,  formulary
inquiries to pharmacy benefit managers and  prescription  delivery,  has emerged
only  recently and is less  pervasive.  The Company  believes  that only a small
percentage of non-claim information transactions are managed electronically.  In
addition to opportunities to expand its claims processing business,  the Company
believes  that  there  are  significant   possibilities  to  expand   electronic
processing  to  non-claim  areas in the  healthcare  market,  for the  following
reasons:

   o  As advanced technology continues to penetrate the healthcare industry,  an
      increasing amount of healthcare data will be managed  electronically.  For
      example,   healthcare  providers  are  implementing   practice  management
      software  systems to manage the  clinical,  financial  and  administrative
      aspects  of  their  businesses.   Increasingly,   these  software  systems
      incorporate EDI processing capabilities.

   o  Efforts by government and private insurers to contain healthcare costs are
      expected to motivate hospitals and physicians to use EDI not only to lower
      costs, but also to improve operating  efficiencies and increase  accuracy.
      For example,  state Medicaid programs and some private insurance companies
      now encourage  providers to verify patients' medical benefits  eligibility
      electronically.

   o  As the healthcare industry continues to undergo consolidation,  the larger
      scale of the  resulting  entities  may result in  increased  EDI use.  For
      example,  various  managed care companies have  encouraged  their provider
      networks  to  utilize  EDI for  authorizations,  enrollment  verification,
      encounter reports and referrals.

     Currently,  the EDI market is fragmented and consists of several nationally
prominent  EDI claims  processors  and  several  hundred  regional  EDI  service
providers who occupy  selected  niches in specialized  markets and  geographical
sectors. Over the past several years, many of the regional EDI service providers
have  been  acquired  by  national  organizations.  The  Company  believes  that
competitive  conditions in the healthcare  information industry will continue to
favor consolidation as larger, more diversified organizations are able to reduce
costs and offer an integrated package of standardized products and services.

COMPETITIVE STRENGTHS

     The Company believes that it has several  competitive  strengths which will
enable  it  to  capitalize  on  the  significant  growth  opportunities  in  the
healthcare EDI marketplace.

     COMPREHENSIVE SUITE OF EDI PRODUCTS AND SERVICES.  The Company has followed
a strategy of  developing  or acquiring  EDI  products and services  that may be
provided  to a  broad  range  of  healthcare  clients.  The  Company's  products
incorporate open architecture  designs and "best of breed" technology and may be
purchased  as modular  additions  to the  client's  existing  data  storage  and
retrieval system, or as part of a comprehensive EDI processing system.  They are
designed to be compatible  with a broad variety of hospital,  medical,  pharmacy
and dental practice  management and billing systems.  In addition,  new products
can be added to respond to changing client requirements,  and the scalability of
the Com-

                                       42

<PAGE>

pany's products permits the client to accommodate increasing transaction volumes
without requiring substantial new investments in software and hardware.  Because
of these product characteristics,  the Company believes it is well positioned to
take  advantage  of the  expected  growth of EDI in areas  such as  eligibility,
managed care transactions and pharmacy to physician scripting.

     BROAD AND  DIVERSIFIED  CLIENT BASE.  The Company  markets its products and
services to a broad range of healthcare  providers including the medical market,
comprised of hospitals,  clinics and physicians,  the dental market comprised of
small to medium-sized  dental practice groups,  and the pharmacy  market,  which
includes  retail  pharmacies  (independents  and  chains)  as well as  PBMs.  In
addition,  the Company has  relationships  through  practice  management  system
vendors  and  other   intermediaries.   The  Company's  client  base  is  highly
diversified,   consisting  of  approximately  42,000  pharmacies,  8,000  dental
offices, 1,000 hospitals and clinics and 14,000 physicians.  The Company's broad
and  diversified  client base provides it with  transaction-based  revenues that
tend to be recurring and  positions it to capitalize on the rapid  consolidation
taking place within the healthcare industry.

     DIRECT  RELATIONSHIPS  WITH PROVIDERS AND PAYORS. The Company has developed
over 540 direct  connections  with  healthcare  payors  including  Medicare  and
Medicaid agencies,  Blue Cross and Blue Shield systems and commercial  insurance
companies,  and the Company is able to access over 500 additional payors through
contractual relationships with multiple claims clearinghouses. Additionally, the
Company  has direct  client  relationships  with  providers  such as  hospitals,
clinics, physicians and pharmacies. The range of MEDE AMERICA's services and the
extent of its  connectivity  with payors  provides  the  opportunity  to achieve
deeper  penetration of its provider  base,  while at the same time offering more
complete  solutions to new clients.  MEDE AMERICA  believes  that it is strongly
positioned to offer reliable, one-stop shopping to both providers and payors for
all their EDI needs.

     FOCUS ON CLIENT  SERVICE.  The Company has focused on  implementing  a wide
range of client service and support functions.  These support activities include
the use of automated client service tracking software, expanded client help desk
and  account  executive  support   functions,   and  extensive  client  feedback
mechanisms.  This focus has enhanced the Company's awareness of client needs and
improved the Company's  ability to respond to those needs.  As a result of these
activities,  of the clients that  contributed  to the Company's  revenues in the
1997 fiscal  year,  approximately  90%  continued  as clients of the Company and
contributed  to the Company's  revenues in the nine months ended March 31, 1998.
The  Company  believes  that  its  high  quality  client  service  enhances  the
satisfaction of its clients and generates new revenue  opportunities in the form
of expanded transaction volume and sales of new products and services.

     LEADING  TECHNOLOGY  AND  PRODUCT  PLATFORMS.  The Company  recognizes  the
critical role of technology and telecommunications  platforms to ensure reliable
and high  quality  service.  Over the past two years,  MEDE AMERICA has invested
significant  capital  in new  hardware  and  software  systems  resulting  in an
estimated three-fold increase in transaction  processing  capacity.  The Company
has  designed  its  products  on  a  modular  client/server  model,  using  open
architecture  and  commonly  available  hardware,   with  redundant   processing
capabilities.  The  Company's  redundancies  in its  computing  capacity and its
dual-site  operations  enable it to provide  uninterrupted  processing  and data
transmission  with  little  if any  downtime.  As a  result  of such  technology
investments, MEDE AMERICA believes it is able to provide high quality service to
its  clients  in the  form  of  high  network  availability,  batch  transaction
reliability  and high  rates of  payor  claims  acceptance.  MEDE  AMERICA  also
believes  that its  technology  platform,  which is operating  at  approximately
one-third  of  its  total  capacity,  provides  it  with  substantial  operating
leverage.

     EXPERIENCED MANAGEMENT TEAM. Each member of the Company's senior management
team  has  over  15  years  of  experience  in the  information  technology  and
transaction  processing  industries and has extensive background in working with
emerging companies in the information  processing industry. The Company believes
that the range and depth of its senior  management  team  position it to address
the evolving  requirements  of its clients and to manage the growth  required to
meet its strategic goals.

                                       43

<PAGE>
GROWTH STRATEGY

     The  Company's  mission  is  to  be  the  leading  provider  of  integrated
healthcare transaction processing technology,  networks and databases,  enabling
its clients to improve the quality and efficiency of their services.  To achieve
this  objective,  the Company is  pursuing a growth  strategy  comprised  of the
following elements:

   o  PROVIDE COMPREHENSIVE SUITE OF EDI SOLUTIONS. The Company believes that it
      is critical to provide a full range of state of the art EDI  solutions  to
      clients at every stage of the healthcare transaction spectrum. The Company
      strives to develop fully modular products with open  architecture to allow
      for  easy  installation  and  integration  with  existing  systems.  These
      features enhance the ability of the Company to offer one-stop shopping for
      a client's EDI needs.

   o  FURTHER  PENETRATE  EXISTING  CLIENT BASE.  The Company  believes that the
      market  for EDI  transaction  processing  among its  current  clients  has
      significant  potential.  As EDI becomes more  widespread in the healthcare
      industry,   the  use  of  emerging  EDI  products  and  services  such  as
      eligibility,   enrollment,   electronic   credit  card   transactions  and
      electronic statement processing will become increasingly commonplace.  The
      Company  believes  that it is well  positioned to cross sell such emerging
      products and services to its existing client base.

   o  DEVELOP NEW EDI PRODUCTS AND SERVICES.  The Company intends to develop new
      EDI solutions to meet the evolving electronic transaction processing needs
      of its existing and future healthcare  clients.  The Company believes that
      the use of EDI will expand to  encompass an  increasing  range of services
      such as referrals, remittances and workers' compensation transactions. The
      Company has a team of 97 research and  development  and technical  support
      professionals dedicated to developing,  supporting and commercializing new
      and enhanced EDI solutions.  In addition, the Company intends to undertake
      acquisitions in order to expand its suite of product offerings.

   o  UTILIZE  STRATEGIC  PARTNERSHIPS  TO EXPAND  CLIENT BASE.  MEDE  AMERICA's
      strategic  alliances  with vendors,  distributors  and dealers of practice
      management   software   have   played  an   important   role  in  building
      relationships  with small groups of physicians,  pharmacists and dentists.
      These companies  promote MEDE AMERICA's EDI products as a modular addition
      to their  practice  management  software.  The Company also has  strategic
      relationships with large hospital groups,  Medicaid  intermediaries,  PBMs
      and professional  organizations.  The Company believes that such strategic
      partnerships provide important  opportunities for increasing the Company's
      revenue base.

   o  PURSUE STRATEGIC ACQUISITIONS.  Currently, the EDI market includes several
      hundred  regional EDI service  providers  which occupy  selected niches in
      specialized  markets  and  geographical  areas.  The  Company  intends  to
      capitalize on the  fragmented  market for the provision of EDI services by
      aggressively pursuing consolidation opportunities in order to increase its
      client  and  revenue  base,  expand  its  product  suite,  enter  into new
      geographic markets,  utilize its operating leverage to increase efficiency
      and add new talent and  technical  capacity in  emerging  areas of the EDI
      processing industry.

SUITE OF EDI PRODUCTS AND SERVICES

     MEDE  AMERICA's  products and  services  enable its  healthcare  clients to
process and transmit  transactions  more  efficiently and  accurately,  reducing
costs and  increasing  overall  processing  speed.  The  Company's  EDI products
incorporate open architecture  designs and "best of breed" technology and may be
purchased as modular additions to existing data storage and retrieval systems or
as part of a  comprehensive  EDI  processing  system.  They are  designed  to be
compatible  with a broad  variety  of  hospital,  medical,  pharmacy  and dental
practice management and billing systems. In addition,  new products can be added
to respond to changing  client  requirements.  The  scalability of the Company's
products  permits  its clients to  accommodate  increasing  transaction  volumes
without  substantial  new  investments  in software and hardware.  The following
table illustrates the breadth of the Company's product and service offerings:

                                       44

<PAGE>

               MEDE AMERICA'S SUITE OF EDI PRODUCTS AND SERVICES

<TABLE>
<CAPTION>
  NAME OF PRODUCT/SERVICE                   DESCRIPTION OF
    AND MARKETS SERVED                 PRODUCT/SERVICE FEATURES                           CLIENT BENEFITS
- -------------------------- ----------------------------------------------- --------------------------------------------
<S>                        <C>                                             <C>
HEALTHCARE CLAIM
 PROCESSING

MEDEClaim --               o Downloads  claims data from client soft-      o Accelerates  cash flow through  faster
 All  Markets                ware  applications  and  provides  claims        claim reimbursement.
                             data entry and correction capability. Ed-     o Increases cash flow through high level of
                             its, formats and screens transaction data        payor acceptance of edited claims.
                             to meet payor-specific requirements.          o Improves accounts receivables manage-
                                                                             ment.
                                                                           o Reduces administrative expenses.

OTHER CLAIM SERVICES
MEDE Assist --             o Bills,  on a batch  basis,  pharmacy  pre-    o Improves  accounts receivable manage- 
 Pharmacy                    scriptions and performs non-electronic          ment and accelerates cash flow.
                             reconciliation and payor accounts re-         o Reduces administrative expenses.
                             ceivable management.

Claims Tracking --         o Tracks and provides a lock box service        o Improves accounts receivable manage-
  Dental                     for payor reimbursements.                       ment and accelerates cash flow.

ELIGIBILITY VERIFICATION
MEDE Eligibility --        o Verifies patients' eligibility for specific   o Reduces costs by minimizing fraud.
  All Markets                healthcare benefits for Medicaid and          o Ensures patient services are supported
                             commercial payors.                              by a designated health benefit plan.
                                                                           o Reduces administrative expenses.

MEDICAID ENROLLMENT
Medicaid                   o Processes and tracks Medicaid enrollment      o Reduces expenses through on-line
  Enrollment Manage-         applications allowing for the verification      application process.
  ment System (MEMS)         and processing of Medicaid claims. Uti-       o Reduces application processing time.
  -- Medical                 lized by hospitals and government agen-       o Improves Medicaid claims billing and col-
                             cies in New York, New Jersey and                lection.
                             California.                                   o Reduces bad debt.

TRANSACTION SWITCHING
MEDE Xchange --            o Routes real-time and batch transaction        o Reduces costs.
  All Markets                data from clients to facilitate transaction   o Increases network availability and
                             transmission to payors.                         reliability.
                           o Supports a broad array of access methods      o Provides extensive payor connectivity. 
                             including dial-up, dial
                             to packet, ISDN and frame relay.

</TABLE>

                                       45

<PAGE>
<TABLE>
<CAPTION>
 NAME OF PRODUCT/SERVICE                  DESCRIPTION OF
    AND MARKETS SERVED               PRODUCT/SERVICE FEATURES                          CLIENT BENEFITS
- ------------------------- --------------------------------------------- --------------------------------------------
<S>                       <C>                                           <C>
REAL-TIME BENEFIT
 MANAGEMENT
MEDE Select --            o Adjudicates on-line claims, incorporat-     o Accelerates cash flow through faster
  All Markets               ing patient eligibility and benefit review.   claim reimbursement.
                                                                        o Increases cash flow through high level of
                                                                          payor acceptance of edited claims.
                                                                        o Improves accounts receivables manage-
                                                                          ment.   
                                                                        o Reduces administrative expenses.

PHARMACY PRACTICE
 MANAGEMENT
 SYSTEMS (PPM)
Solution Plus --          o Facilitates dispensing, inventory and       o Expands drug pricing and coverage
  Pharmacy                  pricing of products for hospital, outpa-      capabilities.
                            tient and clinic pharmacies.                o Improves cash flow.
                          o Provides on-line claims adjudication.       o Improves efficiency of pharmacy
                                                                           management and operations.

OTHER PRODUCTS AND
 SERVICES
Link --                   o Connects physicians to pharmacies for the   o Reduces costs related to manual genera-
 Medical and Pharmacy       transmission of prescriptions and related     tion and transmission of prescriptions.
                            information and approvals.                  o Increases accuracy and transmission speed
                                                                          of prescriptions.

Formulary                 o Administers and manages formulary pro-      o Reduces drug costs and increases PBM
  Management --             grams for PBMs.                               revenue through manufacturer incentives,
  Pharmacy                o Promotes the usage by healthcare plans of   o Promotes compliance with payor formu-
                            designated drug products.                     laries.

Patient Statements --     o Facilitates patient statement billing.      o Reduces costs and improves patient
  All Markets                                                             relations.

Credit/Debit Card and     o Assists patients in making co-payments or   o Reduces bad debt and enhances patient
  Check Guarantee --        paying other out-of-pocket charges.           convenience.
  All Markets

Additional EDI            o Processes data relating to referrals, en-   o Reduces practice expense and improves
  Transactions --           counters and benefit pre-certifications.      efficiency and patient relations.
  All Markets

</TABLE>

CLIENTS
   

     The Company  markets  its  products  primarily  to  hospitals,  pharmacies,
physicians,   dentists  and  other  healthcare  providers  and  provider  groups
(including HMOs, PPOs and healthcare practice management  vendors).  The Company
processes  transactions  for  providers  in  all  50  states,  with  75%  of its
transactions generated by providers in 28 states. The Company believes it is one
of the  largest  pharmacy  transaction  routers  in the U.S.  (based on  volume)
serving more than 42,000 pharmacies in various EDI capacities.  MEDE AMERICA has
a strong  presence in the medical  market in New York,  New Jersey,  California,
    

                                       46

<PAGE>
   
Florida,  Minnesota,  and Ohio,  currently  providing  EDI services to more than
1,000 hospitals and clinics,  and 14,000 physicians.  In the dental market, MEDE
AMERICA serves more than 8,000 dental  offices.  No single client of the Company
accounted for more than 3% of the Company's revenues in fiscal year 1997.

    

SALES, MARKETING AND CLIENT SERVICES

   
     The  Company  markets  its  products  through a  national  sales and client
services  organization  consisting of 75 sales associates organized according to
market, client type and product category. The Company also has a client services
organization  consisting  of 57  associates  dedicated  to help desk and  client
support  functions.  A  significant  component  of  compensation  for all  sales
personnel is performance based, although the Company bases quotas and bonuses on
a number of factors in addition to actual sales, such as client satisfaction and
collection of receivables.     

     MEDE AMERICA's marketing efforts include direct sales, telesales, strategic
partnerships   with  healthcare   vendors,   trade  shows,   direct   marketing,
telemarketing,  the Internet,  and specific  advertising and marketing campaigns
where  appropriate.  In the medical and pharmacy markets,  the Company's current
strategic  business  alliances include  relationships with some of the country's
largest hospitals,  hospital  networks,  hospital  information  systems vendors,
practice management software vendors,  pharmacy chains, healthcare organizations
and payors.  The Company also maintains  strategic  alliances with certain state
Medicaid programs.

     MEDE AMERICA's strategic  alliances with vendors,  distributors and dealers
of  practice  management  software  have  played an  important  role in building
relationships  with  individual and small groups of  physicians,  pharmacies and
dentists.  These  companies  promote  MEDE  AMERICA's  EDI  products  as modular
additions  to their  practice  management  software.  MEDE  AMERICA has also won
endorsements from 18 state dental associations,  representing nearly half of all
dentists in practice  today.  The Company's  sales  channels  include  targeting
dental practice  management  companies and payor-driven  programs aimed at their
network  providers.  Recent  significant  expansion  of  MEDE  AMERICA's  direct
connectivity to dental payors has contributed to its ability to generate revenue
from this market  while at the same time  eliminating  its  dependence  on other
processors and clearinghouses.

RESEARCH AND DEVELOPMENT

   

     As of June 30, 1998, the Company employed 65 people in the areas of product
design,  research  and  development,  and 32  people  in the  areas  of  quality
assurance and technical support.  The Company's product development  strategy is
focused on continuous  enhancement  of its existing  products to increase  their
functionality  and  ease  of  use,  and  the  development  of new  products  for
additional  EDI  transactions  and  telecommunications   offerings.   Particular
attention  is devoted to the  ongoing  integration  of  developed  and  acquired
systems and applications into a consolidated  suite of EDI product offerings and
supporting services for the markets served by the Company.

    

     In the Company's 1995, 1996 and 1997 fiscal years, research and development
expenditures  totaled  $2,051,000,  $2,132,000  and  $3,278,000,   respectively,
representing approximately 13%, 7% and 9%, respectively,  of the Company's total
revenues.  See "Management's  Discussion and Analysis of Financial Condition and
Results of Operations."

TECHNOLOGY AND OPERATIONS

     MEDE   AMERICA    recognizes   the   crucial   role   of   technology   and
telecommunications  in the EDI marketplace.  Since the beginning of fiscal 1996,
the  Company  has  acquired  new  hardware  and  software  and made data  center
improvements  costing  more  than $5.0  million.  As a result,  the  Company  is
currently operating at approximately  one-third of its operating  capacity.  The
continuing  use of newer  emerging  technologies  and platforms has  contributed
significantly to the Company's current  operational  position.  Examples of such
innovations  include the use of Internet  technologies  for data  transmissions,
on-line transaction monitoring tools and development of Windows-based  front-end
applications for clients.

                                       47

<PAGE>
Advanced Open Architecture

     MEDE AMERICA's  products and applications  offer clients the benefits of an
"open  architecture"  EDI system.  As a result,  a client's system can expand or
change  without  incurring  significant  incremental  capital  expenditures  for
hardware or  software.  The open  architecture  of the  Company's  systems  also
improves reliability and connectivity, and facilitates the cross selling of MEDE
AMERICA's products, in part because of the following characteristics:

   o  SCALABILITY.  The Company's systems are designed to take full advantage of
      the client/server environment,  UNIX operating systems and Redundant Array
      of Inexpensive Disks ("RAID") technology, allowing clients to expand their
      processing   capacity  in  order  to  accommodate   the  growth  of  their
      businesses.

   o  MODULARITY.  The Company's  client/server systems have been developed with
      discrete functionality that can be replicated and utilized with additional
      hardware. This modularity enables MEDE AMERICA to optimize application and
      hardware performance.

   o  REDUNDANCY.  The implementation of a dual site,  geographically  dispersed
      On-Line  Transaction  Processing  ("OLTP")  switch  (Twinsburg,  Ohio  and
      Mitchel  Field,  New  York)  and  RAID  technology  for  batch  processing
      significantly  reduces  the risk of  business  interruption.  Each site is
      designed to be entirely self-supporting.

   o  OPEN SYSTEMS. Through the use of an open systems architecture MEDE AMERICA
      is able to add new functionality to applications  without re-designing its
      applications or architecture.

   o  INDUSTRY  STANDARDS.  Through  the  adoption  and active use of  pertinent
      standards for healthcare EDI  processing,  MEDE AMERICA can support client
      and payor processing requirements and provide standard interfaces to other
      EDI processing organizations.

   o  EASE OF USE. The Company's products are either  Windows-based or GUI-based
      and  function  in UNIX,  Novell  and  Windows NT  operating  environments,
      thereby enhancing ease of use by MEDE AMERICA's clients.

   o  TELECOMMUNICATIONS OFFERINGS. MEDE AMERICA is an early adopter of emerging
      telecommunications  systems  enabling  the  Company  to  migrate  to newer
      services,  such as ISDN,  dial to packet,  frame  relay,  virtual  private
      networks  and Internet  communications.  These new  offerings  provide the
      Company with a competitive  advantage  through  improved service levels or
      pricing. To ensure reliable  connectivity to its EDI clients,  the Company
      has established relationships with multiple telecommunications vendors.

COMPETITION

     Competition  in the market  for the  Company's  products  and  services  is
intense and is expected to increase.  The EDI market is characterized by rapidly
changing  technology,  evolving  user  needs and  frequent  introduction  of new
products.  Many of the  Company's  competitors  and potential  competitors  have
significantly greater financial,  technical, product development,  marketing and
other resources and market  recognition than the Company.  In addition,  many of
the  Company's  competitors  also  currently  have,  or may  develop or acquire,
substantial  installed client bases in the healthcare  industry.  As a result of
these factors, the Company's  competitors may be able to respond more quickly to
new or emerging  technologies,  changes in client  requirements  and  political,
economic or regulatory  changes in the healthcare  industry,  and may be able to
devote  greater  resources  to the  development,  promotion  and  sale of  their
products than the Company.

     The Company's  principal  competitors  include  National Data  Corporation,
Envoy   Corporation   and  SSI,  Inc.  in  claims   processing  and  eligibility
verification;  QuadraMed Corporation in claims processing; Medifax, Inc. and HDX
Healthcare  Data Exchange  Corporation  in eligibility  verification;  and Envoy
Corporation  in  the  dental  market.  MEDE  AMERICA  also  may  face  potential
competition from other companies not currently involved in healthcare electronic
data  transmission,  which may enter the market as EDI becomes more established.
The Company believes that existing and potential clients in the

                                       48

<PAGE>
healthcare  EDI  market  evaluate  the  products  and  services of competing EDI
providers  on  the  basis of the compatibility of the provider's software, cost,
ease  of  installation,  the  range  of  applications  available, the quality of
service   and   the   degree   of  payor  connectivity.  See  "Risk  Factors  --
Competition."

GOVERNMENT REGULATION

     The  healthcare  industry  in the  United  States is  subject  to  changing
political,  economic and regulatory  influences  that may affect the procurement
practices and  operations of healthcare  organizations.  During the past several
years,  the  healthcare  industry  has been  subject  to  increasing  levels  of
governmental regulation of, among other things,  reimbursement rates and certain
capital  expenditures.  For example,  legislation  has been  proposed that would
mandate  standards and impose  restrictions on the Company's ability to transmit
healthcare data and recently,  Congress has had under consideration proposals to
reform the healthcare system. While some of these proposals,  if enacted,  could
increase the demand for EDI products and services in the healthcare  industry by
emphasizing cost  containment,  they might change the operating  environment for
the Company's clients in ways that cannot be predicted. Healthcare organizations
could react to these proposals by curtailing or deferring investments, including
those for the Company's products and services.

     The  confidentiality  of patient records and the circumstances  under which
such  records may be released  for  inclusion  in the  Company's  databases  are
subject to substantial  regulation.  State laws and regulations  govern both the
disclosure  and the use of  confidential  patient  medical  record  information.
Although  compliance with these laws and  regulations is at present  principally
the  responsibility  of the hospital,  physician or other  healthcare  provider,
regulations governing patient  confidentiality  rights are evolving rapidly. The
Health Insurance  Portability and Accountability  Act, passed in 1997,  mandates
the establishment of national standards for the confidentiality of patient data,
as well as record keeping,  data format and data security  obligations that will
apply to transaction processors,  among others. It is possible that standards so
developed  will  necessitate  changes to the  Company's  operations.  Additional
legislation  governing the dissemination of medical record  information has been
proposed at both the  federal and state  levels.  This  legislation  may require
holders of such  information  to implement  security  measures  that may require
substantial  expenditures by the Company. There can be no assurance that changes
to state or federal laws will not materially  restrict the ability of healthcare
providers  to submit  information  from  patient  records  using  the  Company's
products.   See  "Risk  Factors  --  Proposed  Healthcare  Data  Confidentiality
Legislation."

YEAR 2000 COMPLIANCE

   
     Many currently  installed  computer systems and software products are coded
to accept only two digit entries in the date code field.  These date code fields
will need to accept four digit  entries to  distinguish  21st century dates from
20th century  dates.  As a result,  prior to January 1, 2000,  computer  systems
and/or  software  used by many  companies may need to be upgraded to comply with
such "Year 2000"  requirements.  Significant  uncertainty exists in the software
industry concerning the potential  consequences of the Year 2000 phenomenon.  To
date, the Company has expended  approximately  $160,000 in addressing  Year 2000
problems.  The Company  estimates that it will incur  approximately  $860,000 in
additional costs relating to its Year 2000 compliance  program;  however,  there
can be no  assurance  that such  amount  will be  sufficient  to cover all costs
relating to Year 2000  issues.  The Company  believes  that the  majority of all
transactions  being processed by it are running on Year 2000 compliant  systems.
However,  the Company  believes  that some systems with which its own  computers
interact (for example,  some payor and practice  management systems) are not yet
Year 2000 compliant,  and that the failure of these systems to be made Year 2000
compliant  in a  timely  manner  may  adversely  affect  some  of the  Company's
operations.  In addition,  certain systems  operated by MEDE AMERICA are not yet
Year 2000 compliant.  The applications  running on these systems are expected to
be  discontinued,  migrated  to other  systems or  corrected  before  2000.  See
"Management's  Discussion  and  Analysis of Financial  Condition  and Results of
Operations -- Year 2000 Compliance." However, there can be no assurance that the
Company's  systems will achieve Year 2000  compliance in a timely manner,  if at
all. See "Risk Factors -- Year 2000 Compliance."     

EMPLOYEES

   
     As of June 30,  1998,  the Company  employed 364 people,  including  112 in
operations,  75 in sales, 12 in marketing, 57 in client services, 65 in research
and development, 15 in finance, 18 in administration     

                                       49
<PAGE>
and  ten in corporate. None of the Company's employees is represented by a union
or  other  collective  bargaining  group.  The Company believes its relationship
with its employees to be satisfactory.

FACILITIES

     The following chart  summarizes the Company's  facilities and their monthly
transaction capacities:

<TABLE>
<CAPTION>
                                                                            ESTIMATED
                                                                             MONTHLY
                                                                           TRANSACTION        OWNED/LEASE
           FACILITY             PERSONNEL         TRANSACTION TYPE           CAPACITY       EXPIRATION DATE
- ------------------------------ ----------- ------------------------------ ------------- ----------------------
<S>                            <C>         <C>                            <C>           <C>
Ohio (Primary Medical and          152     Eligibility                      2,000,000   Owned
 Pharmacy Data Center)                     Real-Time Benefit Management     6,000,000
                                           Switching                       48,000,000

New York (Secondary Medical         33     Eligibility Enrollment           2,000,000   January 2003
 and Pharmacy Data Center)                                                     25,000

Georgia (Dental Data Center)        56     Dental Claims                    1,600,000   January 2001

Corporate Headquarters,            115     Real-Time Benefit Management     2,000,000   Various dates between
 Sales & Development                                                                    January 1999 and Feb-
 Offices (5 sites) and                                                                  ruary 2003.
 PBM Processing

</TABLE>

INTELLECTUAL PROPERTY

     The Company considers its methodologies,  computer software and many of its
databases  to be  proprietary.  The  Company  relies on a  combination  of trade
secrets,  copyright and trademark  laws,  contractual  provisions  and technical
measures to protect its rights in various methodologies,  systems,  products and
databases.  The Company has no patents covering its software technology.  Due to
the nature of its  application  software,  the Company  believes that patent and
trade secret  protection  are less  significant  than the  Company's  ability to
further  develop,  enhance  and  modify  its  current  products.   However,  any
infringement  or  misappropriation  of the  Company's  proprietary  software and
databases  could  disadvantage  the Company in its efforts to retain and attract
new clients in a highly  competitive  market and could cause the Company to lose
revenues or incur substantial  litigation expense.  The Company seeks to protect
its  proprietary   information   through   nondisclosure   agreements  with  its
consultants,   clients  and  potential  clients,   and  limits  access  to,  and
distribution of, its proprietary information. See "Risk Factors -- Dependence on
Intellectual Property; Risk of Infringement."

     Substantial litigation regarding intellectual property rights exists in the
software  industry,  and the  Company  expects  that  software  products  may be
increasingly  subject  to  third-party  infringement  claims  as the  number  of
competitors in the Company's  industry  segment grows and the  functionality  of
products  overlaps.  Although  the  Company  believes  that its  products do not
infringe on the  intellectual  rights of others,  there can be no assurance that
such a claim will not be asserted  against the Company in the future,  or that a
license or similar  agreement will be available on reasonable terms in the event
of an unfavorable  ruling on any such claim.  See "Risk Factors -- Dependence on
Intellectual Property; Risk of Infringement."

LEGAL PROCEEDINGS

   

     In June  1995,  the  Company  acquired  substantially  all of the assets of
Latpon for a purchase price of $2,470,000,  plus the assumption of approximately
$963,000 of  liabilities.  On June 6, 1998,  Curtis J. Oakley  filed a complaint
with the  Supreme  Court of the  State of New York,  County of Nassau  asserting
multiple causes of action against several  persons,  including a cause of action
naming the  Company as a  defendant,  based on his  alleged  ownership  of a 22%
interest in Latpon.  According to the complaint,  Mr. Oakley's claim against the
Company  is for $2  million or such  other  amount as may be  equivalent  to the
present value of his alleged  ownership  interest in Latpon's  predecessor.  The
Company  believes  that it is fully  indemnified  by the former owners of Latpon
under the Latpon acquisition agreement against any costs or damages arising from
this claim.  By letter dated July 10, 1998,  one of the former  owners of Latpon
confirmed  that he would  indemnify the Company in accordance  with the terms of
the acquisition agreement.     

                                       50
<PAGE>
                                  MANAGEMENT

DIRECTORS AND EXECUTIVE OFFICERS

     The directors and executive officers of the Company are as follows:

<TABLE>
<CAPTION>

               NAME                   AGE    POSITION
- ----------------------------------   -----   -----------------------------------
<S>                                  <C>     <C>
Thomas E. McInerney(2) ...........    56     Chairman of the Board of Directors

Thomas P. Staudt .................    45     President and Chief Executive Officer, Director

Richard P. Bankosky ..............    55     Chief Financial Officer, Treasurer and Secretary

James T. Stinton .................    48     Chief Information Officer

William M. McManus ...............    43     Senior Vice President and General Manager -- Medical
                                             and Pharmacy

Roger L. Primeau .................    55     Senior Vice President and General Manager -- Dental

Anthony J. de Nicola(1) ..........    33     Director

Timothy M. Murray(1)(2) ..........    45     Director
</TABLE>
- ----------
(1) Member of Audit Committee

(2) Member of Compensation Committee

     Set  forth  below is  information  about  each of the  Company's  executive
officers and directors.

     THOMAS E.  MCINERNEY  has been  Chairman of the Board of  Directors  of the
Company since March 1995 and a general partner of WCAS, an investment firm which
specializes  in the  acquisition  of companies in the  information  services and
healthcare  industries,  since  September  1986.  Prior  to  joining  WCAS,  Mr.
McInerney was President and Chief Executive  Officer of Dama  Telecommunications
Corporation,   a  voice  and  data  communications  services  company  which  he
co-founded  in 1982.  Mr.  McInerney  has also been  President of the  Brokerage
Services Division and later Group Vice President-Financial Services of ADP, with
responsibility  for the ADP divisions  that serve the  securities,  commodities,
bank,  thrift and electronic funds transfer  industries,  and has held positions
with the American Stock Exchange,  Citibank and American Airlines. Mr. McInerney
holds a B.A. degree from St. Johns University,  and attended New York University
Graduate  School  of  Business  Administration.  He  is  a  director  of  Aurora
Electronics, Inc., The BISYS Group, Inc. and several private companies.

     THOMAS  P. STAUDT has been a director and the President and Chief Executive
Officer  of  the  Company  since  March  1995.  He served as President and Chief
Operating  Officer  of  CES  from  May 1993, and as a director from August 1994,
until  the  sale  of  CES  to  First  Data  Corporation and the formation of the
Company  in  March  1995. At CES, Mr. Staudt was responsible for credit card and
healthcare  transaction  processing operations. Prior to joining CES, Mr. Staudt
was  President and Chief Operating Officer of Harbridge Merchant Services, Inc.,
which  he  joined in December 1991. Mr. Staudt has also held positions with A.C.
Nielsen,  a  subsidiary  of  Dun & Bradstreet Corporation, and Wells Fargo Bank.
Mr.  Staudt  holds  a B.S. degree from the U.S. Naval Academy and an M.B.A. from
San Francisco State University.

     RICHARD  P.  BANKOSKY  has  been  Chief  Financial  Officer,  Treasurer and
Secretary  of  the  Company since May 1996. He served as Chief Financial Officer
and  Treasurer  for TII Industries, Inc. from April 1995 to February 1996. Prior
to  joining TII, he was Chief Financial Officer, Treasurer and Secretary for TSI
International  Software  Ltd from February 1989 to April 1995. Mr. Bankosky also
served  as  Chief  Financial  Officer and Secretary for V Band Systems Inc., was
founder  and  Chief  Operating  Officer  of NCR Credit Corporation and served as
Director  of  Corporate Development at NCR Corporation. He holds a B.E.E. degree
in  Computers  and  Electrical Engineering from Rensselaer Polytechnic Institute
and an M.B.A. from Adelphi University.

                                       51
<PAGE>
     JAMES T. STINTON has been Chief  Information  Officer of the Company  since
October  1995.  He served as Release  Manager at Charles  Schwab & Company  from
April 1992 to  September  1995.  In that  position  he was  responsible  for the
development,  coordination,  testing and implementation for the Microsoft NT and
UNIX Client Server software.  Prior to joining Charles Schwab & Company,  he was
POS Systems  Architect and Vice President at Wells Fargo Bank from February 1982
to April 1992.  Mr. Stinton holds a degree from ONC Business  Studies,  Coventry
Technical College,  Coventry,  England, and a graduate certificate from Consumer
Banking Association,  Retail Banking Management, McIntire Business School of the
University of Virginia.

     WILLIAM M. MCMANUS has been Senior Vice  President  and General  Manager --
Pharmacy and Medical of the Company since May 1997 and Senior Vice President and
General  Manager --  Pharmacy  since  February  1996.  From  April 1994  through
February  1996  he  was  head  of  pharmacy   system  sales  for  National  Data
Corporation. In that position he had overall responsibility for sales, marketing
and product  management  programs.  Prior to April 1994, Mr. McManus held senior
level positions at OmniSYS,  Inc., Healthcare Computer  Corporation,  PDX, Inc.,
and the computer  division of Foxmeyer  Corporation.  Mr.  McManus  holds a B.S.
degree in Health and Physical  Education  from the  University of South Carolina
and completed  postgraduate  courses in education and pharmacy at the University
of South Carolina.

     ROGER  L.  PRIMEAU  has  been  Senior Vice President and General Manager --
Dental  of the Company since October 1996. From August 1989 through June 1996 he
was   Vice   President,   Administration  and  Customer  Relations  of  National
Electronic  Information Corporation ("NEIC"). Prior to joining NEIC, Mr. Primeau
worked  at Columbia Life Insurance Co. and Aetna Life & Casualty in a variety of
management  positions.  Mr.  Primeau  holds  a  B.S. degree in Biology from Holy
Cross College.

     ANTHONY  J.  DE  NICOLA has been a director of the Company since March 1995
and  has been a general partner of WCAS since April 1994. Prior to joining WCAS,
Mr.  de  Nicola  was  an  associate  at  William  Blair  &  Company,  L.L.C., an
investment   banking  firm  with  which  he  had  been  affiliated  since  1990.
Previously,  Mr.  de Nicola worked in the Mergers and Acquisitions Department of
Goldman  Sachs  &  Co.  and held positions at McKinsey & Company and IBM. Mr. de
Nicola  holds  a  B.A.  degree from DePauw University and an M.B.A. from Harvard
Business  School.  He  is  a  director  of  SEER  Technologies, Inc. and several
private companies.

     TIMOTHY  M.  MURRAY has been a director of the Company since March 1995 and
is  a  principal  of William Blair & Company, L.L.C., an investment banking firm
with  which  he  has  been  associated since 1979. He has also been the managing
partner  of William Blair Leveraged Capital Fund since its formation in 1988 and
is  a  Managing  Director  of  WBCP.  Mr.  Murray  holds a B.A. degree from Duke
University  and  an  M.B.A.  from the University of Chicago. He is a director of
Daisytek International Corporation and several private companies.

THE BOARD OF DIRECTORS

COMMITTEES OF THE BOARD OF DIRECTORS

     The only  standing  committees of the Board of Directors of the Company are
the Audit Committee and the Compensation Committee.  The Audit Committee reviews
the results  and scope of audits and other  services  provided by the  Company's
independent public accountants. Its members are Messrs. de Nicola and Murray. In
May 1998, the Board of Directors  constituted a Compensation  Committee composed
of  Messrs.   McInerney  and  Murray  which  will  be  responsible   for  making
recommendations  concerning  salaries and incentive  compensation  for executive
officers of the  Company.  Prior to May 1998,  the Board of  Directors  had sole
responsibility  for  establishing  executive  officer  compensation.  Thomas  E.
Staudt, the Company's President and Chief Executive Officer, participated in the
deliberations of the Board concerning executive compensation.

COMPENSATION OF DIRECTORS

   
     Prior  to  the  Offering,   the  directors  of  the  Company   received  no
compensation  in respect of their service on the Board of  Directors.  Following
the  Offering,  under the "New Stock Plan" (as defined  in, and  described  more
fully under, "-- Employee Benefit Plans"),  each director who is not an employee
of

    
                                       52
<PAGE>
   
the Company or any parent,  subsidiary  or  affiliate  of the Company and is not
(and is not  affiliated  with) a  beneficial  owner of 5% or more of the  voting
stock of the Company (a "non-employee director") will be paid an annual retainer
of  $7,500,  plus  $1,000  for each  Board of  Directors  or  committee  meeting
attended,  and will receive annually a non-qualified stock option to purchase up
to 1,000  shares of Common Stock at the fair market value of the Common Stock on
the date of grant.

     Directors   are   entitled  to  reimbursement  for  out-of-pocket  expenses
incurred  while  attending  meetings  of  the  Board  of  Directors or committee
meetings.
    

EXECUTIVE COMPENSATION

     The  following  table  sets  forth  certain   information   concerning  the
compensation  paid by the Company to its Chief Executive Officer and each of the
four other most  highly  paid  executive  officers  of the  Company  (the "Named
Executive Officers") in the 1997 fiscal year:

                          SUMMARY COMPENSATION TABLE
   
<TABLE>
<CAPTION>
                                                                                             LONG-TERM
                                                                                            COMPENSATION
                                                       ANNUAL COMPENSATION                     AWARDS
                                        ------------------------------------------------- ---------------
                                                                                             SECURITIES
                                                                           OTHER ANNUAL      UNDERLYING       ALL OTHER
NAME AND PRINCIPAL POSITION                 SALARY($)      BONUS($)(1)   COMPENSATION($)   OPTIONS(#)(2)   COMPENSATION($)
- --------------------------------------- ----------------- ------------- ----------------- --------------- ----------------
<S>                                     <C>               <C>           <C>               <C>             <C>
Thomas P. Staudt ......................      180,000         50,000               --          220,414            --
 President and Chief Executive
 Officer
Richard P. Bankosky ...................      135,000         20,000               --           29,461            --
 Chief Financial Officer, Treasurer
 and Secretary
William M. McManus ....................      122,072         20,000           68,558           27,279            --
 Senior Vice President and General
 Manager -- Pharmacy and Medical
Roger L. Primeau ......................       85,000 (3)     12,000               --           18,113            --
 Senior Vice President and General
 Manager -- Dental
James T. Stinton ......................      152,500         20,000               --           34,917            --
 Chief Information Officer ............
</TABLE>
    
- ----------
(1) Bonuses are granted under a bonus formula annually  established by the Board
    of Directors, based upon the performance (measured by EBITDA) of the Company
    (or certain operating divisions thereof).  Unless a specified  percentage of
    the EBITDA target is achieved, no bonus is paid. EBITDA targets are adjusted
    to reflect accounting changes, acquisitions and other significant,  one-time
    events.

(2) Total number granted through June 30, 1997 (exercised and unexercised).

(3) Mr. Primeau's employment commenced in October 1996.

                                       53

<PAGE>

OPTION GRANTS IN LAST FISCAL YEAR

     The following  table sets forth  certain  information  regarding  grants of
options to purchase  Common Stock in fiscal 1997 to each of the Named  Executive
Officers:

   
<TABLE>
<CAPTION>
                                                                                             POTENTIAL REALIZABLE
                                                                                              VALUE AT ASSUMED
                                                                                               ANNUAL RATES OF
                                                                                                    STOCK
                                                                                             PRICE APPRECIATION
                                                    INDIVIDUAL GRANTS                        FOR OPTION TERM(1)
                              -------------------------------------------------------------- -------------------
                                    NUMBER OF          % OF TOTAL
                                   SECURITIES       OPTIONS GRANTED    EXERCISE
                               UNDERLYING OPTIONS   TO EMPLOYEES IN     PRICE     EXPIRATION
                                   GRANTED(#)        FISCAL YEAR(2)   ($/SHARE)      DATE      5%($)     10%($)
                              -------------------- ----------------- ----------- ----------- --------- ---------
<S>                           <C>                  <C>               <C>         <C>         <C>       <C>
Thomas P. Staudt ............         2,182               4.27%           5.73     2/14/07     7,863     19,926
Richard P. Bankosky .........         2,182               4.27%           5.73     2/14/07     7,863     19,926
William M. McManus ..........         5,455              10.68%           5.73          (3)   19,657     49,816
Roger L. Primeau ............        18,112              35.47%            (4)          (5)   65,268    165,401
James T. Stinton ............         2,182               4.27%           5.73     2/14/07     7,863     19,926
</TABLE>
    

- ----------
(1) Potential  realizable  value is based on the  assumption  that the price per
    share of  Common  Stock  appreciates  at the  assumed  annual  rate of stock
    appreciation  for the option  term.  The assumed 5% and 10% annual  rates of
    appreciation (compounded annually) over the term of the option are set forth
    in accordance with the rules and  regulations  adopted by the Securities and
    Exchange  Commission  and do not represent  the Company's  estimate of stock
    price appreciation.

   

(2) Based upon total grants of options to purchase  51,059 shares in fiscal year
    1997.

(3) Of  such  options,  2,182  expire February 14, 2007 and 3,273 expire June 9,
    2007.

(4) Of such options,  16,367 are at an exercise  price of $4.58 and 1,745 are at
    an exercise price of $5.73.

(5) Of such options,  16,367 expire September 16, 2006 and 1,745 expire February
    14, 2007.

    

AGGREGATED  OPTION  EXERCISES  IN  LAST  FISCAL  YEAR AND FISCAL YEAR-END OPTION
VALUES
   
<TABLE>
<CAPTION>
                                NUMBER OF SECURITIES UNDERLYING        VALUE OF UNEXERCISED
                                    UNEXERCISED OPTIONS AT           IN-THE-MONEY OPTIONS AT
                                       JUNE 30, 1997(#)                  JUNE 30, 1997($)
                                -------------------------------   ------------------------------
                                 EXERCISABLE     UNEXERCISABLE     EXERCISABLE     UNEXERCISABLE
                                -------------   ---------------   -------------   --------------
<S>                             <C>             <C>               <C>             <C>
Thomas P. Staudt ............      65,469           133,120          $300,000        $612,500
Richard P. Bankosky .........       5,455            24,005            25,000         112,500
William M. McManus ..........       7,637            19,641            38,750          92,500
Roger L. Primeau ............           0            18,112                 0          85,000
James T. Stinton ............       6,546            28,370            30,000         132,500
</TABLE>
    
<PAGE>
SEVERANCE AGREEMENTS

     The  Company  maintains  severance  agreements  with each of its  executive
officers  providing for salary  continuation  for a period of six months (twelve
months in the case of Mr.  Staudt) if the executive is terminated for any reason
other than malfeasance, misconduct or moral turpitude.

   

NON-COMPETITION, NON-SOLICITATION AND CONFIDENTIALITY AGREEMENTS

     Each  executive  officer and certain  other  employees  of the Company have
entered into a Non-Competition,  Non-Solicitation and Confidentiality  Agreement
with the  Company,  the terms of which are as  follows.  For a term of 12 months
following  the cessation of such  employee's  employment  with the Company,  the
employee will neither  compete with the Company in the United States nor solicit
any customer or employee of the  Company.  In  addition,  the employee  will not
disclose any trade secrets (as defined in the  agreement)  and, for a term of 12
months following the cessation of his or her employment by the Company, will not
disclose any confidential information (as defined in the agreement).

    

                                       54

<PAGE>
   
EMPLOYEE BENEFIT PLANS

     Under the MEDE AMERICA  Corporation and its  Subsidiaries  Stock Option and
Restricted  Stock  Purchase  Plan (the "Stock  Plan"),  up to 655,000  shares of
Common Stock are  reserved  for  issuance to the  officers and  employees of the
Company. These shares may be issued either outright, as restricted stock awards,
or they may be issued pursuant to either "incentive stock options" under Section
422(b) of the  Internal  Revenue  Code of 1986,  as  amended  (the  "Code"),  or
"non-qualified" stock options. As of June 30, 1998, options to purchase up to an
aggregate  483,041  shares of Common Stock were  outstanding,  of which  212,758
options were  exercisable.  The weighted  average exercise price for all options
granted under the Stock Plan is $4.84 per share.  Following  the  Offering,  the
Board of Directors has provided that no additional grants or awards will be made
under the Stock Plan.

     Under the MEDE AMERICA  Corporation and its Subsidiaries  1998 Stock Option
and Restricted  Stock Purchase Plan (the "New Stock Plan"), a variety of awards,
including  incentive stock options  intended to qualify under Section 422 of the
Internal  Revenue Code of 1986, as amended (the "Code"),  "non-qualified"  stock
options, restricted stock awards and other stock-based awards, may be granted to
officers, employees, directors,  consultants and advisors of the Company and its
subsidiaries.  An  aggregate,  1,500,000  shares of Common  Stock are  currently
reserved for  issuance  under the New Stock Plan.  The Board of  Directors  will
initially administer the New Stock Plan, but may delegate such responsibility to
a committee of the Board (the "Plan Administrator").

     The terms  and  conditions  of  individual  awards  made to  employees  and
consultants and, except as described below,  non-employee  directors,  may vary,
subject to the following  guidelines:  (i) the exercise price of options may not
be less than 85% of the fair  market  value of the  Common  Stock on the date of
grant provided,  however, that neither (a) the exercise price of incentive stock
options nor (b) the exercise price of  non-qualified  stock options  intended to
qualify as  "performance-based  compensation" within the meaning of the Code may
be less than 100% of the fair  market  value of the Common  Stock on the date of
grant (or,  in the case of  incentive  stock  options  granted to a  stockholder
owning in excess of 10% of the total  combined  voting  power of all  classes of
Company stock, 110% of the fair market value); (ii) the maximum number of shares
of Common Stock which may be the subject of awards granted to any employee under
the New Stock Plan during any calendar  year may not exceed  300,000;  (iii) the
term of incentive stock options may not exceed ten years from the date of grant;
and (iv) no awards may be granted after June 30, 2008.

     Except as described below with respect to non-employee directors,  the Plan
Administrator  determines,  within the guidelines set forth above, the amount of
each award,  the  conditions  and  limitations  applicable to the exercise of an
option,  the exercise price therefor and the form of payment that may be used to
exercise the award,  which may include cash,  check,  shares of Common Stock and
promissory notes.

     Each  non-employee  director  automatically  receives  non-qualified  stock
options to purchase up to 1,000  shares of Common  Stock upon his or her initial
election to the Board of Directors and upon each anniversary  thereof upon which
he or she is still  serving  as a  director.  The  exercise  price for each such
option  is the fair  market  value on the date of grant.  Non-employee  director
options vest six months  after grant and the exercise  period may not exceed ten
years,  provided  that,  subject to certain  exceptions in the event of death or
disability,  no non-employee director options may be exercised more than 90 days
after such director ceases to serve as a director.

     The Board of Directors may grant restricted and  unrestricted  share awards
entitling  recipients to acquire shares of Common Stock, subject to the right of
the Company to repurchase  all or a part of such shares at their  purchase price
from  the  recipient  in  the  event  that  conditions  specified  by  the  Plan
Administrator  are not satisfied  prior to the end of the applicable  restricted
period.  Shares  of  restricted  stock may not be sold,  assigned,  transferred,
pledged or otherwise  encumbered during the applicable  restricted  period.  The
Plan  Administrator  may, in its sole  discretion,  grant or sell (at a purchase
price per share equal to at least 85% of the fair market value) shares of Common
Stock  free of any  restrictions  under  the New Stock  Plan.  In the event of a
merger or sale of all or substantially all the assets of     

                                       55

<PAGE>
   
the Company, the Board of Directors may, in its discretion, take any one or more
of certain actions including  accelerating all unvested or unrealizable  awards,
terminating  all  unexercised  options and requiring  the  acquiring  company to
assume all outstanding awards.

     While the Company  currently  anticipates  that most  grants  under the New
Stock Plan will consist of stock options,  the Company may also grant restricted
stock awards, which entitle recipients to acquire shares of Common Stock subject
to certain  conditions.  Options or other awards that are granted  under the New
Stock Plan but expire  unexercised  are available for future grants.  Vesting of
options  under  the New Stock  Plan  would be  subject  to  acceleration  at the
discretion of the Board of Directors under certain circumstances.

    

     Under the  Company's  1998  Employee  Stock  Purchase  Plan (the  "Purchase
Plan"),  employees  of the Company,  including  directors of the Company who are
employees,  are eligible to  participate  in quarterly  plan  offerings in which
payroll  deductions may be used to purchase shares of Common Stock. The purchase
price of such shares is the lower of 85% of the fair market  value of the Common
Stock on the day the offering  commences and 85% of the fair market value of the
Common  Stock on the date the offering  terminates.  The first  offering  period
under the Purchase Plan will not commence until the completion of the Offering.

   
     In fiscal  1998,  the Company has granted  options to purchase an aggregate
37,095  shares of Common  Stock to the Named  Executive  Officers,  as  follows:
12,001 shares for Mr. McManus,  8,729 shares for Mr. Staudt and 5,455 shares for
each of Messrs.  Bankosky,  Stinton and  Primeau.  Such options have an exercise
price of $5.73 per share of Common Stock.

     In addition,  on [July ], 1998, the Board the Directors determined to grant
options to purchase an  aggregate  400,000  shares of Common Stock under the New
Stock Plan to certain  employees of the Company  (including the Named  Executive
Officers)  contingent  upon  consummation of the Offering.  Such options,  which
include both incentive and  non-qualified  stock options,  will have an exercise
price equal to the price to the public in the Offering and  generally  will vest
ratably  over  four  years  from  the  date of grant  except  that  the  initial
installment of options to be granted to certain  executive  officers,  including
the Named Executive  Officers,  will vest immediately  upon  consummation of the
Offering.  The grants to be received by each of the Named Executive Officers are
as follows:  160,000  shares for Mr.  Staudt,  40,000 shares for each of Messrs.
Bankosky and McManus,  16,000 shares for Mr.  Primeau and 30, 000 shares for Mr.
Stinton.

    
                                       56
<PAGE>
                             CERTAIN TRANSACTIONS

     In June 1995, the Company acquired MEDE OHIO,  through a merger between the
Company  and the  parent of MEDE  OHIO  ("Parent").  Parent  was owned by Welsh,
Carson,  Anderson & Stowe V, L.P. ("WCAS V"), which had formed Parent to acquire
MEDE  OHIO in an all  cash  merger  that was  consummated  in  March  1995.  The
acquisition price of MEDE OHIO, including amounts required to finance the merger
and to provide MEDE OHIO with working capital and pre-merger  bridge  financing,
was approximately $22.6 million. The exchange ratio in the merger between Parent
and  the  Company  was  based  on the  acquisition  cost  of  MEDE  OHIO  and an
independent  valuation of the Company that was performed in connection  with the
spin-off of the  Company by CES.  In the merger and a related  offering to raise
working  capital for the  Company,  the Company  issued an  aggregate  1,772,354
shares of Common Stock and 171,889 shares of Preferred Stock to investment funds
and individuals  affiliated with WCAS, and an aggregate 866,504 shares of Common
Stock and 28,987 shares of Preferred Stock to investment  funds  affiliated with
WBCP.

     In October 1995, WCAS V and Welsh, Carson, Anderson & Stowe VI, L.P. ("WCAS
VI"),  each  advanced  the Company  $1.75  million as bridge  financing  for the
Company's acquisition of EC&F and Premier. The loan bore interest at the rate of
10% per annum and matured on December 31, 1995.  The Company  repaid the loan in
December 1995.

   
     On  December  18,  1995,   the  Company   issued  to  its  four   principal
stockholders,  WCAS V, WCAS VI, William Blair Capital  Partners V, L.P.  ("Blair
V"), and William Blair  Leveraged  Capital  Fund,  Limited  Partnership  ("Blair
LCF"),  warrants to purchase an  aggregate  52,532  shares of Common Stock at an
exercise  price of $4.58  per  share  in  connection  with  their  agreement  to
guarantee the Company's obligations under the Credit Facility.

     On  January  10,  1997,  the  Company  increased  the  amount of  available
borrowings under the Credit Facility, and in connection therewith,  WCAS V, WCAS
VI, Blair V and Blair LCF, each agreed to guarantee  payment of a portion of the
additional debt to be incurred under the increased credit line. In consideration
for such  guarantees,  the Company  issued to WCAS V, WCAS VI, Blair V and Blair
LCF  warrants  to purchase  an  aggregate  18,330  shares of Common  Stock.  The
warrants  have a ten-year  term and the exercise  price  thereunder is $5.73 per
share.

     On  October  31,  1997,  the  Company  increased  the  amount of  available
borrowings under the Credit Facility, and in connection therewith,  WCAS V, WCAS
VI, Blair V and Blair LCF each agreed to  guarantee  payment of a portion of the
additional debt to be incurred under the increased credit line. In consideration
for such  guarantees,  the Company  issued to WCAS V, WCAS VI, Blair V and Blair
LCF  warrants  to purchase  an  aggregate  34,200  shares of Common  Stock.  The
warrants  have a ten year term and the exercise  price  thereunder  is $5.73 per
share.

     On February 14, 1997 the Company issued a 10% Senior  Subordinated Note due
February  14, 2002 in the  principal  amount of  $25,000,000,  plus an aggregate
370,993  shares of Common  Stock,  to WCAS Capital  Partners II, L.P.  ("WCAS CP
II"), for an aggregate purchase price of $25,000,000. WCAS CP II is an affiliate
of each of WCAS V and WCAS VI, and Thomas McInerney and Anthony de Nicola,  both
directors  of the Company,  are general  partners of the sole WCAS CP II general
partner. The Company intends to use a portion of the proceeds of the Offering to
repay in full the Credit Facility and the 10% Senior Subordinated Note. See "Use
of Proceeds." The Company does not anticipate  further borrowing from or seeking
further loan guarantees from any of the entities referred to above.     

     In connection  with the Offering,  the terms of the Preferred Stock will be
amended to provide for  conversion  of the  aggregate  liquidation  value of the
Preferred Stock including  accrued but unpaid dividends into Common Stock at the
price per share  received by the Company  upon the  consummation  of its initial
public offering;  provided further,  however,  that cash realized by the Company
upon any exercise of the Underwriters'  overallotment option would be applied to
the payment of accrued  dividends in lieu of having such dividends  convert into
Common Stock. In addition,  in connection with the Offering,  the holders of the
outstanding  Common Stock purchase warrants agreed to exercise all such warrants
by the net issuance  exercise  method for an aggregate  shares of Common  Stock.
WCAS V, WCAS VI, Blair

                                       57

<PAGE>
V and  Blair LCF are the  owners of an  aggregate  193,100  shares of  Preferred
Stock,  and  warrants to purchase  52,532 and 52,533  shares of Common  Stock at
exercise prices of $4.58 and $5.73 per share, respectively.

     Blair  V  and Blair LCF, and Timothy Murray, a director of the Company, are
each  affiliates  of  William  Blair  &  Company,  L.L.C., an underwriter of the
Offering. See "Underwriting."

                            PRINCIPAL STOCKHOLDERS

   
     The following  table sets forth certain  information  regarding  beneficial
ownership of the Company's  Common Stock as of June 30, 1998, and as adjusted to
reflect the sale of Common Stock offered hereby, by (i) each person (or group of
affiliated  persons)  known by the  Company to own  beneficially  more than five
percent of the  outstanding  shares of Common Stock,  (ii) each of the Company's
directors, (iii) each of the Named Executive Officers and (iv) all directors and
executive  officers of the  Company as a group.  The numbers of shares set forth
below (i) give effect to the  Recapitalization and the Reverse Stock Split, (ii)
assume an Offering price of $14.00 per share of Common Stock, and (iii) assume a
sale of  3,600,000  shares of Common  Stock in the  Offering.  Unless  otherwise
indicated,  the  address for each  stockholder  is c/o the  Company,  90 Merrick
Avenue, Suite 501, East Meadow, New York 11554.     

   
<TABLE>
<CAPTION>
                                                         SHARES BENEFICIALLY OWNED(1)
                                                    --------------------------------------
                                                                    PERCENTAGE OWNED(2)
                                                                  ------------------------
                                                                    BEFORE        AFTER
       NAME AND ADDRESS OF BENEFICIAL OWNER            NUMBER      OFFERING      OFFERING
- -------------------------------------------------   -----------   ----------   -----------
<S>                                                 <C>           <C>          <C>
Welsh, Carson, Anderson & Stowe (3) .............    5,754,393       72.10%        49.69%
 320 Park Avenue, 25th Floor
 New York, NY 10019
William Blair & Co., L.L.C. (4) .................      918,465       11.51%         7.93%
 222 West Adams Street
 Chicago, Illinois 60606
Mellon Bank, as Trustee (5) .....................      617,852        7.74%         5.33%
 767 Fifth Avenue, 26th Floor
 New York, NY 10153
Thomas P. Staudt (6) ............................      166,211        2.05%         1.42%
Richard P. Bankosky .............................       11,346           -             -
James T. Stinton (7) ............................       13,529           -             -
William M. McManus (8) ..........................       16,147           -             -
Roger L. Primeau (9) ............................        6,982           -             -
Thomas E. McInerney (10) ........................    5,622,136       70.44%        48.55%
 320 Park Avenue, 25th Floor
 New York, NY 10019
Anthony J. de Nicola (11) .......................    5,598,277       70.14%        48.34%
 320 Park Avenue, 25th Floor
 New York, NY 10019
Timothy M. Murray (12) ..........................      915,319       11.47%         7.90%
 222 West Adams Street
 Chicago, Illinois 60606
All current directors and executive officers as a    6,762,026       83.15%        57.63%
 group (10 persons) .............................
</TABLE>
    
- ----------
 -  Represents beneficial ownership of less than 1% of the Common Stock.

                                       58

<PAGE>
 (1) Gives effect to the  Recapitalization  and the Reverse Stock Split.  Unless
     otherwise indicated,  the entities and individuals identified in this table
     have sole voting and  investment  power with respect to all shares shown as
     beneficially  owned by them,  subject to  community  property  laws,  where
     applicable.

   
 (2) The  percentages  shown are  based on  7,981,204  shares  of  Common  Stock
     outstanding  on June 30,  1998,  plus,  as to each  entity or group  listed
     unless  otherwise  noted, the number of shares of Common Stock deemed to be
     owned by such holder  pursuant to Rule 13d-3 under the  Exchange  Act as of
     such date,  assuming  exercise  of  options  held by such  holder  that are
     exercisable within 60 days of the date of this Prospectus.

 (3) Includes  2,571,773 shares of Common Stock held by WCAS V, 2,587,939 shares
     of Common Stock held by WCAS VI, 62,233 shares of Common Stock held by WCAS
     Information  Partners L.P. ("WCAS  Info."),  370,993 shares of Common Stock
     held by WCAS CP II, and 161,455  shares of Common Stock held by  individual
     partners of WCAS.  Such  partners  are also  partners  of the sole  general
     partner  of each of the  foregoing  limited  partnerships.  The  respective
     general  partners of WCAS V, WCAS VI, WCAS Info.  and WCAS CP II are WCAS V
     Partners,  L.P., WCAS VI Partners,  L.P., WCAS INFO Partners and WCAS CP II
     Partners.  The individual  partners of each of these  partnerships  include
     some or all of Patrick J.  Welsh,  Russell L.  Carson,  Bruce K.  Anderson,
     Richard H. Stowe, Thomas E. McInerney, Andrew M. Paul, Robert A. Minicucci,
     Anthony J. de Nicola,  Paul B. Queally and Laura M. VanBuren.  The partners
     of WCAS who are also  directors of the Company are Thomas E. McInerney (who
     is also Chairman of the Board of Directors) and Anthony J. de Nicola.  Each
     of the foregoing  persons may be deemed to be the  beneficial  owner of the
     Common Stock owned by WCAS.

 (4) Includes  601,489 shares of Common Stock held by Blair V, 313,830 shares of
     Common  Stock held by Blair LCF and 3,146 shares of Common Stock held by an
     individual  affiliated with WBCP.  Timothy M. Murray, a partner of WBCP, is
     also a director of the Company and may be deemed to be a  beneficial  owner
     of the Company's Common Stock owned by WBCP.

 (5) Includes  308,926 shares of Common Stock held by Mellon Bank as Trustee for
     the General Motors Salaried  Employees  Pension Trust and 308,926 shares of
     Common Stock held by Mellon Bank as Trustee for the General  Motors  Hourly
     Rate Employees Pension Fund.

 (6) Includes options to purchase up to 109,551 shares of Common Stock.

 (7) Includes options to purchase up to 13,529 shares of Common Stock.

 (8) Includes options to purchase up to 16,147 shares of Common Stock.

 (9) Includes options to purchase up to 6,982 shares of Common Stock.

(10) Includes  2,571,773 shares of Common Stock held by WCAS V, 2,587,939 shares
     of Common Stock held by WCAS VI, 62,233 shares of Common Stock held by WCAS
     Info. and 370,993 shares of Common Stock held by WCAS CP II. Mr.  McInerney
     disclaims beneficial ownership of such shares.

(11) Includes  2,571,773 shares of Common Stock held by WCAS V, 2,587,939 shares
     of Common Stock held by WCAS VI, 62,233 shares of Common Stock held by WCAS
     Info.  and 370,993 shares of Common Stock held by WCAS CP II. Mr. de Nicola
     disclaims beneficial ownership of such shares.

(12) Includes  601,489 shares of Common Stock held by Blair V and 313,830 shares
     of  Common  Stock  held by  Blair  LCF.  Mr.  Murray  disclaims  beneficial
     ownership of such shares.

                                       59

    
<PAGE>
                         DESCRIPTION OF CAPITAL STOCK

   
     The Company's  authorized  capital stock  consists of 30,000,000  shares of
Common Stock, and 5,000,000  shares of Preferred Stock.  Upon completion of this
Offering,  and after giving effect to the Recapitalization and the Reverse Stock
Split, there will be 11,581,204 shares of Common Stock (12,107,304 shares if the
Underwriters'  over-allotment  option is  exercised)  and no shares of Preferred
Stock   outstanding.   As  of  June  30,  1998,  before  giving  effect  to  the
Recapitalization  and the Reverse  Stock Split there were  26,049,938  shares of
Common Stock outstanding and 239,956 shares of Preferred Stock outstanding, held
of record by 127  stockholders.  In addition,  as of May 29, 1998, before giving
effect  to  the   Recapitalization  and  the  Reverse  Stock  Split  there  were
outstanding options to purchase 2,213,600 shares of Common Stock and warrants to
purchase 481,440 shares of Common Stock. Pursuant to the  Recapitalization,  all
such  warrants  will be exercised  (for an aggregate  66,375 post Reverse  Stock
Split  shares),  and all shares of  Preferred  Stock will be  converted  into an
aggregate  2,229,982 shares of Common Stock (based on the aggregate  liquidation
preference  of the Preferred  Stock as of June 30, 1998,  after giving effect to
the  Reverse  Stock  Split  and  assuming  no  exercise  of  the   Underwriters'
over-allotment option) prior to the consummation of the Offering.
    

COMMON STOCK

     The holders of Common Stock are entitled to one vote for each share held of
record on all matters submitted to a vote of stockholders. Subject to the rights
and preferences of the holders of any outstanding  Preferred  Stock, the holders
of Common Stock are entitled to receive  ratably such  dividends as are declared
by the Board of Directors out of funds legally available therefor.  In the event
of a liquidation,  dissolution  or winding up of the Company,  holders of Common
Stock have the right to a ratable portion of assets  remaining after the payment
of all debts and other  liabilities,  subject to the liquidation  preferences of
the holders of any  outstanding  Preferred  Stock.  Holders of Common Stock have
neither  preemptive  rights nor rights to convert  their  Common  Stock into any
other  securities  and are not  subject to future  calls or  assessments  by the
Company.  There are no redemption or sinking fund  provisions  applicable to the
Common Stock. All outstanding shares of Common Stock are, and the shares offered
hereby  upon  issuance  and sale will be,  fully  paid and  non-assessable.  The
rights,  preferences  and  privileges of the holders of Common Stock are subject
to, and may be  adversely  affected  by, the rights of the  holders of shares of
Preferred Stock that the Company may designate and issue in the future.

PREFERRED STOCK

   
     Upon  the  closing  of  this  Offering  and  assuming  no  exercise  of the
Underwriters'  over-allotment  option,  all of  the  outstanding  shares  of the
Preferred  Stock  together  with  accrued but unpaid  dividends  thereon will be
automatically  converted at the public  offering price into 2,229,982  shares of
Common Stock.     

     The Board of  Directors  is  authorized,  subject  to  certain  limitations
prescribed by Delaware law, without further action by the stockholders, to issue
up to 5,000,000 shares of Preferred Stock, $.01 par value, in one or more series
and to  fix  the  rights,  preferences,  privileges  and  restrictions  thereof,
including  dividend  rights,   conversion  rights,   voting  rights,   terms  of
redemption, liquidation preferences, sinking fund terms and the number of shares
constituting any series or the designation of such series.  The Company believes
that the power to issue Preferred  Stock will provide  flexibility in connection
with possible corporate transactions.  The issuance of Preferred Stock, however,
could adversely  affect the voting power of holders of Common Stock and restrict
their rights to receive payments upon liquidation. It could also have the effect
of  delaying,  deferring or  preventing a change in control of the Company.  The
Company has no present plans to issue any shares of Preferred Stock.

WARRANTS

   

     As of June 30, 1998,  there were  outstanding  warrants to purchase  66,375
shares of Common Stock (on a "net exercise" basis) held by four investors. These
warrants will be exercised in full upon the closing of this Offering.

    
                                       60
<PAGE>
DELAWARE LAWS AND CERTAIN CHARTER AND BYLAW PROVISIONS; ANTI-TAKEOVER MEASURES

     Upon the  consummation  of this Offering  made hereby,  the Company will be
subject to the provisions of Section 203 of the DGCL, an  anti-takeover  law. In
general,  Section  203  prohibits  a  publicly-held  Delaware  corporation  from
engaging in a "business  combination"  with an  "interested  stockholder"  for a
period of three  years  after the date of the  transaction  in which the  person
became an interested  stockholder,  unless the business  combination  is, or the
transaction in which the person became an interested  stockholder was,  approved
in a prescribed manner or another prescribed  exception applies. For purposes of
Section 203, a "business  combination"  is defined  broadly to include a merger,
asset  sale  or  other  transaction  resulting  in a  financial  benefit  to the
interested  stockholder,  and  subject to  certain  exceptions,  an  "interested
stockholder" is a person who, together with affiliates and associates,  owns (or
within  three  years  prior,  did own) 15% or more of the  corporation's  voting
stock.

     All directors  elected to the Company's  Board of Directors serve until the
next annual meeting of the  stockholders  and the election and  qualification of
their  successors or their earlier death,  resignation or removal.  The Board of
Directors is authorized to create new  directorships  and to fill such positions
so created.  The Board of Directors (or its remaining members,  even though less
than a quorum) is also  empowered  to fill  vacancies  on the Board of Directors
occurring  for  any  reason  for  the  remainder  of  the  term  of  the  vacant
directorship.

   

     The  Company's  Bylaws  provide  that,  for  nominations  to the  Board  of
Directors or for other business to be properly  brought by a stockholder  before
an annual meeting of stockholders,  the stockholder must first have given timely
notice  thereof in writing to the  Secretary  of the  Company.  To be timely,  a
stockholder's  notice  generally  must be delivered not less than sixty days nor
more than  ninety days prior to the  anniversary  of the  immediately  preceding
annual meeting.  The notice by a stockholder  must contain,  among other things,
certain   information  about  the  stockholder   delivering  the  notice  and  a
description of the proposed business to be brought before the meeting.

    

     Certain of the  provisions  of the  Amended  and  Restated  Certificate  of
Incorporation and Bylaws discussed above could make more difficult or discourage
a proxy  contest  or  other  change  in the  management  of the  Company  or the
acquisition  or attempted  acquisition  of control by a holder of a  substantial
block of the Company's  stock. It is possible that such provisions could make it
more difficult to accomplish,  or could deter,  transactions  which stockholders
may otherwise consider to be in their best interests.

     As  permitted  by  the  DGCL,  the  Amended  and  Restated  Certificate  of
Incorporation  provides  that  Directors of the Company  shall not be personally
liable to the Company or its  stockholders  for  monetary  damages for breach of
their fiduciary duties as Directors,  except for liability (i) for any breach of
their duty of  loyalty to the  Company  and its  stockholders,  (ii) for acts or
omissions not in good faith or which involve intentional misconduct or a knowing
violation  of law,  (iii) for unlawful  payments of dividends or unlawful  stock
repurchases or redemptions,  as provided in Section 174 or successor  provisions
of the DGCL or (iv) for any  transaction  from  which the  Director  derives  an
improper personal benefit.

     The Amended and Restated  Certificate of  Incorporation  and Bylaws provide
that the Company  shall  indemnify  its  Directors  and  officers to the fullest
extent permitted by Delaware law (except in some circumstances,  with respect to
suits  initiated  by the  Director  or  officer)  and  advance  expenses to such
Directors or officers to defend any action for which  rights of  indemnification
are provided. In addition, the Amended and Restated Certificate of Incorporation
and Bylaws also permit the  Company to grant such  rights to its  employees  and
agents. The Bylaws also provide that the Company may enter into  indemnification
agreements  with its Directors and officers and purchase  insurance on behalf of
any person whom it is required or permitted to indemnify.  The Company  believes
that these  provisions  will  assist the  Company in  attracting  and  retaining
qualified individuals to serve as Directors, officers and employees.

TRANSFER AGENT AND REGISTRAR

     The  transfer  agent and  registrar  for the  Common  Stock is  ChaseMellon
Shareholder Services.

                                       61

<PAGE>

                        SHARES ELIGIBLE FOR FUTURE SALE

     Prior to this Offering there has been no market for the Common Stock of the
Company. The Company can make no prediction as to the effect, if any, that sales
of shares or the  availability  of shares for sale will have on the market price
prevailing from time to time. Nevertheless,  sales of significant amounts of the
Common Stock in the public market,  or the perception that such sales may occur,
could adversely  affect  prevailing  market prices.  See "Risk Factors -- Shares
Eligible for Future Sale."

   

     Upon  completion of this Offering,  the Company  expects to have 11,581,204
shares of Common  Stock  outstanding  (excluding  483,041  shares  reserved  for
issuance upon the exercise of outstanding stock options)  (12,121,204  shares of
Common Stock outstanding if the Underwriters' over-allotment option is exercised
in full).  Of these shares,  the 3,600,000  shares offered hereby will be freely
tradable without  restrictions or further registration under the Securities Act,
except for any shares purchased by "affiliates" of the Company,  as that term is
defined  in Rule 144 under the  Securities  Act,  which  will be  subject to the
resale limitations imposed by Rule 144, as described below.

     All of the remaining  7,981,204 shares of Common Stock  outstanding will be
"restricted  securities" within the meaning of Rule 144 and may not be resold in
the absence of registration  under the Securities Act, or pursuant to exemptions
from such registration  including,  among others, the exemption provided by Rule
144 under the Securities Act. Of the restricted  securities,  590,768 shares are
eligible for sale in the public market  immediately after this Offering pursuant
to Rule  144(k)  under  the  Securities  Act.  A total of  7,343,585  additional
restricted  securities  will be  eligible  for  sale  in the  public  market  in
accordance with Rule 144 or 701 under the Securities Act beginning 90 days after
the date of this Prospectus. Taking into consideration the effect of the lock-up
agreements described below and the provisions of Rules 144 and 144(k),

      restricted  shares  will  be  eligible  for  sale  in  the  public  market
immediately  after this Offering,  restricted  shares (excluding shares issuable
upon the  exercise of  outstanding  stock  options)  will be  eligible  for sale
beginning  90  days  after  the  date  of this  Prospectus,  and  the  remaining
restricted  shares will be eligible for sale upon the  expiration of the lock-up
agreements 180 days after the date of this Prospectus, subject to the provisions
of Rule 144 under the Securities Act.     

     In general, under Rule 144 as currently in effect,  beginning 90 days after
the date of this  Prospectus,  a person (or persons whose shares are required to
be aggregated)  whose  restricted  securities have been outstanding for at least
one year,  including a person who may be deemed an  "affiliate"  of the Company,
may only sell a number of shares  within any  three-month  period which does not
exceed the  greater of (i) one  percent  of the then  outstanding  shares of the
Company's  Common Stock  (approximately  115,673  shares after this Offering) or
(ii) the average weekly trading volume in the Company's Common Stock in the four
calendar weeks  immediately  preceding such sale.  Sales under Rule 144 are also
subject  to  certain  requirements  as to the  manner  of sale,  notice  and the
availability of current public  information  about the Company.  A person who is
not an  affiliate of the issuer,  has not been an affiliate  within three months
prior to the sale and has owned the restricted securities for at least two years
is entitled to sell such shares under Rule 144(k)  without  regard to any of the
limitations described above.

     All officers,  directors and certain  holders of Common Stock  beneficially
owning, in the aggregate,  shares of Common Stock and options to purchase shares
of Common Stock, have agreed, pursuant to certain lock-up agreements,  that they
will not sell,  offer to sell,  solicit an offer to purchase,  contract to sell,
grant any option to sell,  pledge, or otherwise transfer or dispose of, directly
or  indirectly,  any  shares of Common  Stock  owned by them,  or that  could be
purchased by them  through the  exercise of options to purchase  Common Stock of
the Company,  for a period of 180 days after the date of this Prospectus without
the prior written  consent of Smith Barney Inc.  Upon  expiration of the lock-up
agreements, all shares of Common Stock currently outstanding will be immediately
eligible  for resale,  subject to the  requirements  of Rule 144. The Company is
unable to predict the effect that sales may have on the then  prevailing  market
price of the Common  Stock.  See  "Management  --  Employee  Benefit  Plans" and
"Description of Capital Stock."

                                       62

<PAGE>

                                 UNDERWRITING

     Under the terms and subject to the conditions contained in the Underwriting
Agreement  dated the date hereof,  each  Underwriter  named below has  severally
agreed to  purchase,  and the  Company  has agreed to sell to such  Underwriter,
shares of Common  Stock which equal the number of shares set forth  opposite the
name of such Underwriter below.

<TABLE>
<CAPTION>

UNDERWRITER                                      NUMBER OF SHARES

- ----------------------------------------------- -----------------
<S>                                             <C>
   Smith Barney Inc. ..........................
   William Blair & Company, L.L.C. ............
   Volpe Brown Whelan & Company, LLC ..........













                                                     ------------
      Total ...................................

                                                     ============
</TABLE>

     The  Underwriters  are  obligated  to take and pay for all shares of Common
Stock  offered  hereby (other than those  covered by the  over-allotment  option
described below) if any such shares are taken.

     The  Underwriters,  for whom Smith  Barney Inc.,  William  Blair & Company,
L.L.C. and Volpe Brown Whelan & Company,  LLC are acting as representatives (the
"Representatives"),  propose  initially  to offer  part of the  shares of Common
Stock directly to the public at the public offering price set forth on the cover
page hereof and part to certain  dealers at a price that represents a concession
not in excess of $ per share under the public offering price.  The  Underwriters
may allow,  and such  dealers may reallow,  a concession  not in excess of $ per
share to other  Underwriters  or to certain  other  dealers.  After the  initial
public  offering,  the public offering price and such concessions may be changed
by the  Underwriters.  The  Representatives  have  informed the Company that the
Underwriters do not intend to confirm sales to accounts over which they exercise
discretionary authority.

     The Company has granted to the  Underwriters an option,  exercisable for 30
days from the date of this Prospectus, to purchase up to an aggregate of 540,000
additional  shares of Common Stock at the public offering price set forth on the
cover page hereof less underwriting discounts and commissions.  The Underwriters
may exercise such option to purchase additional shares solely for the purpose of
covering  over-allotments,  if any,  incurred in connection with the sale of the
shares offered hereby. To the extent such option is exercised,  each Underwriter
will become obligated,  subject to certain conditions, to purchase approximately
the same  percentage of such  additional  shares as the number set forth next to
such  Underwriter's  name in the  preceding  table bears to the total  number of
shares in such table.

     The  Company  and the  Underwriters  have  agreed to  indemnify  each other
against certain liabilities, including liabilities under the Securities Act.

     The Company and its  executive  officers and  directors  and certain  other
holders  of Common  Stock and  securities  convertible  into or  exercisable  or
exchangeable  for Common  Stock have  agreed that for a period of 180 days after
the date of this Prospectus they will not,  without the prior written consent of
Smith Barney Inc., sell, offer to sell,  solicit an offer to purchase,  contract
to sell, grant any option to sell,

                                       63

<PAGE>

pledge  or  otherwise dispose of Common Stock or any securities convertible into
or  exercisable  or  exchangeable  for  Common  Stock  except in certain limited
circumstances. See "Shares Eligible for Future Sale."

     In connection  with this Offering and in accordance with applicable law and
industry practice,  the Underwriters may over-allot or effect transactions which
stabilize,  maintain or otherwise affect the market price of the Common Stock at
levels above those which might otherwise  prevail in the open market,  including
by entering  stabilizing  bids,  effecting  syndicate  covering  transactions or
imposing  penalty bids. A  stabilizing  bid means the placing of any bid, or the
effecting of any purchase, for the purpose of pegging, fixing or maintaining the
price of a security.  A syndicate covering  transaction means the placing of any
bid on behalf of the underwriting  syndicate or the effecting of any purchase to
reduce a short position  created in connection with the offering.  A penalty bid
means an arrangement that permits Smith Barney Inc., as managing underwriter, to
reclaim a selling  concession  from a syndicate  member in  connection  with the
Offering when shares of Common Stock originally sold by the syndicate member are
purchased in syndicate covering transactions.  Such transactions may be effected
on the Nasdaq National Market, in the over-the-counter market, or otherwise. The
Underwriters  are not  required to engage in any of these  activities.  Any such
activities, if commenced, may be discontinued at any time.

     Prior to this  Offering,  there has been no public  market  for the  Common
Stock. Consequently,  the initial public offering price for the Common Stock has
been  determined by  negotiations  between the Company and the  Representatives.
Among the factors  considered in determining  the initial public  offering price
were the history of, and the  prospects  for,  the  Company's  business  and the
industry in which it competes,  an assessment of the Company's  management,  its
past and present  operations,  the past and present results of operations of the
Company and the trend of such results of operations,  the prospects for earnings
of the Company,  the present  state of the  Company's  development,  the general
condition of the  securities  market at the time of this Offering and the market
prices  of  similar  securities  of  comparable  companies  at the  time of this
Offering.

     William  Blair  &  Company,  L.L.C.,  one  of  the  Representatives  of the
Underwriters,  is  affiliated  with Blair V and Blair LCF, two of the  Company's
principal  stockholders  and, by virtue of such  affiliation,  is,  prior to the
Offering,  an  "affiliate" of the Company within the meaning of Rule 2720 of the
Conduct  Rules  of  the  National   Association  of  Securities  Dealers,   Inc.
Accordingly,  the Offering is being made in conformity  with certain  applicable
provisions of Rule 2720. Smith Barney Inc., another  Underwriter of the Offering
(the  "Independent   Underwriter"),   will  act  as  a  "qualified   independent
underwriter,"  as defined in Rule 2720,  in connection  with the  Offering.  The
Independent Underwriter,  in its role as qualified independent underwriter,  has
performed  due diligence  investigations  and reviewed and  participated  in the
preparation  of this  Prospectus  and the  Registration  Statement of which this
Prospectus  forms a part.  The  Independent  Underwriter  will not  receive  any
additional fees for serving as a qualified independent underwriter in connection
with the  Offering.  The price of shares of Common Stock sold to the public will
be no higher than that recommended by the Independent Underwriter.

     Timothy M.  Murray,  a director of the Company,  is a managing  director of
WBCP and a principal of William Blair & Company, L.L.C.

                                 LEGAL MATTERS

     The validity of the Common Stock offered hereby will be passed upon for the
Company by Reboul, MacMurray, Hewitt, Maynard & Kristol and for the Underwriters
by Dewey Ballantine LLP, New York, New York.

                                    EXPERTS

     The  consolidated  financial  statements of the Company as of June 30, 1996
and 1997 and March 31, 1998, and for each of the three years in the period ended
June 30, 1997,  and for the nine months  ended March 31, 1998,  included in this
Prospectus, and the related financial statement schedule included else-

                                       64

<PAGE>

where in this  Registration  Statement,  have been  audited by Deloitte & Touche
LLP,  independent  auditors,  as stated in their  reports  appearing  herein and
elsewhere in the Registration  Statement,  and have been so included in reliance
upon such  report  given upon their  authority  as  experts  in  accounting  and
auditing.

     The  statement of  operations  of Stockton for the year ended June 30, 1997
included  in this  Prospectus  has  been  audited  by  Deloitte  &  Touche  LLP,
independent auditors, as stated in their report appearing herein and has been so
included in reliance  upon such report given upon their  authority as experts in
accounting and auditing.

                            ADDITIONAL INFORMATION

     The Company has filed with the  Securities  and  Exchange  Commission  (the
"Commission"),  Washington,  D.C.  20549, a Registration  Statement on Form S-1,
including   amendments  thereto  (the  "Registration   Statement"),   under  the
Securities Act with respect to the shares of Common Stock offered  hereby.  This
Prospectus,  which  constitutes  part of the  Registration  Statement,  does not
contain all of the information set forth in the  Registration  Statement and the
exhibits and  schedules  filed  therewith,  certain  portions of which have been
omitted as permitted by the rules and regulations of the Commission. For further
information  with  respect to the Company and the Common Stock  offered  hereby,
reference is hereby made to such Registration  Statement and to the exhibits and
schedules filed therewith. Statements contained in this Prospectus regarding the
contents of any  contract  or other  document  referred  to are not  necessarily
complete, and in each instance reference is made to the copy of such contract or
other  document  filed as an exhibit to the  Registration  Statement,  each such
statement  being deemed to be qualified in its entirety by such  reference.  The
Registration  Statement,  including all exhibits and schedules  thereto,  may be
inspected  without charge at the principal  office of the Commission,  450 Fifth
Street, N.W.,  Washington,  D.C. 20549, and at the following regional offices of
the  Commission:  the New York regional  office located at 7 World Trade Center,
Suite 1300, New York, New York 10048, and the Chicago regional office located at
the Citicorp  Center,  500 West Madison Street,  Suite 1400,  Chicago,  Illinois
60661-2511.  Copies of this material may also be obtained from the  Commission's
Public Reference Section at 450 Fifth Street, N.W.,  Washington,  D.C. 20549, at
prescribed rates. In addition, such material may also be accessed electronically
at the Commission's Internet home page: (http:// www.sec.gov).

     The  Company  intends to  furnish  its  stockholders  with  annual  reports
containing  financial  statements audited by its independent public accountants,
and will make available  quarterly  reports for the first three quarters of each
fiscal year containing  unaudited financial  information and such other periodic
reports as the Company may determine to be  appropriate or as may be required by
law.

                                       65

<PAGE>
                         INDEX TO FINANCIAL STATEMENTS

   
<TABLE>
<CAPTION>
                                                                                              PAGE
                                                                                             -----
<S>                                                                                          <C>
MEDE AMERICA CORPORATION:
 Independent Auditors' Report ............................................................    F-2

 Consolidated Balance Sheets as of June 30, 1996 and 1997 and March 31, 1998 .............    F-3

 Consolidated Statements of Operations for the Years Ended June 30, 1995, 1996 and 1997
   and the Nine Months Ended March 31, 1997 (Unaudited) and 1998 .........................    F-4

 Consolidated Statements of Stockholders' Equity (Deficit) for the Years Ended June 30,
   1995, 1996 and 1997 and the Nine Months Ended March 31, 1998 ..........................    F-5

 Consolidated Statements of Cash Flows for the Years Ended June 30, 1995, 1996 and 1997
   and the Nine Months Ended March 31, 1997 (Unaudited) and 1998 .........................    F-6

 Notes to Consolidated Financial Statements ..............................................    F-7


THE STOCKTON GROUP, INC.:

 Independent Auditors' Report ............................................................   F-21

 Statements of Income for the Year Ended June 30, 1997 and the Three Months Ended
   September 30, 1997 (Unaudited) ........................................................   F-22

 Notes to Financial Statement ............................................................   F-23

</TABLE>
    

                                      F-1

<PAGE>
                         INDEPENDENT AUDITORS' REPORT

To the Board of Directors and Stockholders of
MEDE America Corporation

We have audited the  accompanying  consolidated  balance  sheets of MEDE America
Corporation  and  subsidiaries  (the "Company") as of June 30, 1996 and 1997 and
March  31,  1998,  and  the  related  consolidated   statements  of  operations,
stockholders' equity (deficit) and cash flows for each of the three years in the
period  ended June 30, 1997 and the nine  months  ended  March 31,  1998.  These
financial  statements are the  responsibility of the Company's  management.  Our
responsibility  is to express an opinion on these financial  statements based on
our audits.

We  conducted  our  audits  in  accordance  with  generally   accepted  auditing
standards.  Those standards require that we plan and perform the audit to obtain
reasonable assurance about whether the financial statements are free of material
misstatement.  An audit includes examining, on a test basis, evidence supporting
the amounts and disclosures in the financial statements.  An audit also includes
assessing the  accounting  principles  used and  significant  estimates  made by
management,  as well as evaluating the overall financial statement presentation.
We believe that our audits provide a reasonable basis for our opinion.

In our opinion,  such consolidated  financial  statements present fairly, in all
material  respects,  the  financial  position of MEDE  America  Corporation  and
subsidiaries as of June 30, 1996 and 1997 and March 31, 1998, and the results of
their  operations and their cash flows for each of the three years in the period
ended June 30, 1997 and the nine months ended March 31, 1998 in conformity  with
generally accepted accounting principles.

Jericho, New York

   
May 8, 1998

(July 17, 1998 as to Note 13)

    
The  accompanying  consolidated  financial  statements  include the effects of a
reverse stock split of the Company's common stock  anticipated to be approved by
the  Company's  Board of  Directors  prior to the  consummation  of this  public
offering.  The above  opinion is in the form which will be signed by  Deloitte &
Touche LLP upon  consummation of the reverse stock split,  which is described in
Note 13 of the notes to  consolidated  financial  statements  and assuming that,
from May 8, 1998 to the date of such reverse  stock split,  no other events will
have  occurred  that  would  affect  the  accompanying   consolidated  financial
statements and notes thereto.

DELOITTE & TOUCHE LLP

Jericho, New York

   
July 17, 1998
    
                                      F-2
<PAGE>
                   MEDE AMERICA CORPORATION AND SUBSIDIARIES
                          CONSOLIDATED BALANCE SHEETS
                   JUNE 30, 1996 AND 1997 AND MARCH 31, 1998
                    (IN THOUSANDS, EXCEPT PER SHARE AMOUNTS)

   
<TABLE>
<CAPTION>
                                                                                                                 PRO FORMA
                                                                                                                 STOCKHOLDERS'
                                                                             JUNE 30,                               EQUITY
                                                                    ---------------------------    MARCH 31,       MARCH 31,
                                                                        1996           1997           1998           1998
                                                                    ------------   ------------   -----------   --------------
                                                                                                                  (UNAUDITED)
                                                                                                                  (NOTE 1.O.)
<S>                                                                 <C>            <C>            <C>           <C>
ASSETS
CURRENT ASSETS:
 Cash and cash equivalents ......................................    $   2,639      $   1,919      $   1,455
 Accounts receivable, less allowance for doubtful accounts of
   $1,400, $1,716, and $958, respectively........................        5,989          6,318          7,463
 Formulary receivables ..........................................           74            405          1,502
 Inventory ......................................................          136            172            240
 Prepaid expenses and other current assets ......................          661            486            489
                                                                     ---------      ---------      ---------
   Total current assets .........................................        9,499          9,300         11,149
PROPERTY AND EQUIPMENT -- Net (Notes 3 and 6) ...................        5,601          5,517          4,944
GOODWILL -- Net (Notes 1 and 2) .................................       23,059         25,177         32,408
OTHER INTANGIBLE ASSETS -- Net (Notes 1 and 4) ..................        4,340          5,014          5,247
OTHER ASSETS ....................................................          532            451            431
                                                                     ---------      ---------      ---------
TOTAL ...........................................................    $  43,031      $  45,459      $  54,179
                                                                     =========      =========      =========
LIABILITIES AND STOCKHOLDERS' (DEFICIT)
 EQUITY
CURRENT LIABILITIES:
 Accounts payable ...............................................    $   2,567      $   2,134      $   2,753
 Accrued expenses and other current liabilities (Notes 5 and
   10) ..........................................................        9,739          9,195          4,880
 Current portion of long-term debt (Note 6) .....................        1,400            538            240
                                                                     ---------      ---------      ---------
   Total current liabilities ....................................       13,706         11,867          7,873
                                                                     ---------      ---------      ---------
LONG-TERM DEBT (Note 6) .........................................       10,201         24,623         40,259
                                                                     ---------      ---------      ---------
OTHER LONG-TERM LIABILITIES (Note 10) ...........................        1,173            215            761
                                                                     ---------      ---------      ---------
REDEEMABLE CUMULATIVE PREFERRED STOCK:
 $.01 par  value;  250 shares  authorized; 240 shares issued and
    outstanding (aggregate liquidation value of $23,996 plus ac-
   crued dividends) (Note 9) ....................................       26,423         28,823         30,623      $      --
                                                                     ---------      ---------      ---------      ---------
COMMITMENTS AND CONTINGENCIES (Note 11)

STOCKHOLDERS' (DEFICIT) EQUITY:
 Common stock, $.01 par value; 6,329 shares authorized; 5,280,
   5,671, and 5,680 shares issued and outstanding, respectively             53             57             57             79
 Additional paid-in capital .....................................       27,850         27,713         26,069         56,670
 Accumulated (deficit) equity ...................................      (36,375)       (47,839)       (51,463)       (51,463)
                                                                     ---------      ---------      ---------      ---------
   Total stockholders' (deficit) equity .........................       (8,472)       (20,069)       (25,337)     $   5,286
                                                                     ---------      ---------      ---------      ---------
TOTAL ...........................................................    $  43,031      $  45,459      $  54,179
                                                                     =========      =========      =========
</TABLE>
    

                See notes to consolidated financial statements.

                                      F-3

<PAGE>

                   MEDE AMERICA CORPORATION AND SUBSIDIARIES
                     CONSOLIDATED STATEMENTS OF OPERATIONS
                  YEARS ENDED JUNE 30, 1995, 1996 AND 1997 AND
             NINE MONTHS ENDED MARCH 31, 1997 (UNAUDITED) AND 1998
                    (IN THOUSANDS, EXCEPT PER SHARE AMOUNTS)
<TABLE>
<CAPTION>
                                                                                                        NINE MONTHS ENDED
                                                                 YEAR ENDED JUNE 30,                        MARCH 31,
                                                      ------------------------------------------   ---------------------------
                                                          1995           1996           1997           1997           1998
                                                      ------------   ------------   ------------   ------------   ------------
                                                                                                    (UNAUDITED)
<S>                                                   <C>            <C>            <C>            <C>            <C>
REVENUES ..........................................    $  16,246      $  31,768      $  35,279       $ 24,964       $ 30,189
                                                       ---------      ---------      ---------       --------       --------
OPERATING EXPENSES:
 Operations .......................................        9,753         19,174         16,817         12,104         12,485
 Sales, marketing and client services .............        3,615          7,064          8,769          6,143          7,769
 Research and development (Note 1) ................        2,051          2,132          3,278          2,455          2,886
 General and administrative .......................        3,119          6,059          5,263          3,340          3,307
 Depreciation and amortization ....................        2,995          5,176          5,293          3,502          4,846
 Contingent consideration paid to former owners of
   acquired businesses (Note 2) ...................           --            538          2,301            990             --
 Write-down of intangible assets (Note 1) .........        8,191          9,965             --             --             --
 Acquired in-process research and development
   (Note 2) .......................................           --             --          4,354          4,354             --
 Spin-off expense (Note 10) .......................        2,864             --             --             --             --
                                                       ---------      ---------      ---------       --------       --------
 Total operating expenses .........................       32,588         50,108         46,075         32,888         31,293
                                                       ---------      ---------      ---------       --------       --------
LOSS FROM OPERATIONS ..............................      (16,342)       (18,340)       (10,796)        (7,924)        (1,104)
OTHER (INCOME) EXPENSE (Note 12) ..................           --            313           (893)          (885)            13
INTEREST EXPENSE, Net .............................          189            584          1,504            779          2,470
                                                       ---------      ---------      ---------       --------       --------
LOSS BEFORE PROVISION FOR INCOME
 TAXES ............................................      (16,531)       (19,237)       (11,407)        (7,818)        (3,587)
PROVISION FOR INCOME TAXES (Note 7) ...............           70             93             57             43             37
                                                       ---------      ---------      ---------       --------       --------
NET LOSS ..........................................      (16,601)       (19,330)       (11,464)        (7,861)        (3,624)
PREFERRED STOCK DIVIDENDS .........................          (27)        (2,400)        (2,400)        (1,800)        (1,800)
                                                       ---------      ---------      ---------       --------       --------
NET LOSS APPLICABLE TO COMMON
 STOCKHOLDERS .....................................    $ (16,628)     $ (21,730)     $ (13,864)      $ (9,661)      $ (5,424)
                                                       =========      =========      =========       ========       ========
BASIC NET LOSS PER COMMON SHARE ...................    $   (3.17)     $   (4.14)     $   (2.56)      $  (1.81)      $  (0.96)
                                                       =========      =========      =========       ========       ========
WEIGHTED AVERAGE COMMON SHARES
 OUTSTANDING -- BASIC .............................        5,238          5,245          5,425          5,345          5,677
                                                       =========      =========      =========       ========       ========
</TABLE>

                See notes to consolidated financial statements.

                                      F-4

<PAGE>
                   MEDE AMERICA CORPORATION AND SUBSIDIARIES
           CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY (DEFICIT)
                  YEARS ENDED JUNE 30, 1995, 1996 AND 1997 AND
                        NINE MONTHS ENDED MARCH 31, 1998
                                 (IN THOUSANDS)

<TABLE>
<CAPTION>

                                                          COMMON STOCK     ADDITIONAL                      TOTAL
                                                        -----------------    PAID-IN    ACCUMULATED    STOCKHOLDERS'
                                                         SHARES   AMOUNT     CAPITAL      DEFICIT     EQUITY (DEFICIT)
                                                        -------- -------- ------------ ------------- -----------------
<S>                                                     <C>      <C>      <C>          <C>           <C>
BALANCE, JULY 1, 1994 (Note 1) ........................     --   $--        $ 23,540     $    (444)      $  23,096
 Net loss .............................................     --    --              --       (16,601)        (16,601)
 Preferred stock dividends ............................     --    --             (27)           --             (27)
 Capital contribution by stockholders and shares issued
   in connection with MEDE OHIO acquisition, and
   capital reorganization (Note 8) ....................  5,237    52           3,952            --           4,004
 Capital contribution of intercompany debt owed to CES
   resulting from the Spin-off (Note 10) ..............     --    --           2,470            --           2,470
                                                         -----   ---        --------     ---------       ---------
BALANCE, JUNE 30, 1995 ................................  5,237    52          29,935       (17,045)         12,942
 Net loss .............................................     --    --              --       (19,330)        (19,330)
 Preferred stock dividends ............................     --    --          (2,400)           --          (2,400)
 Issuance of warrants .................................     --    --             121            --             121
 Exercise of stock options ............................     43     1             194            --             195
                                                         -----   ---        --------     ---------       ---------
BALANCE, JUNE 30, 1996 ................................  5,280    53          27,850       (36,375)         (8,472)
 Net loss .............................................     --    --              --       (11,464)        (11,464)
 Preferred stock dividends ............................     --    --          (2,400)           --          (2,400)
 Issuance of common stock .............................    371     4           2,121            --           2,125
 Issuance of warrants .................................     --    --              52            --              52
 Exercise of stock options ............................     20    --              90            --              90
                                                         -----   ---        --------     ---------       ---------
BALANCE, JUNE 30, 1997 ................................  5,671    57          27,713       (47,839)        (20,069)
 Net loss .............................................     --    --              --        (3,624)         (3,624)
 Preferred stock dividends ............................     --    --          (1,800)           --          (1,800)
 Issuance of warrants .................................     --    --              98            --              98
 Exercise of stock options ............................      9    --              40            --              40
 Compensation relating to grant of options ............     --    --              18            --              18
                                                         -----   ---        --------     ---------       ---------
BALANCE, MARCH 31, 1998 ...............................  5,680   $57        $ 26,069     $ (51,463)      $ (25,337)
                                                         =====   ===        ========     =========       =========
</TABLE>

                See notes to consolidated financial statements.

                                      F-5

<PAGE>
                   MEDE AMERICA CORPORATION AND SUBSIDIARIES
                     CONSOLIDATED STATEMENTS OF CASH FLOWS
            YEARS ENDED JUNE 30, 1995, 1996 AND 1997 AND NINE MONTHS
                   ENDED MARCH 31, 1997 (UNAUDITED) AND 1998
                                 (IN THOUSANDS)
   
<TABLE>
<CAPTION>
                                                                             YEAR ENDED JUNE 30,
                                                                ----------------------------------------------
                                                                      1995           1996           1997
                                                                --------------- ------------- ----------------
<S>                                                             <C>             <C>           <C>
CASH FLOWS FROM OPERATING ACTIVITIES:
 Net loss .....................................................    $(16,601)      $ (19,330)     $ (11,464)
 Adjustments to reconcile net loss to net cash used
  in operating activities:
  Depreciation and amortization ...............................       2,995           5,176          5,418
  Provision for doubtful accounts .............................         518             406            316
  Write-down of intangible assets .............................       8,191           9,965             --
  Acquired in-process research and development ................          --              --          4,354
  (Gain) loss on sale of assets ...............................          --             313               (8)
  Non-cash compensation expense ...............................          --              --             --
  Changes in  operating  assets and  liabilities  net of
   effects of  businesses acquired:
   Accounts receivable ........................................         648             977           (861)
   Formularly receivables .....................................          --             (74)          (331)
   Inventory ..................................................         (66)            262            (45)
   Prepaid expenses and other current assets ..................         (85)           (179)           175
   Other assets ...............................................          74             243             13
   Accounts payable and accrued expenses and other cur-
     rent liabilities .........................................        (589)            997           (629)
   Other long-term liabilities ................................       1,354            (409)          (958)
                                                                   --------       ---------      -----------
     Net cash used in operating activities ....................      (3,561)         (1,653)        (4,020)
                                                                   --------       ---------      -----------
CASH FLOWS FROM INVESTING ACTIVITIES:
 Business acquisitions, net of cash acquired ..................     (21,566)         (3,648)       (11,450)
 Purchases of property and equipment ..........................        (508)         (1,271)        (1,477)
 Additions to goodwill and other intangible assets ............          --              --           (143)
 Proceeds from sale of property and equipment .................          --              --            461
 Proceeds from sale of net assets of Premier ..................          --              --            388
                                                                   --------       ---------      -----------
     Net cash used in investing activities ....................     (22,074)         (4,919)       (12,221)
                                                                   --------       ---------      -----------
CASH FLOWS FROM FINANCING ACTIVITIES:
 Due to stockholders ..........................................       4,484          (4,484)            --
 Issuance of Senior Subordinated Note .........................          --              --         22,875
 Issuance of preferred stock ..................................      23,996              --             --
 Issuance of common stock .....................................       4,004              --          2,125
 Proceeds from intercompany debt due to CES ...................       1,297              --             --
 Net proceeds (repayments) under Credit Facility ..............          --           8,250         (8,250)
 Principal repayments of debt .................................            (1)       (2,852)          (801)
 Principal repayments of capital lease obligations ............        (346)           (452)          (518)
 Exercise of stock options ....................................          --             195             90
                                                                   ----------     ---------      -----------
     Net cash provided by financing activities ................      33,434             657         15,521
                                                                   ----------     ---------      -----------
NET INCREASE (DECREASE) IN CASH AND CASH
 EQUIVALENTS ..................................................       7,799          (5,915)          (720)
CASH AND CASH EQUIVALENTS, BEGINNING OF
 PERIOD .......................................................         755           8,554          2,639
                                                                   ----------     ---------      -----------
CASH AND CASH EQUIVALENTS, END OF PERIOD.......................    $  8,554       $   2,639      $   1,919
                                                                   ==========     =========      ===========
SUPPLEMENTAL DISCLOSURES OF CASH FLOW
 INFORMATION:
 Cash paid during the period for:
  Interest ....................................................    $    246       $     394      $   1,541
                                                                   ==========     =========      ===========
  Income taxes ................................................    $    348       $      69      $     111
                                                                   ==========     =========      ===========
 Non-cash investing and financing activities:
 Assets acquired under capital leases or by incurring debt.....    $    848       $     205      $     129
                                                                   ==========     =========      ===========
 Issuance of warrants .........................................    $     --       $     121      $      52
                                                                   ==========     =========      ===========
</TABLE>
<PAGE>
<TABLE>
<CAPTION>
                                                                      NINE MONTHS ENDED
                                                                          MARCH 31,
                                                                -----------------------------
                                                                     1997           1998
                                                                -------------- --------------
                                                                  (UNAUDITED)
<S>                                                             <C>            <C>
CASH FLOWS FROM OPERATING ACTIVITIES:
 Net loss .....................................................   $ (7,861)      $ (3,624)
 Adjustments to reconcile net loss to net cash used
  in operating activities:
  Depreciation and amortization ...............................      3,543          5,096
  Provision for doubtful accounts .............................        195            265
  Write-down of intangible assets .............................         --             --
  Acquired in-process research and development ................      4,354             --
  (Gain) loss on sale of assets ...............................           (8)          13
  Non-cash compensation expense ...............................         --             18
  Changes in  operating  assets and  liabilities  net of
   effects of  businesses acquired:
   Accounts receivable ........................................         17         (1,410)
   Formularly receivables .....................................       (105)        (1,097)
   Inventory ..................................................          9            (68)
   Prepaid expenses and other current assets ..................         94               (3)
   Other assets ...............................................         84            118
   Accounts payable and accrued expenses and other cur-
     rent liabilities .........................................     (2,368)        (3,696)
   Other long-term liabilities ................................       (945)           546
                                                                  ----------     ----------
     Net cash used in operating activities ....................     (2,991)        (3,842)
                                                                  ----------     ----------
CASH FLOWS FROM INVESTING ACTIVITIES:
 Business acquisitions, net of cash acquired ..................    (11,450)       (10,674)
 Purchases of property and equipment ..........................       (703)          (646)
 Additions to goodwill and other intangible assets ............        (83)          (492)
 Proceeds from sale of property and equipment .................        218            182
 Proceeds from sale of net assets of Premier ..................        388             --
                                                                  ----------     ----------
     Net cash used in investing activities ....................    (11,630)       (11,630)
                                                                  ----------     ----------
CASH FLOWS FROM FINANCING ACTIVITIES:
 Due to stockholders ..........................................         --             --
 Issuance of Senior Subordinated Note .........................     22,875             --
 Issuance of preferred stock ..................................         --             --
 Issuance of common stock .....................................      2,125             --
 Proceeds from intercompany debt due to CES ...................         --             --
 Net proceeds (repayments) under Credit Facility ..............     (8,250)        15,925
 Principal repayments of debt .................................       (636)          (508)
 Principal repayments of capital lease obligations ............       (336)          (449)
 Exercise of stock options ....................................         40             40
                                                                  ----------     ----------
     Net cash provided by financing activities ................     15,818         15,008
                                                                  ----------     ----------
NET INCREASE (DECREASE) IN CASH AND CASH
 EQUIVALENTS ..................................................      1,197           (464)
CASH AND CASH EQUIVALENTS, BEGINNING OF
 PERIOD .......................................................      2,639          1,919
                                                                  ----------     ----------
CASH AND CASH EQUIVALENTS, END OF PERIOD.......................   $  3,836       $  1,455
                                                                  ==========     ==========
SUPPLEMENTAL DISCLOSURES OF CASH FLOW
 INFORMATION:
 Cash paid during the period for:
  Interest ....................................................   $    368       $  1,734
                                                                  ==========     ==========
  Income taxes ................................................   $     34       $     95
                                                                  ==========     ==========
 Non-cash investing and financing activities:
 Assets acquired under capital leases or by incurring debt.....   $     14       $    120
                                                                  ==========     ==========
 Issuance of warrants .........................................   $     52       $     98
                                                                  ==========     ==========
</TABLE>
    
                See notes to consolidated financial statements.

                                      F-6
<PAGE>
                   MEDE AMERICA CORPORATION AND SUBSIDIARIES
                  NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                 YEARS ENDED JUNE 30, 1995, 1996 AND 1997 AND
                   NINE MONTHS ENDED MARCH 31, 1997 AND 1998
                 (Information as it relates to the nine months
                      ended March 31, 1997 is unaudited)

1. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

a. Description  of Business - MEDE America  Corporation  and  subsidiaries  (the
   "Company")  is a leading  provider of  electronic  data  interchange  ("EDI")
   products  and  services  to a broad  range of  providers  and  payors  in the
   healthcare  industry.  The  Company's  integrated  suite of EDI  products and
   services  permits  hospitals,  pharmacies,  physicians,  dentists,  and other
   healthcare  providers and provider groups to electronically edit, process and
   transmit claims,  eligibility and enrollment  data, track claims  submissions
   through the claims payment process and obtain faster  reimbursement for their
   services.

   

   The accompanying  consolidated  financial  statements include the accounts of
   MEDE America  Corporation and its  wholly-owned  subsidiaries:  MEDE America,
   Inc. ("MEDE"), Medical Processing Center, Inc. ("MPC"), Wellmark Incorporated
   ("Wellmark"),  Electronic Claims and Funding,  Inc. ("EC&F"),  Premier Dental
   Systems Corp. ("Premier"),  and MEDE America Corporation of Ohio, Inc. ("MEDE
   OHIO")  (formerly  General Computer  Corporation).  MPC,  Wellmark,  and MEDE
   formerly  constituted the healthcare  information  services  business unit of
   Card  Establishment  Services ("CES").  On March 9, 1995, CES was acquired by
   First Data Corporation.  Prior to this transaction,  the former owners of CES
   spun off the healthcare  information  services business unit as a new company
   with MEDE  America  Corporation  formed to serve as the holding  company (the
   "Spin-off").  Because  there was no change in  ownership  as a result of this
   Spin-off,  the accompanying  consolidated  financial statements accounted for
   MEDE, MPC, and Wellmark on an historical cost basis.  Effective July 1, 1997,
   MEDE, MPC and EC&F were merged into MEDE America Corporation.

   The Company has instituted  certain cost reduction  programs and  anticipates
   continuing improvements in its operations. The Company anticipates that these
   changes,  among others, should bring the Company to profitability which, when
   coupled  with its  revolving  credit  facility,  will  enable the  Company to
   satisfy  its  short-term   cash  flow  and  working   capital   requirements.
   Additionally,   the  Company  has  received   support  from  certain  of  its
   stockholders  in the  past  and  believes  that  continued  support  would be
   available if necessary  to meet cash flow and working  capital  requirements.
   However,  if the IPO (as herein  defined) is  consummated  as proposed,  such
   stockholders may not provide continued support (see Note 13).

    

b. Principles of Consolidation -- All significant intercompany  transactions and
   balances are eliminated in consolidation.

c. Revenue  Recognition -- Transaction and related formularly  services revenues
   (if applicable) are recognized at the time the transactions are processed and
   the services are rendered.  Other service revenues  (including  post-contract
   customer  support)  and  other  revenues   (including  revenues  relating  to
   insignificant  obligations  at the time sales are  recorded)  are  recognized
   ratably  over  applicable  contractual  periods or as  service  is  provided.
   Revenue  from the  licensing  of  software  is  recognized  only  after it is
   determined that the Company has no significant remaining obligations and that
   collectibility of the resulting receivable is probable. Revenue from hardware
   sales is recognized when the hardware is shipped.

d. Cash  and  Cash  Equivalents  -- The  Company  considers  all  highly  liquid
   instruments  with  original  maturity  dates  of three  months  or less to be
   components of cash and cash equivalents.

e. Accounts  Receivable -- Accounts  receivable are due primarily from companies
   in the healthcare industry.  Credit is extended based on an evaluation of the
   customer's financial condition, and generally collateral is not required.

                                      F-7

<PAGE>
               MEDE AMERICA CORPORATION AND SUBSIDIARIES NOTES TO
                CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)
   

f. Formularly  Receivables -- Formularly  receivables  represent amounts due for
   pharmacy related services  provided to Practice  Benefit  Management  ("PBM")
   clients.  Services include prescription  processing from EDI transactions and
   collecting  and  distributing   pharmaceutical  company  fees  for  sponsored
   programs to the PBM client.  These  receivables  have a 7-12 month collection
   cycle.

    

g. Inventory -- Inventory is stated at the lower of cost  (first-in,  first-out)
   or market.

h. Property  and  Equipment  -- Property  and  equipment  is stated at cost less
   accumulated  depreciation  and  amortization,  and is  depreciated  using the
   straight-line method over the estimated useful lives of the related assets.

i. Goodwill -- Goodwill represents the excess of cost over the fair value of net
   assets acquired and is amortized on a straight-line basis over 7 to 20 years.
   Accumulated  amortization amounted to $1,858,000 $3,306,000 and $4,816,000 as
   of June 30, 1996 and 1997 and March 31, 1998, respectively.

   

j. Other Intangible  Assets -- Other intangible  assets include purchased client
   lists,   purchased   software  and  technology,   and  capitalized   software
   development  costs.  Purchased  client lists are amortized on a straight-line
   basis  over three to five  years.  Amortization  of  purchased  software  and
   technology and of  capitalized  software  development  costs is provided on a
   product-by-product  basis at the greater of the amount computed using (a) the
   ratio  of  current  revenues  for a  product  to the  total  of  current  and
   anticipated  future  revenues  or  (b)  the  straight-line  method  over  the
   remaining  estimated  economic  life of the product.  Generally,  an original
   estimated  economic  life of three to five  years is  assigned  to  purchased
   software and technology and an original estimated economic life of five years
   is assigned to capitalized software development costs. Amortization begins in
   the period in which the related  product is available for general  release to
   customers.

k. Software  Development  Costs -- The development of new software  products and
   enhancements  to existing  software  products are expensed as incurred  until
   technological   feasibility  has  been   established.   After   technological
   feasibility  is  established,   any  additional   costs  are  capitalized  in
   accordance with Statement of Financial  Accounting Standards ("SFAS") No. 86,
   "Accounting For the Cost of Computer Software To Be Sold, Leased or Otherwise
   Marketed."  During  the  nine  months  ended  March  31,  1998,  the  Company
   capitalized  $319,000  of software  development  costs on a project for which
   technological  feasibility had been established but was not yet available for
   customer  release.  Prior  to July 1,  1997,  the  Company  did not  have any
   software  development  projects for which significant  development costs were
   incurred between the  establishment of technological  feasibility and general
   customer release of the product.

    

l. Impairment  of  Long-Lived   Assets  --  In  accordance  with  SFAS  No.  121
   "Accounting for the Impairment of Long-Lived Assets and for Long-Lived Assets
   to Be Disposed  Of," the Company  continually  evaluates  whether  events and
   circumstances have occurred that indicate the remaining estimated useful life
   of goodwill and/or other  intangible  assets may warrant revision or that all
   or a portion of the remaining balance may not be recoverable.

   As a result of this evaluation process, during the fiscal year ended June 30,
   1995,  the Company  wrote-off  goodwill  totaling  $8,191,000  related to the
   acquisitions of MPC and Wellmark.  Such write-off was required as a result of
   losses incurred by MPC and Wellmark, the absence of new business generated by
   MPC and  Wellmark  (which the  Company's  management  attributed  to obsolete
   technology),  projected  operating  and cash flow losses for MPC and Wellmark
   and as a result  of the June  1995  acquisition  of  Latpon  (as  hereinafter
   defined) whose  software  technology was utilized to replace the systems used
   by MPC and Wellmark to provide services to clients. Also, as a result of this
   evaluation  process,  during the fiscal year ended June 30, 1996, the Company
   wrote-down  approximately  $9,965,000  of costs  relating to client lists and
   related  allocable  goodwill  obtained in the  acquisition of MEDE OHIO. Such
   intangible assets were written down to the net present value of the estimated
   future cash flows to be derived from these  clients as of June 30, 1996.  The
   write-down  was required due to a loss of  approximately  25% of the acquired
   MEDE OHIO client base.

                                      F-8

<PAGE>
               MEDE AMERICA CORPORATION AND SUBSIDIARIES NOTES TO
                 CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)

m. Income  Taxes -- The Company  accounts  for income  taxes under SFAS No. 109,
   "Accounting  For Income  Taxes," which  requires  recognition of deferred tax
   assets and  liabilities  for the expected  future tax  consequences of events
   that have been included in the Company's financial statements or tax returns.
   Under this method,  deferred tax assets and liabilities are determined  based
   on the differences  between the financial  accounting and tax bases of assets
   and  liabilities  using enacted tax rates in effect for the year in which the
   differences are expected to reverse.

n. Use  of  Estimates  in  the  Preparation  of  Financial   Statements  --  The
   preparation of financial  statements in conformity  with  generally  accepted
   accounting  principles  requires management to make estimates and assumptions
   that affect the reported  amounts of assets and liabilities and disclosure of
   contingent assets and liabilities at the date of the financial statements and
   the reported  amounts of revenues and expenses  during the reporting  period.
   Actual results could differ from those estimates.

o. Pro Forma Stockholders'  Equity -- Pro forma stockholders' equity as of March
   31, 1998 reflects the  conversion of 239,956  shares of preferred  stock plus
   $6,627,000 of accrued preferred stock dividends at the assumed initial public
   offering ("IPO") price of $14.00 per share. See Note 13.

p. Unaudited Interim Financial  Statements -- In the opinion of management,  the
   unaudited  consolidated  financial statements for the nine months ended March
   31, 1997 are presented on a basis  consistent  with the audited  consolidated
   financial  statements and reflect all adjustments,  consisting of only normal
   recurring  adjustments,  necessary  for a fair  presentation  of the  results
   thereof.  The results of operation  for interim  periods are not  necessarily
   indicative of the results to be expected for the entire year.

q. Reclassifications  -- Certain  amounts in prior years'  financial  statements
   have been reclassified to conform with the 1998 presentation.

2. ACQUISITIONS

   
a. MEDE OHIO -- In March 1995, the majority  stockholder of the Company acquired
   all of the  outstanding  shares  of MEDE  OHIO for a cash  purchase  price of
   approximately  $22,593,000,  including  transaction  expenses.  The  majority
   stockholder subsequently merged MEDE OHIO into the Company (the "Merger") and
   contributed  an additional  $1,279,000 as part of the capital  reorganization
   described  in Note 8a. The Merger was recorded  using the purchase  method of
   accounting.  The  purchase  price  paid by the  Company  for MEDE OHIO to its
   majority  stockholder  was equal to the  purchase  price paid by its majority
   stockholder.  Therefore,  the purchase accounting adjustments relating to the
   acquisition of MEDE OHIO are based upon the estimated fair values of acquired
   assets and liabilities upon their acquisition by the majority  stockholder of
   the Company in March 1995. Purchased software and technology and client lists
   were valued at $892,000 and $2,527,000,  respectively. Purchased software and
   technology generally is being amortized over three years and purchased client
   lists  are  being  amortized  over five  years  (see Note 1).  MEDE OHIO is a
   developer  of  electronic  systems  which  provide EDI  services  relating to
   insurance claims for prescription and other medical services.

b. Latpon -- In June 1995, the Company purchased certain assets of Latpon Health
   Systems,  Incorporated  ("Latpon") for a cash purchase price of approximately
   $2,470,000,  plus the  assumption of  approximately  $963,000 of  liabilities
   (primarily  long-term  debt).  Purchased  software and  technology and client
   lists were valued at $850,000 and $143,000,  respectively,  and generally are
   being amortized over five years. Latpon provides electronic claims processing
   for hospital and hospital-based  physician groups, as well as business office
   services   that   electronically   and  manually   manage   business   office
   administration.

    
c. EC&F  and  Premier  -- In  October  1995,  the  Company  acquired  all of the
   outstanding shares of EC&F and Premier, which companies had common ownership,
   for a cash purchase price of approximately $4,050,000,  including transaction
   expenses. The transaction was financed through loans ob-

                                      F-9

<PAGE>
               MEDE AMERICA CORPORATION AND SUBSIDIARIES NOTES TO
                 CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)

   tained from the Company's majority stockholder.  Such loans were subsequently
   repaid with borrowings under the Company's Credit Facility. In addition,  the
   Company  is  contingently  liable  for  additional  consideration  if certain
   earnings  levels are attained  relating to EC&F during the three-year  period
   following the consummation of the transaction.  At June 30, 1996, the Company
   accrued  $538,000 in connection  with the  contingent  liability  relating to
   earnings levels attained during the first year. At June 30, 1997, the Company
   accrued a settlement totaling $2,216,000 relating to the contingent liability
   for the second and third years.  Purchased software and technology was valued
   at $764,000 and  generally  is being  amortized  over three  years.  EC&F and
   Premier are  developers of  electronic  systems which provide EDI services to
   the dental industry. In March 1997, the Company sold the operating net assets
   of Premier for  $540,000,  including  the buyer's  assumption  of $152,000 of
   Premier  liabilities.  There  was no gain or  loss  on the  sale of such  net
   assets.

   

d. TCS -- In February 1997, the Company  purchased  certain assets of Time-Share
   Computer  Systems,  Inc.  ("TCS")  for  $11,465,000,   including  transaction
   expenses.   Purchased  research  and  development,   which  had  not  reached
   technological  feasibility  and had no  alternative  future use  amounted  to
   $4,354,000 and was charged to operations at the acquisition  date.  Purchased
   software  and  technology  was valued at  $2,619,000  and  generally is being
   amortized  over three years.  TCS provides data  processing  and  information
   management services to healthcare providers and pharmacies through integrated
   electronic  data  interchange  systems.  The  acquisition  was  financed by a
   portion of the proceeds from the Senior  Subordinated Note and Share Purchase
   Agreement (as hereinafter defined) (Note 6).

    
e. Stockton  -- In  November  1997,  the Company  purchased  certain  assets and
   assumed certain  liabilities of The Stockton Group,  Inc.  ("Stockton") for a
   cash  purchase  price of  $10,674,000,  including  transaction  expenses.  In
   addition, the Company is contingently liable for additional  consideration of
   up to  $2,600,000  (plus  interest at an annual rate of 7.25%) if  Stockton's
   revenue  during the  12-month  period  ended  September  30, 1998 is at least
   $5,000,000.  No accrual  has been made for this  contingent  liability  as of
   March 31, 1998. Such contingent  consideration  will be treated as additional
   purchase  price  and will,  therefore,  be added to  goodwill  when and if it
   becomes  accruable.  Purchased  software and technology and client lists were
   valued at  $968,000  and  $742,000,  respectively,  and  generally  are being
   amortized  over five years.  Stockton is engaged in the business of providing
   EDI and  transaction  processing  services to the  healthcare  industry.  The
   transaction was financed  through  borrowings  under the Company's  revolving
   credit facility.

   
These  acquisitions  were recorded using the purchase  method of accounting and,
accordingly,  the results of operations of these acquired companies are included
in the  consolidated  results of  operations  of the Company  since the dates of
their respective  acquisitions.  The purchase price of each acquisition has been
allocated to the  respective  net assets  acquired based upon their fair values.
Goodwill,  which  represents the excess of cost over the estimated fair value of
the net assets acquired,  for these  transactions were as follows:  MEDE OHIO --
$22,395,000;  Latpon --  $1,298,000;  EC&F and  Premier  --  $3,586,000;  TCS --
$4,092,000 and Stockton -- $8,704,000. Goodwill is being amortized over 20 years
except for the goodwill recorded in connection with the acquisition of TCS which
is being amortized over seven years.
    

                                      F-10
<PAGE>
               MEDE AMERICA CORPORATION AND SUBSIDIARIES NOTES TO
                 CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)

The following  unaudited pro forma  information for the year ended June 30, 1997
and the nine months ended March 31, 1998 includes the operations of the Company,
inclusive of the operations of both TCS and Stockton as if the  acquisitions had
occurred  at July 1,  1996.  This pro  forma  information  gives  effect  to the
amortization  expense  associated  with  goodwill  and other  intangible  assets
acquired,  adjustments  related  to the  fair  market  value of the  assets  and
liabilities  acquired,  interest expense relating to financing the acquisitions,
and related income tax effects.

   
<TABLE>
<CAPTION>
                                                   YEAR ENDED      NINE MONTHS ENDED
                                                 JUNE 30, 1997      MARCH 31, 1998
                                                ---------------   ------------------
                                                         (IN THOUSANDS)
<S>                                             <C>               <C>
Revenues ....................................      $  41,824           $ 31,835
                                                   =========           ========
Loss from operations ........................      $ (11,253)          $   (515)
                                                   =========           ========
Net loss ....................................      $ (13,604)          $ (3,320)
                                                   =========           ========
Net loss applicable to common stock .........      $ (16,004)          $ (5,120)
                                                   =========           ========
Basic net loss per share ....................      $   (2.95)          $  (0.90)
                                                   =========           ========
</TABLE>
    

3. PROPERTY AND EQUIPMENT

<TABLE>
<CAPTION>
                                                                        JUNE 30,
                                                   USEFUL LIVES    -------------------    MARCH 31,
                                                    (IN YEARS)       1996       1997        1998
                                                  --------------   --------   --------   ----------
                                                                            (IN THOUSANDS)
<S>                                               <C>              <C>        <C>        <C>
Land ..........................................                     $  489     $  210      $  104
Building and improvements .....................       20-25          2,452      2,190       2,156
Furniture and fixtures ........................           5            897      1,150       1,229
Computer equipment ............................         3-5          4,077      5,696       6,442
                                                                    ------     ------      ------
                                                                     7,915      9,246       9,931
Less accumulated depreciation and amortization.                      2,314      3,729       4,987
                                                                    ------     ------      ------
Property and equipment -- net .................                     $5,601     $5,517      $4,944
                                                                    ======     ======      ======
</TABLE>

4. OTHER INTANGIBLE ASSETS

   

Other intangible assets consist of the following:
    

   
<TABLE>
<CAPTION>
                                                    JUNE 30,
                                              ---------------------    MARCH 31,
                                                 1996        1997        1998
                                              ---------   ---------   ----------
                                                       (IN THOUSANDS)
<S>                                           <C>         <C>         <C>
Purchased client lists ....................    $2,989      $2,989       $3,732
Less, accumulated amortization ............       925       1,518        2,016
                                               ------      ------       ------
                                                2,064       1,471        1,716
                                               ------      ------       ------
Purchased software and technology .........     3,727       6,494        7,544
Less, accumulated amortization ............     1,451       2,951        4,332
                                               ------      ------       ------
                                                2,276       3,543        3,212
                                               ------      ------       ------
Software development costs ................        --          --          319
                                               ------      ------       ------
Other intangible assets -- net ............    $4,340      $5,014       $5,247
                                               ======      ======       ======
</TABLE>
    

   

                                      F-11
    
<PAGE>
               MEDE AMERICA CORPORATION AND SUBSIDIARIES NOTES TO
                 CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)

5. ACCRUED EXPENSES AND OTHER CURRENT LIABILITIES

Accrued expenses and other current liabilities consist of the following:
<TABLE>
<CAPTION>
                                                              JUNE 30,
                                                        ---------------------    MARCH 31,
                                                           1996        1997        1998
                                                        ---------   ---------   ----------
                                                                  (IN THOUSANDS)
<S>                                                     <C>         <C>         <C>
Accrued wages and related employee benefits .........    $1,020      $1,010       $1,554
Rebate liability ....................................     2,926         488           47
Pharmacy claims liability ...........................        91         576          798
Accrued professional fees ...........................       496         795          109
Deferred revenue ....................................       933         749          822
Accrued reorganization costs (Note 10) ..............     1,273       1,008           --
Due to former owners of acquired business ...........       538       2,216           --
Accrued litigation settlement .......................        --         860          145
Accrued interest ....................................        22           5          717
Other ...............................................     2,440       1,488          688
                                                         ------      ------       ------
Total ...............................................    $9,739      $9,195       $4,880
                                                         ======      ======       ======
</TABLE>
6. LONG-TERM DEBT

Long-term debt consists of the following:
<TABLE>
<CAPTION>
                                                                                 JUNE 30,
                                                                          -----------------------    MARCH 31,
                                                                             1996         1997         1998
                                                                          ----------   ----------   ----------
                                                                                     (IN THOUSANDS)
<S>                                                                       <C>          <C>          <C>
Senior subordinated note less unamortized discount of $2,000,000 at
 June 30, 1997 and $1,750,000 at March 31, 1998 (a)....................    $    --      $23,000      $23,250
Credit Facility (b) ...................................................      8,250           --       15,925
Obligations under capital leases (c) ..................................      1,158          769          440
Loan  payable  relating  to  an  acquisition,   collateralized  by  
 $261,000  of certificates of deposits at March 31, 1998 due in 
 quarterly payments of $15,000 through February 2002, interest 
 at 6.7 percent........................................................        392          342          291
Note payable, in connection with the sale of certain assets due in
 monthly installments of $6,000 through January 2000, interest at 6.8
 percent ..............................................................        241          180          131
Notes payable to former shareholders of EC&F, repaid in 1998 ..........        117           95           --
Note payable,  collateralized  by land and building of MEDE OHIO, due
 in monthly installments of $19,000 through July 2000, interest at 12.5
 percent ..............................................................        730          592          462
Note payable to bank, repaid in 1997 ..................................        296           --           --
Note payable to bank, repaid in 1998 ..................................        173          173           --
Other .................................................................        244           10           --
                                                                           -------      -------      -------
                                                                            11,601       25,161       40,499
Less current portion ..................................................      1,400          538          240
                                                                           -------      -------      -------
Total .................................................................    $10,201      $24,623      $40,259
                                                                           =======      =======      =======
</TABLE>
- ----------

                                      F-12
<PAGE>
               MEDE AMERICA CORPORATION AND SUBSIDIARIES NOTES TO
                 CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)

   
(a) On  February  14,  1997,  the  Company  entered  into an  agreement  with an
    affiliate  of certain  shareholders  of the Company  under which the Company
    issued a  $25,000,000  senior  subordinated  note (the "Senior  Subordinated
    Note")  and  370,993  shares  of  its  common  stock  valued  at  $2,125,000
    (representing  the  estimated  fair  value of the  Common  Stock)  for total
    consideration  of  $25,000,000  (the  "Senior  Subordinated  Note and  Share
    Purchase Agreement").  The $2,125,000 relating to the shares of common stock
    was  recorded  as a discount  on the Senior  Subordinated  Note and is being
    amortized  over  the  term  of the  Senior  Subordinated  Note.  The  Senior
    Subordinated  Note  bears  interest  at the rate of 10% per  annum,  payable
    quarterly.  One half of the principal  sum is due on February 14, 2001,  and
    the  second  half is due on  February  14,  2002.  The  terms of the  Senior
    Subordinated  Note and Share Purchase  Agreement  place  restrictions on the
    consolidation, merger, or sale of the Company, indebtedness, and the payment
    of any cash dividends.

(b) The  revolving  line of credit  from a bank  (the  "Credit  Facility")  , as
    currently  amended on October 30, 1997,  provides for maximum  borrowings of
    $20,000,000 and expires on October 31, 1999.  Borrowings under the agreement
    bear  interest at either the bank's base rate,  as defined,  plus .25% or an
    offshore rate, as defined, plus 1.25%. The weighted average interest rate on
    outstanding  borrowings at March 31, 1998 was 7.07%. The Company is required
    to pay a  commitment  fee of .375% per annum on the  unused  portion  of the
    Credit  Facility.  All  borrowings  under the  agreement  are  guaranteed by
    certain  stockholders of the Company.  In consideration  for the granting of
    such guarantees,  the  stockholders  were issued warrants to purchase 52,530
    shares  (valued at $121,000),  18,330 shares  (valued at $52,000) and 34,200
    shares  (valued at $98,000) of the  Company's  common stock during the years
    ended  June 30,  1996 and 1997 and the nine  months  ended  March 31,  1998,
    respectively. All warrants issued were valued using the Black-Scholes Option
    Pricing  Model.  The aggregate  fair value of these  warrants is recorded in
    other assets as deferred  financing  costs and is being  amortized  over the
    life of the  agreement.  The terms of the  agreement,  among other  matters,
    require the Company to  maintain  certain  leverage  and  interest  coverage
    ratios and place  restrictions on additional  investments,  indebtedness and
    the payment of any cash dividends.

    

(c) The Company leases certain computer and office equipment under capital lease
    arrangements  expiring  through July 2000.  The gross value of the equipment
    held under capital leases was $1,980,000,  $2,110,000,  and $2,247,000 as of
    June 30,  1996 and 1997 and March 31,  1998,  respectively,  and the related
    accumulated   amortization   was  $994,000,   $1,524,000,   and  $1,848,000,
    respectively.

Maturities of long-term debt as of March 31, 1998 are as follows:

<TABLE>
<CAPTION>
                                                                        DISCOUNT
                  YEAR ENDING JUNE 30,                       GROSS      ON NOTE       NET
- --------------------------------------------------------   ---------   ---------   ---------
                                                                    (IN THOUSANDS)
<S>                                                        <C>         <C>         <C>
1998 (three months from April 1, 1998 to June 30, 1998).    $   180     $   92      $    88
1999 ...................................................        580        394          186
2000 ...................................................     16,354        435       15,919
2001 ...................................................     12,591        481       12,110
2002 ...................................................     12,544        348       12,196
                                                            -------     ------      -------
Total ..................................................    $42,249     $1,750      $40,499
                                                            =======     ======      =======
</TABLE>

Based upon the borrowing rates currently available to the Company for loans with
similar terms,  the fair value of the Company's debt  approximates  the carrying
amounts.

7. INCOME TAXES

The  provision  for income taxes for the fiscal years ended June 30, 1995,  1996
and 1997 and the nine months ended March 31, 1997 and 1998 consists  entirely of
current state income taxes.

                                      F-13

<PAGE>
               MEDE AMERICA CORPORATION AND SUBSIDIARIES NOTES TO
                 CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)

The provision  for income taxes varies from the amount  computed by applying the
statutory U.S.  Federal income tax rate to the loss before  provision for income
taxes as a result of the following:
   
<TABLE>
<CAPTION>
                                                                                                    NINE MONTHS ENDED
                                                             YEAR ENDED JUNE 30,                        MARCH 31,
                                                  ------------------------------------------   ---------------------------
                                                      1995           1996           1997           1997           1998
                                                  ------------   ------------   ------------   ------------   ------------
                                                                               (IN THOUSANDS)
<S>                                               <C>            <C>            <C>            <C>            <C>
U.S. Federal statutory rate ...................     $ (5,621)      $ (6,541)      $ (3,878)      $ (2,658)      $ (1,220)
Increases (reductions) due to:
 Nondeductible expenses .......................        1,169          3,674            293            220            183
 State taxes ..................................           70             93             57             43             37
 Net operating losses not producing current tax
   benefits ...................................        4,452          2,867          3,585          2,438          1,037
                                                    --------       --------       --------       --------       --------
 Total ........................................     $     70       $     93       $     57       $     43       $     37
                                                    ========       ========       ========       ========       ========

</TABLE>
    

The net deferred tax asset is comprised of the following:
   
<TABLE>
<CAPTION>
                                                                    JUNE 30,
                                                           ---------------------------     MARCH 31,
                                                               1996           1997           1998
                                                           ------------   ------------   ------------
                                                                         (IN THOUSANDS)
<S>                                                        <C>            <C>            <C>
Accounts receivable ....................................    $     607      $     685      $     375
Inventory ..............................................            2             --             --
Property and equipment .................................          (45)           (61)           197
Goodwill ...............................................        2,024          3,540          3,619
Other intangible assets ................................         (163)           366            410
Accrued expenses and other current liabilities .........        2,026          1,264            666
Net operating loss carryforwards .......................       10,121         12,656         13,861
                                                            ---------      ---------      ---------
                                                               14,572         18,450         19,128
Less valuation allowance ...............................      (14,572)       (18,450)       (19,128)
                                                            ---------      ---------      ---------
Total ..................................................    $      --      $      --      $      --
                                                            =========      =========      =========
</TABLE>
    

The valuation  allowance increased during the years ended June 30, 1996 and 1997
and the nine months ended March 31, 1998 primarily as a result of additional net
operating loss carryforwards and net deductible temporary differences, for which
realization was not considered to be more likely than not. In the event that the
tax benefits  relating to the  valuation  allowance are  subsequently  realized,
approximately $5,600,000 of benefits would reduce goodwill.

As of March 31, 1998, the Company had Federal net operating  loss  carryforwards
of approximately $34,650,000. Such loss carryforwards expire in the fiscal years
2005  through  2013.  Because  of the  changes in  ownership,  as defined in the
Internal  Revenue  Code,  which  occurred  during  1995 and  1996,  certain  net
operating loss carryforwards are subject to annual limitations.

8. STOCKHOLDERS' EQUITY

a. Capital  Reorganization  -- In connection with the acquisition and subsequent
   merger of MEDE OHIO into the Company  (Note 2), the capital  structure of the
   Company  was  adjusted  such that each  existing  common  stockholder  of the
   Company had the right to receive,  in  exchange  for each common  share held,
   either (i) a cash payment of one dollar (the "MEDE Cash  Consideration"),  or
   (ii) a unit  consisting of one-half of one share of MEDE America  Corporation
   newly issued common stock and five one-thousandths of a share of MEDE America
   Corporation newly issued preferred stock ("MEDE Unit"), together with cash in
   lieu of fractional interests.

                                      F-14

<PAGE>
               MEDE AMERICA CORPORATION AND SUBSIDIARIES NOTES TO
                 CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)

   The Merger  agreement  required  that a minimum of  $5,000,000  of additional
   capital be contributed to the Company through the issuance of additional MedE
   Units ("Additional MEDE Units"). Stockholders who elected to receive the MEDE
   Units were eligible to purchase, through a subscription agreement, Additional
   MEDE Units up to the number that would  maintain their  pre-merger  ownership
   percentage.  The majority stockholder of the Company guaranteed, by adjusting
   the number of additional  units they would purchase,  that the excess of cash
   received  from  the  sale  of  Additional  MEDE  Units  over  the  MEDE  Cash
   Consideration would yield the minimum of $5,000,000 of additional capital.

   As a result of the Merger and the related capital reorganization, the Company
   issued  5,237,456  shares of newly issued common stock and 239,956  shares of
   newly issued preferred stock (Note 9).

     The Company distributed $4,484 of MEDE Cash Consideration during July 1995.

b. Stock Option and Restricted Stock Purchase Plan -- In March 1995, the Company
   established  a stock option and  restricted  stock  purchase plan (the "Stock
   Plan").  The Stock Plan permits the  granting of any or all of the  following
   types of awards: incentive stock options ("ISOs"); nonqualified stock options
   ("NQSO");  or restricted  stock.  The Stock Plan  authorizes  the issuance of
   655,000 shares of common stock.  ISOs may not be granted at a price less than
   the fair market value of the Company's  common stock on the date of grant (or
   110  percent  of the fair  market  value in the case of persons  holding  ten
   percent or more of the voting  stock of the Company) and expire not more than
   ten years from the date of grant (five  years in the case of ISOs  granted to
   persons holding ten percent or more of the voting stock of the Company).  The
   vesting period relating to the ISOs is determined by the Option  Committee of
   the Board of Directors at the date of grant.  The exercise price,  expiration
   date,  and  vesting  period  relating to NQSOs are  determined  by the Option
   Committee of the Board of Directors at the date of grant.

   The table below summarizes the activity of the Stock Plan for the years ended
   June 30, 1995, 1996 and 1997 and the nine months ended March 31, 1998:
   
<TABLE>
<CAPTION>
                                                                            WEIGHTED
                                            NUMBER          EXERCISE        AVERAGE
                                              OF             PRICE          EXERCISE
                                            SHARES           RANGE           PRICE
                                         ------------   ---------------   -----------
<S>                                      <C>            <C>               <C>
     Balance July 1, 1994 ............           --      $        --      $   --
       Options granted ...............      480,316     $       4.58      $  4.58
                                            -------     ------------      -------
     Balance June 30, 1995 ...........      480,316     $       4.58      $  4.58
       Options granted ...............      117,950     $       4.58      $  4.58
       Options exercised .............      (42,556)    $       4.58      $  4.58
       Canceled/lapsed ...............      (91,217)    $       4.58      $  4.58
                                            -------     ------------      -------
     Balance, June 30, 1996 ..........      464,493     $       4.58      $  4.58
       Options granted ...............       51,059     $ 4.58-$5.73      $  5.17
       Options exercised .............      (19,642)    $       4.58      $  4.58
       Canceled/lapsed ...............      (65,684)    $       4.58      $  4.58
                                            -------     ------------      -------
     Balance, June 30, 1997 ..........      430,226     $ 4.58-$5.73      $  4.64
       Options granted ...............       81,926     $       5.73      $  5.73
       Options exercised .............       (8,598)    $ 4.58-$5.73      $  4.64
       Canceled/lapsed ...............      (15,057)    $ 4.58-$5.73      $  4.62
                                            -------     ------------      -------
     Balance, March 31, 1998 .........      488,497     $ 4.58-$5.73      $  4.83
                                            =======     ============      =======

</TABLE>
    

                                      F-15

<PAGE>
               MEDE AMERICA CORPORATION AND SUBSIDIARIES NOTES TO
                 CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)

   

   During March 1998, the Company granted 47,565 options at an exercise price of
   $5.73 per share.  Based upon an  independent  valuation,  the  Company  later
   learned that the value of the Company's stock at the date of grant was $6.09.
   As a result, the Company recorded compensation expense of $18,000 relating to
   the granting of these options.

    
   Significant  option groups outstanding at March 31, 1998 and related weighted
   average price and life information were as follows:

   
<TABLE>
<CAPTION>
                                      WEIGHTED
                                       AVERAGE       WEIGHTED                     WEIGHTED
                                      REMAINING       AVERAGE                     AVERAGE
    RANGE OF           NUMBER        CONTRACTUAL     EXERCISE        NUMBER       EXERCISE
 EXERCISE PRICE     OUTSTANDING     LIFE (YEARS)       PRICE      EXERCISABLE      PRICE
- ----------------   -------------   --------------   ----------   -------------   ---------
<S>                <C>             <C>              <C>          <C>             <C>
$  4.58              381,260       7.5              $ 4.58          201,394      $ 4.58
$  5.73              107,237       9.6              $ 5.73           10,689      $ 5.73
                     -------                                        -------
                     488,497       7.9              $ 4.83          212,083      $ 4.64
                     =======                                        =======

</TABLE>
    

   The  Company  applies  APB  opinion  No. 25 and  related  interpretations  in
   accounting for its Option Plan.  Accordingly,  no compensation  cost has been
   recognized.  If  compensation  cost for the Company's  stock options had been
   determined   consistent  with  SFAS  No.  123,  "Accounting  for  Stock-Based
   Compensation,"  the  Company's  net loss and net loss per share for the years
   ended June 30, 1996 and 1997 and the nine  months  ended March 31, 1998 would
   have been as follows:

<TABLE>
<CAPTION>
                                                                                        NINE MONTHS
                                                            YEAR ENDED JUNE 30,            ENDED
                                                       -----------------------------     MARCH 31,
                                                            1996            1997           1998
                                                       -------------   -------------   ------------
                                                          (IN THOUSANDS, EXCEPT PER SHARE DATA)
<S>                                                    <C>             <C>             <C>
   Net loss -- as reported .........................     $ (19,330)      $ (11,464)      $ (3,624)
   Net loss -- pro forma ...........................       (19,345)        (11,518)        (3,678)
   Basic net loss per share -- as reported .........         (4.14)          (2.56)         (0.96)
   Basic net loss per share -- pro forma ...........         (4.15)          (2.57)         (0.96)

</TABLE>

   

   The weighted  average  fair value of the options  granted for the years ended
   June 30,  1996 and 1997,  and for the nine  months  ended  March 31,  1998 is
   estimated at $1.56,  $1.83, and $1.92 on the date of grant (using the minimum
   value option pricing model) with the following  weighted average  assumptions
   for the years  ended June 30, 1996 and 1997,  and for the nine  months  ended
   March 31, 1998, respectively:  a risk-free interest rate of 5.93%, 6.39%, and
   5.86%; an expected  option life of seven years and no expected  volatility or
   dividend  yield.  As  required  by SFAS No.  123,  the impact of  outstanding
   nonvested  stock options granted prior to July 1, 1995 has been excluded from
   the pro forma  calculation;  accordingly,  the 1996,  1997 and 1998 pro forma
   adjustments  are not indicative of future period pro forma  adjustments  when
   the calculation will apply to all applicable stock options.

    

                                      F-16

<PAGE>
               MEDE AMERICA CORPORATION AND SUBSIDIARIES NOTES TO
                 CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)

c. Net income  (loss) per share -- In 1997,  the Company  adopted  SFAS No. 128,
   "Earnings  Per  Share."  Basic  income per share is  determined  by using the
   weighted  average  number of shares of common stock  outstanding  during each
   period.  Diluted  income per share  further  assumes  the  issuance of common
   shares for all dilutive  outstanding stock options and warrants as calculated
   using the treasury stock method.  Diluted earnings per share is not shown for
   any of the  periods  presented  because the effect of  including  outstanding
   options and warrants would be  antidilutive.  The  calculation  for the years
   ended June 30,  1995,  1996 and 1997 and the nine months ended March 31, 1997
   and 1998 was as follows:

<TABLE>
<CAPTION> 
                                                                        YEAR ENDED JUNE 30,                             
                               -----------------------------------------------------------------------------------------------------
                                              1995                               1996                             1997
                               ---------------------------------- ----------------------------------   -----------------------------
                                                       PER-SHARE                          PER-SHARE                        PER-SHARE
                                    LOSS      SHARES     AMOUNT        LOSS      SHARES     AMOUNT        LOSS     SHARES   AMOUNT
                               ------------- -------- ----------- ------------- -------- -----------   --------- --------- ---------
                                                                        (IN THOUSANDS)
<S>                            <C>           <C>      <C>         <C>           <C>      <C>           <C>           <C>     <C>
Net loss .....................   $ (16,601)                         $ (19,330)                         $ (11,464)                 
Less: Preferred dividends ....         (27)                            (2,400)                            (2,400)                 
                                 ---------    -----                 ---------                          ---------                  
Basic net loss per share .....   $ (16,628)   5,238   $(3.17)       $ (21,730)   5,245   $(4.14)       $ (13,864)   5,425   $(2.56)
                                 =========    =====   ======        =========    =====   ======        =========    =====   ======
</TABLE>
<TABLE>
<CAPTION>
                                                              NINE MONTHS ENDED MARCH 31,
                                      ----------------------------------------------------------------------------
                                                      1997                                    1998
                                      -------------------------------------   ------------------------------------
                                                                 PER-SHARE                               PER-SHARE
                                          LOSS        SHARES       AMOUNT         LOSS        SHARES      AMOUNT
                                      ------------   --------   -----------   ------------   --------   ----------
                                                                         (IN THOUSANDS)
<S>                                   <C>            <C>        <C>           <C>            <C>        <C>
Net loss ..........................     $ (7,861)                               $ (3,624)
Less: Preferred dividends .........       (1,800)                                 (1,800)
                                        --------                                --------
Basic net loss per share ..........     $ (9,661)     5,345     $(1.81)         $ (5,424)     5,677     $(0.96)
                                        ========      =====     ======          ========      =====     ======
</TABLE>

9. REDEEMABLE CUMULATIVE PREFERRED STOCK

As of June 30, 1996 and 1997 and March 31,  1998,  the  Company had  outstanding
239,956 shares of preferred  stock.  The preferred stock is subject to mandatory
redemption  in two equal  installments  on May 31, 2001 and 2002;  however,  the
Company may redeem the preferred stock in whole at any time or in part from time
to time at its  option.  The  Company  would  also be  required  to  redeem  the
preferred  stock  should it  consummate  a public  offering of its common  stock
pursuant  to which the  Company  receives  aggregate  net  proceeds  of at least
$15,000,000. (See Note 13).

The redemption  price,  as well as liquidation  value, of the preferred stock is
$100  per  share  plus any  accrued  but  unpaid  dividends.  Dividends  on this
preferred  stock,  which are cumulative,  are payable,  if declared,  at $10 per
share per annum.  No dividends  have been  declared or paid.  At March 31, 1998,
cumulative  undeclared  and unpaid  dividends on this  preferred  stock  totaled
$6,627,000.

10. SPIN-OFF TRANSACTIONS

a. Spin-Off  Expenses  -- As a result  of the  Spin-off  (Note 1),  the  Company
   recorded a charge amounting to $2,864,000. Such charge represented amounts to
   be paid to former  stockholders  of MEDE (who remained as executives of MEDE)
   pursuant to  contractual  agreements  which required such payments to be made
   upon a change in control. The net present value of remaining payments totaled
   $1,420,000  and  $1,005,000  as of June 30, 1996 and 1997,  respectively,  of
   which $500,000 and $1,005,000 were included in accrued  reorganization  costs
   as of June 30, 1996 and 1997,  respectively,  and  $920,000  was  included in
   other long-term liabilities as of June 30, 1996.

b. Capital  Contribution  of  Intercompany  Debt to CES -- On March 9, 1995, the
   date of the  Spin-off,  Wellmark and MPC owed CES  $2,247,000  and  $492,000,
   respectively.  Such balances were forgiven  concurrent with the Spin-off.  In
   addition,  the Company assumed approximately $269,000 of liabilities relating
   to CES employees. The net amount was recorded as a contribution of capital to
   the Company at the Spin-off date.

                                      F-17

<PAGE>
               MEDE AMERICA CORPORATION AND SUBSIDIARIES NOTES TO
                 CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)

11. COMMITMENTS AND CONTINGENCIES

a. Leases -- The Company leases certain  offices and equipment  under  operating
   leases.  The  minimum   noncancelable  lease  payments  are  as  follows  (in
   thousands):

   
<TABLE>
<CAPTION>
YEAR ENDING JUNE 30,
- -------------------
<S>                                                                 <C>
         1998 (three months from April 1, 1998 to June 30, 1998).    $  225
         1999 ...................................................       909
         2000 ...................................................       914
         2001 ...................................................       809
         2002 ...................................................       571
         Thereafter .............................................       381
                                                                     ------
         Total minimum lease payments ...........................    $3,809
                                                                     ======

</TABLE>
    

   Rent  expense for the years ended June 30,  1995,  1996 and 1997 and the nine
   months  ended March 31,  1997 and 1998 was  $951,000,  $853,000,  $1,093,000,
   $800,000 and $837,000, respectively.

   

b. Litigation  -- The Company is engaged in various  litigation  in the ordinary
   course of business. Management, based upon the advice of legal counsel, is of
   the opinion that the amounts  which may be awarded or assessed in  connection
   with  these  matters,  if  any,  will  not  have  a  material  effect  on the
   consolidated financial position or results of operations.

    

c. Employment  Contracts -- The Company has employment contracts with certain of
   its  employees  with annual  enumeration  ranging  from  $95,000 to $110,000.
   Future minimum payments under these contracts are as follows (in thousands):

<TABLE>
<CAPTION>

YEAR ENDING JUNE 30,
- -------------------
<S>                                                                 <C>
         1998 (three months from April 1, 1998 to June 30, 1998).    $ 51
         1999 ...................................................     205
         2000 ...................................................      80
                                                                     ----
                                                                     $336
                                                                     ====

</TABLE>

   
d. Defined   Contribution   Plans  --  The  Company   maintained   four  defined
   contribution  plans (the "Plans") for all eligible  employees,  as defined by
   the Plans until April 1, 1996.  On April 1, 1996,  the Company  combined  the
   Plans  into one  defined  contribution  plan (the "New  Plan").  The  Company
   previously made matching contributions at various percentages to three of the
   Plans in accordance  with the respective  Plan documents and currently  makes
   matching contributions to the New Plan in an amount equal to fifty percent of
   the employee salary  deductions to a maximum of four percent of the employees
   salary  in  accordance  with  the New Plan  document.  The  Company  incurred
   $130,000,   $197,000,   $227,000,   $169,000   and   $148,000   for  employer
   contributions  to the Plans/New Plan for the years ended June 30, 1995, 1996,
   and 1997 and the nine months ended March 31, 1997 and 1998, respectively.

    

                                      F-18

<PAGE>
               MEDE AMERICA CORPORATION AND SUBSIDIARIES NOTES TO
                 CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)
   

e. Service  Agreements -- The Company has entered into service  agreements  with
   telecommunications  providers  which  require the Company to utilize  certain
   minimum monthly amounts of the services of such providers.  These  agreements
   expire through November 2001. The Company was in compliance with the terms of
   these  agreements  as of March 31, 1998.  The minimum  monthly  amounts under
   these agreements are as follows (in thousands):

    

   
<TABLE>
<CAPTION>
YEAR ENDING JUNE 30,
- --------------------
<S>                                                                 <C>
         1998 (three months from April 1, 1998 to June 30, 1998).    $   477
         1999 ...................................................      1,795
         2000 ...................................................      1,497
         2001 ...................................................      1,429
         2002 ...................................................        543
                                                                     -------
         Total ..................................................    $ 5,741
                                                                     =======

</TABLE>
    

12. OTHER INCOME

In February 1997, the Company exercised 26,712 options to purchase common shares
of First Data Corporation and subsequently sold the common shares resulting in a
pre-tax  gain of $885,000.  Such options were issued to former  employees of the
Company  prior to the Spin-off but reverted to the Company upon the  termination
of these employees.

13. SUBSEQUENT EVENTS

a. Proposed Public  Offering -- In 1998, the Company  determined to work towards
   an IPO of the Company's common stock on a firm commitment basis. The proposed
   IPO  contemplates  that a total of  3,600,000  shares of common stock will be
   offered at a price between  $13.00 and $15.00 per share.  The net proceeds of
   the IPO will be used to retire  all  outstanding  balances  under its  Senior
   Subordinated  Note and its Credit Facility plus any related accrued  interest
   (Note 6) and for other general corporate purposes including working capital.

b. Reverse  Stock Split and Increase in  Authorized  Common Stock and  Preferred
   Stock -- In  conjunction  with the  proposed  IPO,  the  Company  intends  to
   authorize a reverse stock split of all issued and  outstanding  common shares
   at the rate of 1 for  4.5823,  which will  decrease  the number of issued and
   outstanding  shares as of March 31,  1998 from  approximately  26,025,000  to
   approximately  5,680,000.  This intended  stock split has been  retroactively
   reflected in the accompanying financial statements for all periods presented.
   The  Company  also  intends to  increase  the number of shares of  authorized
   common stock to 30,000,000  and the number of shares of authorized  preferred
   stock to 5,000,000.

c. Recapitalization  -- In  conjunction  with  the  proposed  IPO,  the  Company
   contemplates    a    recapitalization    of   its    capital    stock    (the
   "Recapitalization").  The  Recapitalization  involves the  conversion  of all
   outstanding  preferred stock into common stock (based upon liquidation  value
   as defined in Note 9) and the exercise of all outstanding  warrants (Note 6).
   However,  cash realized by the Company upon any exercise of the underwriters'
   overallotment  option would be applied to the payment of accrued dividends in
   lieu of having  such  dividends  convert  into  common  stock.  To effect the
   conversion  of preferred  stock,  the Company must first amend the  preferred
   stock agreement to allow convertibility.  The preferred stock conversion will
   be  effected  based  upon the IPO price per share.  Assuming  an IPO price of
   $14.00 per share and no  exercise  of the  underwriters'  overallotment,  the
   preferred  stock will be converted  into  approximately  2,187,000  shares of
   common stock. The warrants will be converted,  in a cashless  exercise,  into
   approximately 66,000 shares of common stock.

d. Stock  Purchase  Plan -- In  anticipation  of the proposed IPO, the Board has
   approved  the 1998  Employee  Stock  Purchase  Plan  (the  "Purchase  Plan").
   Employees of the Company, including direc-

                                      F-19

<PAGE>
               MEDE AMERICA CORPORATION AND SUBSIDIARIES NOTES TO
                 CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)

   tors of the  Company  who are  employees,  are  eligible  to  participate  in
   quarterly plan offerings in which payroll  deductions may be used to purchase
   shares of common stock.  The purchase price of such shares is the lower of 85
   percent of the fair market  value of the common stock on the day the offering
   commences  and 85 percent of the fair market value of the common stock on the
   date the offering  terminates.  The first offering  period under the Purchase
   Plan will not commence until the completion of the IPO.

   

e. New Stock Option and Restricted Stock Purchase Plan -- In anticipation of the
   proposed  IPO, the Board has  approved  the 1998 Stock Option and  Restricted
   Stock  Purchase Plan (the "New Stock  Plan").  The New Stock Plan permits the
   granting  of any or all of the  following  types of awards:  incentive  stock
   options;  nonqualified stock options;  restricted stock; or other stock-based
   awards, to officers,  employees,  directors,  consultants and advisors of the
   Company.  To date,  no options  have been  granted  under the New Stock Plan,
   however,  the Board  determined  to grant  options to purchase  an  aggregate
   400,000  shares of common  stock  pursuant  to the New Stock  Plan to certain
   employees of the Company  (including certain executive  officers)  contingent
   upon consummation of the IPO. Such options,  which include both incentive and
   non-qualified  stock options,  will have an exercise price equal to the price
   to the public in the IPO and generally will vest ratably over four years from
   the date of grant  except  that the  initial  installment  of  options  to be
   granted to certain executive officers will vest immediately upon consummation
   of the IPO.

f. Revolving Line of Credit -- During July 1998,  the Company  received a letter
   from the lender under the Credit  Facility  committing  to provide an amended
   credit facility with total available  credit of $15.0 million.  This facility
   would be comprised  of a $7.5  million term loan to be used for  acquisitions
   and a $7.5  million  revolving  credit  loan to be used for  working  capital
   purposes,  each  with a maximum  term of two years  from  October  31,  1998.
   Interest for the term and revolver loans is computed at .25% above the bank's
   base rate, or 1.25% above a Eurodollar  based rate.  Such borrowing rates are
   at the  option  of  the  Company  for  any  particular  period  during  which
   borrowings exist.

    

                                      F-20
<PAGE>

                         INDEPENDENT AUDITORS' REPORT

To the Board of Directors and Stockholder of
The Stockton Group, Inc.:

We have audited the accompanying statement of income of The Stockton Group, Inc.
(the  "Company") for the year ended June 30, 1997.  This financial  statement is
the responsibility of the Company's management. Our responsibility is to express
an opinion on this financial statement based on our audit.

We conducted our audit in accordance with generally accepted auditing standards.
Those standards  require that we plan and perform the audit to obtain reasonable
assurance   about   whether  the   statement  of  income  is  free  of  material
misstatement.  An audit includes examining, on a test basis, evidence supporting
the amounts and  disclosures in the statement of income.  An audit also includes
assessing the  accounting  principles  used and  significant  estimates  made by
management,  as well as evaluating the overall statement of income presentation.
We believe that our audit of the statement of income provides a reasonable basis
for our opinion.

In our  opinion,  such  statement  of income  presents  fairly,  in all material
respects,  the results of  operations of the Company for the year ended June 30,
1997 in conformity with generally accepted accounting principles.

DELOITTE & TOUCHE LLP

Charlotte, North Carolina
October 7, 1997

                                      F-21

<PAGE>

                           THE STOCKTON GROUP, INC.
                              STATEMENTS OF INCOME
                 YEAR ENDED JUNE 30, 1997 AND THE THREE MONTHS
                     ENDED SEPTEMBER 30, 1997 (UNAUDITED)
<TABLE>
<CAPTION>
                                                      YEAR ENDED      THREE MONTHS ENDED
                                                    JUNE 30, 1997     SEPTEMBER 30, 1997
                                                   ---------------   -------------------
                                                                         (UNAUDITED)
<S>                                                <C>               <C>
REVENUES .......................................    $  3,801,953         $1,056,748
OPERATING EXPENSES:
 Operations ....................................        (563,295)          (137,495)
 Sales, marketing, and client services .........        (899,366)          (203,133)
 Research and development ......................        (103,153)           (24,405)
 General and administrative ....................        (159,517)           (72,425)
 Non-cash stock compensation (Note 4) ..........      (1,280,000)                --
 Depreciation and amortization .................        (109,336)           (37,411)
                                                    ------------         ----------
   Total operating expenses ....................      (3,114,667)          (474,869)
                                                    ------------         ----------
INCOME FROM OPERATIONS .........................         687,286            581,879
INTEREST EXPENSE ...............................        (111,260)           (22,574)
OTHER INCOME ...................................          11,229              8,020
                                                    ------------         ----------
NET INCOME (Note 1) ............................    $    587,255         $  567,325
                                                    ============         ==========
</TABLE>
                       See notes to financial statement.

                                      F-22
<PAGE>
                            THE STOCKTON GROUP, INC.
                          NOTES TO FINANCIAL STATEMENT
               YEAR ENDED JUNE 30, 1997 AND THE THREE MONTHS ENDED
                         SEPTEMBER 30, 1997 (UNAUDITED)

              (INFORMATION AS IT RELATES TO THE THREE MONTHS ENDED
                        SEPTEMBER 30, 1997 IS UNAUDITED)

1. DESCRIPTION OF BUSINESS AND SUMMARY OF SIGNIFICANT
   ACCOUNTING POLICIES

Description  of  Business -- The  Stockton  Group,  Inc.  (the  "Company"),  was
incorporated  as an S Corporation  in the State of South  Carolina in July 1993.
The Company  provides  computer-based  prescription  drug claims  processing  to
Pharmaceutical  Benefit  Managers  ("PBMs"),  Health  Maintenance  Organizations
("HMOs"),   Preferred  Provider  Organizations  ("PPOs"),  insurance  companies,
Third-Party  Administrators  ("TPAs"),  self-insured employers, and Taft-Hartley
Funds.  The Company's  services  range from claims  processing  to  full-service
program  management,  including  eligibility  verification,  drug  coverages and
exclusions,  concurrent  utilization review, drug pricing  verification,  supply
limitations and other applicable plan design requirements.  The Company supports
a network of over 40,000 pharmacies nationwide.

In addition to claims  processing fees, the Company receives rebate revenue from
drug manufacturers for prescription drug transactions that are processed through
the Company's system.

Use of Estimates in the  Preparation of Financial  Statements -- The preparation
of  financial  statements  in  conformity  with  generally  accepted  accounting
principles requires management to make estimates and assumptions that affect the
reported  amounts of assets and liabilities and disclosure of contingent  assets
and liabilities at the date of the financial statements and the reported amounts
of revenues and expenses  during the  reporting  period.  Actual  results  could
differ from those estimates.

   

Major Customers -- For the year ended June 30, 1997,  three customers  accounted
for approximately 15%, 12% and 10%, respectively, of total revenues.

    

Revenue Recognition -- Revenue from prescription drug claims processing services
and  rebates  from drug  manufacturers  are  recognized  when the  services  are
delivered.

Property  and  Equipment  -- Property and  equipment  is  depreciated  using the
double-declining  balance method over the estimated  useful lives of the related
assets.  Assets under capital  leases are  depreciated  using the  straight-line
method over the lease term.

Income Taxes -- The Company has elected to be taxed as an S Corporation,  and as
such its income is included in the current  taxable  income of its  stockholder.
Accordingly, no provision has been made in the accompanying financial statements
for federal or state income taxes.

Unaudited  Interim  Financial  Statement  -- In the opinion of  management,  the
unaudited  statement of income for the three months ended  September 30, 1997 is
presented  on a basis  consistent  with the  audited  statement  of  income  and
reflects  all  adjustments,  consisting  of only normal  recurring  adjustments,
necessary  for a fair  presentation  of the  results  thereof.  The  results  of
operations  for the three months  ended  September  30, 1997 is not  necessarily
indicative of the results to be expected for the entire year.

2. NOTE PAYABLE TO STOCKHOLDER

The Company had a note  payable to  stockholder  with an  outstanding  principal
balance of $359,621 at June 30, 1997.  The note bore interest at a rate of prime
plus .25% (8.75% at June 30, 1997).

3. LEASE COMMITMENTS

The Company leased certain  equipment under operating leases expiring at various
dates  through  April  2000.  Rent  expense for the year ended June 30, 1997 was
approximately $12,000.

                                      F-23

<PAGE>
                            THE STOCKTON GROUP, INC.
                   NOTES TO FINANCIAL STATEMENT - (CONTINUED)

In addition,  the Company  leased its office  facility and certain  computer and
office  equipment under capital lease  arrangements  with interest rates ranging
from 14.5% to 25%,  expiring  through July 2011. The lease  arrangement  for the
office  facility was with a corporation in which the Company's sole  stockholder
holds an ownership interest.

4. STOCK-BASED COMPENSATION ARRANGEMENTS

During 1994,  the Company  granted a key  employee  the right to acquire  common
stock equivalent to a 25% equity ownership in the Company at no cost. The shares
have not yet  been  issued.  At the  date of the  grant,  the  Company  recorded
compensation  cost equal to the fair market value of shares to be awarded to the
executive.

   
During 1997, the Company  entered into an employment  agreement with another new
key executive. Among other things, the agreement granted the executive the right
to acquire a 10% equity  ownership  in the Company at a nominal cost ($1.00) or,
if the Company is sold within one year, to receive 10% of the sales  proceeds as
defined.  Accordingly, the Company has recorded compensation cost in 1997, equal
to the estimated  cash  settlement  to be paid to the  executive  based upon the
anticipated proceeds from the sale of the Company. (See Note 5).

    

5. SUBSEQUENT EVENT

In November 1997, the Company sold certain computer equipment, intangible assets
and the operations of the Company to MEDE America Corporation.  All other assets
and liabilities remained with the Company. The purchase price was $10,400,000 in
cash. In addition,  the purchase agreement requires additional  consideration of
up to  $2,600,000  (plus  interest  at an  annual  rate of  7.25%) to be paid if
Stockton's  revenue  during the 12-month  period ended  September 30, 1998 is at
least $5,000,000.

                                    ******

                                      F-24

<PAGE>

====================================== ======================================
     NO DEALER,  SALESPERSON  OR OTHER                                       
PERSON HAS BEEN AUTHORIZED TO GIVE ANY                                       
INFORMATION    OR    TO    MAKE    ANY                                       
REPRESENTATIONS   CONTAINED   IN  THIS                                       
PROSPECTUS AND, IF GIVEN OR MADE, SUCH                                       
INFORMATION  OR  REPRESENTATIONS   NOT                                       
CONTAINED  HEREIN  MUST NOT BE  RELIED                                       
UPON AS HAVING BEEN  AUTHORIZED BY THE                                       
COMPANY, ANY OF THE UNDERWRITERS OR BY            3,600,000 SHARES           
ANY OTHER PERSON. THIS PROSPECTUS DOES                                       
NOT  CONSTITUTE AN OFFER TO SELL, OR A                                       
SOLICITATION  OF AN OFFER TO BUY,  ANY                                       
SECURITIES  OTHER  THAN THE  SHARES OF                                       
COMMON STOCK OFFERED HEREBY,  NOR DOES                                       
IT  CONSTITUTE  AN  OFFER TO SELL OR A                                       
SOLICITATION OF AN OFFER TO BUY ANY OF                 [LOGO]                
THE SECURITIES  OFFERED HEREBY, TO ANY                                       
PERSON IN ANY JURISDICTION IN WHICH IT                                       
IS  UNLAWFUL  TO MAKE SUCH AN OFFER OR                                       
SOLICITATION  TO SUCH PERSON.  NEITHER                                       
THE  DELIVERY OF THIS  PROSPECTUS  NOR                                       
ANY SALE MADE HEREUNDER  SHALL,  UNDER                                       
ANY    CIRCUMSTANCES     CREATE    ANY                                       
IMPLICATION   THAT   THE   INFORMATION                                       
CONTAINED  HEREIN IS CORRECT AS OF ANY              MEDE AMERICA             
DATE SUBSEQUENT TO THE DATE HEREOF.                  CORPORATION             
                                                                             
   ---------------------------------                                         
           TABLE OF CONTENTS                                                 
                                                                             
   
                                  PAGE                                       
                                  ----                                       
Prospectus Summary ..............   3               COMMON STOCK             
Risk Factors ....................   9                                        
Use Of Proceeds .................  18                                        
Dividend Policy .................  18                                        
Capitalization ..................  19                                        
Dilution ........................  20                                        
Unaudited Pro Forma Consolidated                                             
   Financial Information ........  21        --------------------------      
Selected Financial Data .........  28                                        
Management's    Discussion   And                     PROSPECTUS              
   Analysis     Of     Financial                                             
   Condition   And   Results  Of             --------------------------      
   Operations ...................  30                                        
Business ........................  41                                        
Management ......................  52                                        
Certain Transactions ............  57                                        
Principal Stockholders ..........  58                                        
Description Of Capital Stock ....  60                                        
Shares Eligible For Future Sale .  62                                        
Underwriting ....................  63                                        
Legal Matters ...................  64                                        
Experts .........................  64                                        
Additional Information ..........  65           SALOMON SMITH BARNEY         
Index To Financial Statements ... F-1                                        

                                                                             
  ----------------------------------           WILLIAM BLAIR & COMPANY       
                                                                             
     UNTIL _____ , 1998 (25 DAYS AFTER                                       
THE  DATE  OF  THIS   PROSPECTUS)  ALL      VOLPE BROWN WHELAN & COMPANY     
DEALERS EFFECTING  TRANSACTIONS IN THE                                       
COMMON    STOCK,    WHETHER   OR   NOT                                       
PARTICIPATING  IN  THIS  DISTRIBUTION,                                       
MAY   BE   REQUIRED   TO   DELIVER   A                                       
PROSPECTUS.  THIS DELIVERY REQUIREMENT                                       
IS IN  ADDITION TO THE  OBLIGATION  OF                                       
DEALERS TO DELIVER A  PROSPECTUS  WHEN               JULY  , 1998            
ACTING   AS   UNDERWRITERS   AND  WITH                                       
RESPECT TO THEIR UNSOLD  ALLOTMENTS OR                                       
SUBSCRIPTIONS.                         
    

====================================== ======================================
<PAGE>
                                    PART II
                  INFORMATION NOT REQUIRED IN THE PROSPECTUS

ITEM 13.  OTHER EXPENSES OF ISSUANCE AND DISTRIBUTION

     The following table sets forth the Registrant's expenses in connection with
the issuance and distribution of the securities being registered. Except for the
SEC Registration Fee and the National  Association of Securities  Dealers,  Inc.
("NASD") Filing Fee, the amounts listed below are estimates:

<TABLE>

<S>                                                     <C>
       SEC Registration Fee .........................    $ 18,320
       NASD Filing Fee ..............................       6,710
       Nasdaq Listing Fees ..........................           *
       Legal Fees and Expenses ......................           *
       Blue Sky Fees and Expenses ...................      10,000
       Accounting Fees and Expenses .................           *
       Printing and Engraving .......................           *
       Transfer Agent and Register Fees and Expenses.           *
       Miscellaneous ................................    $   *
                                                        ---------
       Total ........................................    $950,000
                                                        =========
</TABLE>
- ----------
* To be filed by Amendment.

ITEM 14.  INDEMNIFICATION OF DIRECTORS AND OFFICERS

   
     The  Company's  Amended and  Restated  Certificate  of  Incorporation  (the
"Restated  Certificate") and By-laws provide that the Company shall indemnify to
the fullest extent authorized by the Delaware General  Corporation Law ("DGCL"),
each person who is involved in any litigation or other  proceeding  because such
person is or was a director or officer of the Company or is or was serving as an
officer or director of another entity at the request of the Company, against all
expense,  loss or  liability  reasonably  incurred  or  suffered  in  connection
therewith.  The  Restated  Certificate  and  By-laws  provide  that the right to
indemnification includes the right to be paid expenses incurred in defending any
proceeding in advance of its final  disposition;  provided,  however,  that such
advance  payment  will  only  be  made  upon  delivery  to  the  Company  of  an
undertaking, by or on behalf of the director or officer, to repay all amounts so
advanced if it is  ultimately  determined  that such director is not entitled to
indemnification.  If the Company does not pay a proper claim for indemnification
in full  within  60 days  after a  written  claim  for such  indemnification  is
received by the Company,  the Restated Certificate and Restated Bylaws authorize
the  claimant  to bring  an  action  against  the  Company  and  prescribe  what
constitutes a defense to such action.

    

     Section 145 of the DGCL permits a corporation  to indemnify any director or
officer  of  the  corporation  against  expenses  (including  attorney's  fees),
judgments, fines and amounts paid in settlement actually and reasonably incurred
in connection with any action,  suit or proceeding brought by reason of the fact
that such person is or was a director or officer of the  corporation,  and, with
respect  to any  criminal  action or  proceeding,  if he or she had no reason to
believe his or her conduct was  unlawful.  In a derivative  action,  (i.e.,  one
brought by or on behalf of the  corporation),  indemnification  may be made only
for  expenses,  actually and  reasonably  incurred by any director or officer in
connection  with the defense or  settlement  of such an action or suit,  if such
person acted in good faith and in a manner that he reasonably believed to be in,
or not  opposed  to,  the best  interests  of the  corporation,  except  that no
indemnification  shall be made if such  person  shall have been  adjudged  to be
liable to the corporation, unless and only to the extent that the court in which
the action or suit was brought shall  determine that the defendant is fairly and
reasonably  entitled to indemnity for such expenses despite such adjudication of
liability.

                                      II-1

<PAGE>

     Pursuant  to  Section  102(b)(7)  of the  DGCL,  the  Restated  Certificate
eliminates the liability of a director to the  corporation  or its  stockholders
for monetary damages for such breach of fiduciary duty as a director, except for
liabilities arising (i) from any breach of the director's duty of loyalty to the
corporation or its  stockholders,  (ii) from acts or omissions not in good faith
or which involve  intentional  misconduct or a knowing  violation of law,  (iii)
under  Section  174 of the DGCL,  or (iv) from any  transaction  from  which the
director derived an improper personal benefit.

     The  Company  expects  to obtain  primary  and  excess  insurance  policies
insuring the directors and officers of the Company against  certain  liabilities
that they may incur in their  capacity as  directors  and  officers.  Under such
policies, the insurers, on behalf of the Company, may also pay amounts for which
the Company has granted indemnification to the directors or officers.

     Additionally,  reference  is made to the  Underwriting  Agreement  filed as
Exhibit 1.1 hereto,  which provides for  indemnification  by the Underwriters of
the Company, its directors and officers who sign the Registration  Statement and
persons who control the Company, under certain circumstances.

ITEM 15. RECENT SALES OF UNREGISTERED SECURITIES

     In the three years preceding the filing of this Registration Statement, the
Corporation has sold the following securities that were not registered under the
Securities Act:

(a) Issuances of Capital Stock

   

     On June 27, 1995, in connection  with the  acquisition by the Registrant of
MEDE Ohio and a related  offering,  the Registrant  issued an aggregate  239,956
shares  of  Preferred  Stock  and  13,999,538  shares  of  Common  Stock  to the
stockholders  of the  parent  company  of  MEDE  Ohio  and  stockholders  of the
Registrant.     

     On December 18, 1995, in connection  with their  agreement to guarantee the
Registrant's  obligations  under a credit  agreement  between the Registrant and
Bank of America Illinois (the "Credit Facility"),  the Registrant issued to WCAS
V, WCAS VI,  Blair V and Blair LCF  warrants to purchase  an  aggregate  240,720
shares of Common Stock at an exercise price of $1.00 per share.

     On July 18, 1996,  the Company  issued 500 shares of Common Stock to Sharon
Hallberg, an employee of the Company, as a performance bonus.

   

     On January 10,  1997,  in  connection  with their  agreement  to  guarantee
additional  obligations  of the  Registrant  under and  amendment  to the Credit
Facility,  the Company issued to WCAS V, WCAS VI, Blair V and Blair LCF warrants
to purchase an aggregate 84,000 shares,  of Common Stock at an exercise price of
$1.25 per share.

     On February  14,  1997,  the  Company  issued to WCAS CP II, for a purchase
price of $25 million,  (i) a 10% Senior  Subordinated Note due February 14, 2002
in the aggregate  principal  amount of $25,000,000 and (ii) 1,700,000  shares of
Common Stock.     

     On September 9, 1997,  the Company  issued 500 shares of Common Stock to Ed
Feltner, an employee of the Company, as a performance bonus.

     On October 31,  1997,  in  connection  with their  agreement  to  guarantee
additional obligations of the Registrant under the amended Credit Agreement, the
Company issued to WCAS VI and Blair V warrants to purchase an aggregate  156,720
shares, of Common Stock at an exercise price of $1.25 per share.

(b) Certain Grants and Exercises of Stock Options

   
     The  MEDE  America  Corporation  and  its  Subsidiaries  Stock  Option  and
Restricted  Stock  Purchase  Plan  was  adopted  by the  Registrant's  Board  of
Directors  on March 22, 1995.  As of May 29, 1998,  options to purchase up to an
aggregate 3,349,000 shares of Common Stock, had been granted to employees of the
Registrant and its subsidiaries  thereunder,  of which options to purchase up to
an aggregate  2,389,600  shares of Common Stock, at a weighted  average exercise
price of $1.09 per share,  were  outstanding  as of such date.  The  Company has
issued an  aggregate  350,400  shares of Common  Stock upon the exercise of such
options.     

                                      II-2

<PAGE>
     The securities  issued in the foregoing  transactions in paragraphs (a) and
(b) above were offered and sold in reliance upon  exemptions from Securities Act
registration set forth in Section 4(2) of the Securities Act, or any regulations
promulgated  thereunder,  relating to sales by an issuer not  involving a public
offering. No underwriters were involved in the foregoing sales of securities.

     The sale and issuance of the above securities were deemed to be exempt from
registration  under  the  Securities  Act in  reliance  on  Section  4(2) of the
Securities Act, or Regulation D promulgated thereunder,  or Rule 701 promulgated
under  Section  3(b) of the  Securities  Act, as  transactions  by an issuer not
involving a public  offering or transactions  pursuant to  compensatory  benefit
plans and contracts  relating to  compensation  as provided under such Rule 701.
The  recipients  of  securities  in  each  such  transaction  represented  their
intention to acquire the securities  for investment  only and not with a view to
or for sale in connection with any distribution  thereof and appropriate legends
were  affixed  to  the  share   certificates  and  instruments  issued  in  such
transactions.  All recipients had adequate access,  through their  relationships
with the Company, to information about the Registrant.

ITEM 16.  EXHIBITS AND FINANCIAL STATEMENT SCHEDULES

(a) Exhibits

   
<TABLE>
<CAPTION>
 EXHIBIT
  NUMBER                  DESCRIPTION
- ---------      -----------------------------------------------------------------
<S>       <C>  <C>

  1.1      --  Form of Underwriting Agreement.

 2.1+      --  Asset  Purchase   Agreement  among   MEDE   AMERICA  Corporation,
               General Computer Corporation, Time-Share Computer Systems, et al,
               dated as of February 3, 1997.

 2.2+      --  Asset  Purchase   Agreement  among   MEDE  AMERICA   Corporation,
               General Computer Corporation, The Stockton Group, et al, dated as
               of October 20, 1997.

 3.1+      --  Certificate of Incorporation of the Registrant as amended.
 
 3.2       --  Form   of   Registrant's  Amended  and  Restated  Certificate  of
               Incorporation.

 3.3       --  Amended Bylaws of the Registrant.

 3.4+      --  Agreement  and  Plan of Merger, dated as of May 17, 1995, between
               MEDE AMERICA Corporation and GENCC Holdings Corporation.
 4.1*      --  Specimen certificate for shares of Common Stock.

 4.2+      --  Note   and  Share  Purchase  Agreement   between   MEDE   AMERICA
               Corporation  and WCAS  Capital  Partners  II,  L.P.,  dated as of
               February 14, 1997.

 4.3 +     --  Warrant Agreement dated as of October 31, 1997 among MEDE AMERICA
               Corporation,  Welsh,  Carson,  Anderson & Stowe V,  L.P.,  Welsh,
               Carson Anderson & Stowe VI, L.P., William Blair Leveraged Capital
               Fund Limited  Partnership and William Blair Capital Part- ners V,
               L.P., and Warrants issued thereunder.

 4.4 +     --  Warrant Agreement dated as of January 10, 1997 among MEDE AMERICA
               Corporation,  Welsh,  Carson,  Anderson & Stowe V,  L.P.,  Welsh,
               Carson Anderson & Stowe VI, L.P., William Blair Leveraged Capital
               Fund Limited  Partnership and William Blair Capital Part- ners V,
               L.P., and Warrants issued thereunder.

 4.5 +     --  Warrant  Agreement  dated as of  December  18,  1995  among  MEDE
               AMERICA Corpora- tion, Welsh,  Carson,  Anderson & Stowe V, L.P.,
               Welsh,  Carson Anderson & Stowe VI, L.P., William Blair Leveraged
               Capital  Fund  Limited  Partnership  and  William  Blair  Capital
               Partners V, L.P., and Warrants issued thereunder.

 5.1*     --   Opinion of Reboul,  MacMurray,  Hewitt,  Maynard & Kristol,  with
               respect to the legality of securities being registered.

10.1      --   MEDE AMERICA  Corporation and Its  Subsidiaries  Stock Option and
               Restricted Stock Purchase Plan as amended.

10.2+     --   Credit  Agreement  between MEDE AMERICA  Corporation  and Bank of
               America  Illinois dated as of December 18, 1995 as amended,  with
               accompanying guarantees.

10.3      --   Form  of   Indemnification   Agreement   between   MEDE   AMERICA
               Corporation and Directors thereof.
</TABLE>
    

                                      II-3
<PAGE>
   
<TABLE>
<CAPTION>

  EXHIBIT
  NUMBER                     DESCRIPTION
- ----------      ----------------------------------------------------------------
<S>        <C>  <C>

 10.4*     --  Agreement  of Lease  dated as of October 15,  1991  between  HMCC
               Associates and MedE America, Inc.

 10.5      --  Lease  Agreement  dated as of July 10, 1995 as amended January 3,
               1997  between  T&J  Enterprises,  LLC  and  Electronic  Claims  &
               Funding, Inc.

10.6       --  Commitment  Letter  dated  July 15,  1998  from  Bank of  America
               National Trust & Savings Association to MEDE AMERICA Corporation,
               regarding amendment to Credit Facility.

 10.7      --  Form of  Non-Competition,  Non-Solicitation  and  Confidentiality
               Agreement between MEDE AMERICA Corporation and Employees.

 10.8      --  MEDE AMERICA  Corporation and Its Subsidiaries  1998 Stock Option
               and Restricted, Stock Purchase Plan.

21.1 +     --  Subsidiaries of the Company.


 23.1      --  Consent of Deloitte & Touche LLP, independent accountants.

 23.2      --  Consent of Deloitte & Touche LLP, independent accountants.

 23.3*     --  Consent  of Reboul,  MacMurray, Hewitt,  Maynard &  Kristol  (see
               Exhibit 5.1).

24.1 +     --  Power of Attorney.

27.1 +     --  Financial Data Schedule.

</TABLE>
    
- ----------
   
* To be filed by amendment.
+ Previously filed.

    
(b) Financial Statement Schedules
Schedule II -- Valuation and Qualifying Accounts

ITEM 17.  UNDERTAKINGS

     (a) Insofar as indemnification for liabilities arising under the Securities
Act of 1933 may be permitted to directors,  officers and controlling  persons of
the   registrant   pursuant   to   the   provisions    described   under   "Item
14-Indemnification   of  Directors  and  Officers"  above,  or  otherwise,   the
Registrant  has been advised that in the opinion of the  Securities and Exchange
Commission such indemnification is against public policy as expressed in the Act
and is, therefore,  unenforceable. In the event that a claim for indemnification
against such  liabilities  (other than the payment by the Registrant of expenses
incurred or paid by a director,  officer or controlling person of the registrant
in the successful defense of any action, suit or proceeding) is asserted by such
director,  officer or controlling person in connection with the securities being
registered, the Registrant will, unless in the opinion of its counsel the matter
has been  settled by  controlling  precedent,  submit to a court of  appropriate
jurisdiction the question whether such  indemnification  by it is against public
policy as expressed in the Act and will be governed by the final adjudication of
such issue.

     (b) The undersigned Registrant hereby undertakes that:

       (1) For purposes of determining any liability under the Securities Act of
    1933, the information  omitted from the form of prospectus  filed as part of
    this  registration  statement in reliance  upon Rule 430A and contained in a
    form of prospectus filed by the Registrant pursuant to Rule 424(b)(1) or (4)
    or  497(h)  under  the  Securities  Act  shall be  deemed to be part of this
    registration statement as of the time it was declared effective.

       (2) For the purpose of determining any liability under the Securities Act
   of 1933,  each  post-effective  amendment  that contains a form of prospectus
   shall be deemed to be a new registration statement relating to the securities
   offered  therein,  and the offering of such  securities at that time shall be
   deemed to be the initial bona fide offering thereof.

     (c)  The  undersigned  Registrant  hereby  undertakes  to  provide  to  the
underwriter   at  the  closing   specified  in  the   underwriting   agreements,
certificates in such  denominations  and registered in such names as required by
the underwriter to permit prompt delivery to each purchaser.

                                      II-4

<PAGE>
                                  SIGNATURES

   
     Pursuant to the  requirements of the Securities Act of 1933, the Registrant
has duly caused this Amendment to the Registration Statement to be signed on its
behalf by the undersigned thereunto duly authorized, on June 3, 1998.

    

                                              MEDE AMERICA CORPORATION

                                              By: THOMAS P. STAUDT
                                                 ------------------------------
                                                 Thomas P. Staudt
                                                 President and
                                                 Chief Executive Officer

   
     Pursuant   to  the  requirements  of  the  Securities  Act  of  1933,  this
Registration  Statement  has  been  signed  by  the  following  persons  in  the
capacities held on the dates indicated.
    

   
<TABLE>
<CAPTION>

         SIGNATURES                            TITLE                         DATE
- ---------------------------   ---------------------------------------   --------------
<S>                           <C>                                       <C>
      THOMAS P. STAUDT        President and Chief Executive             July 17, 1998
- -------------------------      Officer (Principal executive officer);
     Thomas P. Staudt          Director


    THOMAS P. STAUDT          Chief Financial Officer (Principal        July 17, 1998
- -------------------------      financial and accounting officer)
  Richard P. Bankosky


     THOMAS P. STAUDT         Director                                  July 17, 1998
- -------------------------
  Thomas E. McInerney


    THOMAS P. STAUDT          Director                                  July 17, 1998
- -------------------------
 Anthony J. de Nicola


    THOMAS P. STAUDT          Director                                  July 17, 1998
- -------------------------
   Timothy M. Murray

</TABLE>
    

                                      II-5
<PAGE>
                                                                    SCHEDULE II

                   MEDE AMERICA CORPORATION AND SUBSIDIARIES
               SCHEDULE II -- VALUATION AND QUALIFYING ACCOUNTS
<TABLE>
<CAPTION>
             COLUMN A                  COLUMN B              COLUMN C                 COLUMN D         COLUMN E
- ----------------------------------   ------------   --------------------------   -----------------   -----------
                                                            ADDITIONS
                                                    --------------------------
                                                                    CHARGED TO
                                      BALANCE AT     CHARGED TO       OTHER                           BALANCE AT
                                       BEGINNING      COST AND      ACCOUNTS-        DEDUCTIONS         END OF
           DESCRIPTIONS                OF PERIOD      EXPENSES       DESCRIBE        -DESCRIBE          PERIOD
- ----------------------------------   ------------   ------------   -----------   -----------------   -----------
                                                                   (IN THOUSANDS)
<S>                                  <C>            <C>            <C>           <C>                 <C>
Year ended June 30, 1995 -
 Allowance for bad debts .........      $  868          $518           $--           $    -- (1)        $1,386
                                        ======          ====           ===           ==                 ======
Year ended June 30, 1996 -
 Allowance for bad debts .........      $1,386          $406           $--           $    392 (1)       $1,400
                                        ======          ====           ===           ========           ======
Year ended June 30, 1997 -
 Allowance for bad debts .........      $1,400          $316           $--           $    -- (1)        $1,716
                                        ======          ====           ===           ========           ======
Nine months ended
 March 31, 1998 -
 Allowance for bad debts .........      $1,716          $265           $             $  1,023 (1)       $  958
                                        ======          ====           ===           ========           ======
</TABLE>

- ----------
(1)  Amounts written off.

                                      S-1

<PAGE>
                                 EXHIBIT INDEX
   
<TABLE>
<CAPTION>
 EXHIBIT
  NUMBER                  DESCRIPTION
- ---------      -----------------------------------------------------------------
<S>       <C>  <C>

  1.1      --  Form of Underwriting Agreement.
 2.1+      --  Asset  Purchase   Agreement  among   MEDE   AMERICA  Corporation,
               General Computer Corporation, Time-Share Computer Systems, et al,
               dated as of February 3, 1997.
 2.2+      --  Asset  Purchase   Agreement  among   MEDE  AMERICA   Corporation,
               General Computer Corporation, The Stockton Group, et al, dated as
               of October 20, 1997.
 3.1+      --  Certificate of Incorporation of the Registrant as amended.
 3.2       --  Form   of   Registrant's  Amended  and  Restated  Certificate  of
               Incorporation.
 3.3       --  Amended Bylaws of the Registrant.
 3.4+      --  Agreement  and  Plan of Merger, dated as of May 17, 1995, between
               MEDE AMERICA Corporation and GENCC Holdings Corporation.
 4.1*      --  Specimen certificate for shares of Common Stock.
 4.2+      --  Note   and  Share  Purchase  Agreement   between   MEDE   AMERICA
               Corporation  and WCAS  Capital  Partners  II,  L.P.,  dated as of
               February 14, 1997.
 4.3 +     --  Warrant Agreement dated as of October 31, 1997 among MEDE AMERICA
               Corporation,  Welsh,  Carson,  Anderson & Stowe V,  L.P.,  Welsh,
               Carson Anderson & Stowe VI, L.P., William Blair Leveraged Capital
               Fund Limited  Partnership and William Blair Capital Part- ners V,
               L.P., and Warrants issued thereunder.
 4.4 +     --  Warrant Agreement dated as of January 10, 1997 among MEDE AMERICA
               Corporation,  Welsh,  Carson,  Anderson & Stowe V,  L.P.,  Welsh,
               Carson Anderson & Stowe VI, L.P., William Blair Leveraged Capital
               Fund Limited  Partnership and William Blair Capital Part- ners V,
               L.P., and Warrants issued thereunder.
 4.5 +     --  Warrant  Agreement  dated as of  December  18,  1995  among  MEDE
               AMERICA Corpora- tion, Welsh,  Carson,  Anderson & Stowe V, L.P.,
               Welsh,  Carson Anderson & Stowe VI, L.P., William Blair Leveraged
               Capital  Fund  Limited  Partnership  and  William  Blair  Capital
               Partners V, L.P., and Warrants issued thereunder.
 5.1*     --   Opinion of Reboul,  MacMurray,  Hewitt,  Maynard & Kristol,  with
               respect to the legality of securities being registered.
10.1      --   MEDE AMERICA  Corporation and Its  Subsidiaries  Stock Option and
               Restricted Stock Purchase Plan as amended.
10.2+     --   Credit  Agreement  between MEDE AMERICA  Corporation  and Bank of
               America  Illinois dated as of December 18, 1995 as amended,  with
               accompanying guarantees.
10.3      --   Form  of   Indemnification   Agreement   between   MEDE   AMERICA
               Corporation and Directors thereof.
10.4*     --   Agreement  of Lease  dated as of October 15,  1991  between  HMCC
               Associates and MedE America, Inc.
10.5      --   Lease  Agreement  dated as of July 10, 1995 as amended January 3,
               1997  between  T&J  Enterprises,  LLC  and  Electronic  Claims  &
               Funding, Inc.
10.6      --   Commitment  Letter  dated  July 15,  1998  from  Bank of  America
               National Trust & Savings Association to MEDE AMERICA Corporation,
               regarding amendment to Credit Facility.
10.7      --   Form of  Non-Competition,  Non-Solicitation  and  Confidentiality
               Agreement between MEDE AMERICA Corporation and Employees.
10.8      --   MEDE AMERICA  Corporation and Its Subsidiaries  1998 Stock Option
               and Restricted, Stock Purchase Plan.
21.1 +    --   Subsidiaries of the Company.
23.1      --   Consent of Deloitte & Touche LLP, independent accountants.
23.2      --   Consent of Deloitte & Touche LLP, independent accountants.
23.3*     --   Consent  of Reboul,  MacMurray, Hewitt,  Maynard &  Kristol  (see
               Exhibit 5.1).
24.1+     --   Power of Attorney.
27.1+     --   Financial Data Schedule.

</TABLE>
    
- ----------
   
* To be filed by amendment.
+ Previously filed.

    




                            MedE America Corporation

                                3,600,000 Shares
                                  Common Stock
                                ($.01 par value)

                             Underwriting Agreement

                                                              New York, New York
                                                                          , 1998

Smith Barney Inc.
William Blair & Company, L.L.C.
Volpe Brown Whelan & Company, LLC
As Representatives of the several Underwriters,
  c/o Smith Barney Inc.
  388 Greenwich Street
  New York, New York 10013


Ladies and Gentlemen:

          MedE America  Corporation,  a Delaware  corporation  (the  "Company"),
proposes  to sell to the  several  underwriters  named in Schedule I hereto (the
"Underwriters"),   for  whom  you  (the   "Representatives")   are   acting   as
representatives,  3,600,000  shares of  common  stock,  $.01 par value  ("Common
Stock") of the Company  (said shares to be issued and sold by the Company  being
hereinafter called the "Underwritten Securities").  The Company also proposes to
grant to the Underwriters an option to purchase up to 540,000  additional shares
of Common Stock to cover  over-allotments (the "Option  Securities";  the Option
Securities,  together with the Underwritten Securities, being hereinafter called
the "Securities").  To the extent there are no additional Underwriters listed on
Schedule I other than you,  the term  Representatives  as used herein shall mean
you, as Underwriters,  and the terms Representatives and Underwriters shall mean
either the singular or plural as the context requires. Certain terms used herein
are defined in Section 17 hereof.

          1. Representations and Warranties. The Company represents and warrants
to, and agrees with, each Underwriter as set forth below in this Section 1.

               (a) The  Company has  prepared  and filed with the  Commission  a
          registration  statement (file number 333-55977) on Form S-1, including
          a related  preliminary  prospectus,  for registration under the Act of
          the  offering and sale of the  Securities.  The Company may have filed
          one or  more  amendments  thereto, 
<PAGE>
          including  a  related  preliminary  prospectus,   each  of  which  has
          previously  been furnished to you. The Company will next file with the
          Commission either (1) prior to the Effective Date of such registration
          statement,   a  further  amendment  to  such  registration   statement
          (including  the form of final  prospectus)  or (2) after the Effective
          Date of such registration  statement, a final prospectus in accordance
          with Rules 430A and 424(b). In the case of clause (2), the Company has
          included in such registration  statement,  as amended at the Effective
          Date, all information  (other than Rule 430A Information)  required by
          the Act and the rules  thereunder to be included in such  registration
          statement and the  Prospectus.  As filed,  such  amendment and form of
          final  prospectus,  or such final  prospectus,  shall contain all Rule
          430A Information,  together with all other such required  information,
          and, except to the extent the  Representatives  shall agree in writing
          to a modification,  shall be in all  substantive  respects in the form
          furnished  to you prior to the  Execution  Time or, to the  extent not
          completed at the  Execution  Time,  shall  contain only such  specific
          additional information and other changes (beyond that contained in the
          latest  Preliminary  Prospectus) as the Company has advised you, prior
          to the Execution Time, will be included or made therein.

               (b) On the  Effective  Date,  the  Registration  Statement did or
          will,  and when  the  Prospectus  is  first  filed  (if  required)  in
          accordance  with  Rule  424(b)  and on the  Closing  Date (as  defined
          herein) and on any date on which Option  Securities are purchased,  if
          such  date  is  not  the  Closing  Date  (a  "settlement  date"),  the
          Prospectus (and any supplements  thereto) will, comply in all material
          respects  with the  applicable  requirements  of the Act and the rules
          thereunder;  on the  Effective  Date and at the  Execution  Time,  the
          Registration  Statement  did  not  or  will  not  contain  any  untrue
          statement  of a  material  fact or omit to  state  any  material  fact
          required  to be  stated  therein  or  necessary  in  order to make the
          statements  therein not  misleading;  and, on the Effective  Date, the
          Prospectus, if not filed pursuant to Rule 424(b), will not, and on the
          date of any filing pursuant to Rule 424(b) and on the Closing Date and
          any  settlement  date,  the  Prospectus  (together with any supplement
          thereto) will not,  include any untrue statement of a material fact or
          omit to  state  a  material  fact  necessary  in  order  to  make  the
          statements therein, in the light of the circumstances under which they
          were made, not misleading;  provided,  however, that the Company makes
          no representations or warranties as to the information contained in or
          omitted from the  Registration  Statement,  or the  Prospectus (or any
          supplement   thereto)  in  reliance  upon  and  in   conformity   with
          information  furnished  herein or in writing  to the  Company by or on
          behalf of any Underwriter through the Representatives specifically for
          inclusion  in the  Registration  Statement or the  Prospectus  (or any
          supplement thereto).

               (c) Each of the Company and its  Subsidiaries (as defined herein)
          has been duly incorporated and is validly existing as a corporation in
          good  standing  under  the  laws of the  jurisdiction  in  which it is
          chartered or organized with full corporate  power and authority to own
          or  lease,  as the case may be,  and to  operate  its  properties  and
          conduct  its  business as  described  in the  Prospectus,  and is duly


                                       2
<PAGE>
          qualified  to do  business  as a  foreign  corporation  and is in good
          standing  under  the laws of each  jurisdiction  which  requires  such
          qualification;

               (d)  All  the   outstanding   shares  of  capital  stock  of  the
          Subsidiaries  has been duly and validly  authorized and issued and are
          fully paid and  nonassessable,  and,  except as otherwise set forth in
          the  Prospectus,  all  outstanding  shares  of  capital  stock  of the
          Subsidiaries  are owned by the Company  directly free and clear of any
          perfected security interest or any other security  interests,  claims,
          liens or encumbrances;

               (e) The  Company's  authorized  equity  capitalization  is as set
          forth in the Prospectus;  the capital stock of the Company conforms in
          all  material  respects to the  description  thereof  contained in the
          Prospectus;  the outstanding shares of Common Stock have been duly and
          validly  authorized  and issued and are fully paid and  nonassessable;
          the Securities have been duly and validly authorized, and, when issued
          and  delivered  to and paid for by the  Underwriters  pursuant to this
          Agreement,  will be fully paid and  nonassessable;  the Securities are
          duly  listed,  and  admitted and  authorized  for trading,  subject to
          official notice of issuance and evidence of satisfactory distribution,
          on the Nasdaq National Market; the certificates for the Securities are
          in valid and sufficient  form;  the holders of  outstanding  shares of
          capital  stock of the Company are not entitled to  preemptive or other
          rights to subscribe for the Securities  except for such rights of WCAS
          Capital Partners II, L.P. as have been effectively waived; and, except
          as set forth in the Prospectus,  no options,  warrants or other rights
          to purchase,  agreements or other  obligations to issue,  or rights to
          convert any obligations into or exchange any securities for, shares of
          capital   stock  of  or   ownership   interests  in  the  Company  are
          outstanding;

               (f)  There  is no  franchise,  contract  or other  document  of a
          character  required to be described in the  Registration  Statement or
          Prospectus,  or to be  filed  as an  exhibit  thereto,  which  is  not
          described or filed as required;  and the  statements in the Prospectus
          under  the  headings  "Risk  Factors  --  Proposed   Healthcare   Data
          Confidentiality  Legislation," "Business -- Government Regulation" and
          "Business -- Legal  Proceedings"  fairly summarize the matters therein
          described.

               (g)  This  Agreement  has  been  duly  authorized,  executed  and
          delivered  by  the  Company  and   constitutes  a  valid  and  binding
          obligation of the Company enforceable in accordance with its terms.

               (h) The Company is not and,  after giving  effect to the offering
          and sale of the Securities and the application of the proceeds thereof
          as described in the Prospectus, will not be an "investment company" as
          defined in the Investment Company Act of 1940, as amended.

               (i) No consent, approval, authorization,  filing with or order of
          any court or  governmental  agency or body is required  in  connection
          with the

                                       3
<PAGE>
          transactions  contemplated  herein,  except such as have been obtained
          under the Act and such as may be  required  under the blue sky laws of
          any  jurisdiction in connection with the purchase and  distribution of
          the Securities by the Underwriters in the manner  contemplated  herein
          and in the Prospectus.

               (j)  Neither  the  issue  and  sale  of the  Securities  nor  the
          consummation of any other of the transactions  herein contemplated nor
          the  fulfillment of the terms hereof will conflict  with,  result in a
          breach  or  violation  of or the  imposition  of any  lien,  charge or
          encumbrance  upon  any  property  or  assets  of  the  Company  or the
          Subsidiaries pursuant to, (i) the charter or by-laws of the Company or
          the Subsidiaries,  (ii) the terms of any indenture,  contract,  lease,
          mortgage,  deed of trust,  note  agreement,  loan  agreement  or other
          agreement, obligation,  condition, covenant or instrument to which the
          Company  or the  Subsidiaries  are a party or bound or to which its or
          their  property  is  subject,   or  (iii)  any  statute,   law,  rule,
          regulation, judgment, order or decree applicable to the Company or the
          Subsidiaries,  of any court,  regulatory body,  administrative agency,
          governmental body,  arbitrator or other authority having  jurisdiction
          over  the  Company  or  the  Subsidiaries  or  any  of  its  or  their
          properties.

               (k) No holders of  securities  of the Company  have rights to the
          registration  of such  securities  under  the  Registration  Statement
          except for such rights of WCAS Capital  Partners II, L.P. as have been
          effectively waived.

               (l)  The  consolidated   historical   financial   statements  and
          schedules of the Company and its consolidated Subsidiaries included in
          the Prospectus and the  Registration  Statement  present fairly in all
          material respects the financial  condition,  results of operations and
          cash  flows  of the  Company  as of the  dates  and  for  the  periods
          indicated,   comply  as  to  form  with  the   applicable   accounting
          requirements  of the Act and have been  prepared  in  conformity  with
          generally accepted accounting principles applied on a consistent basis
          throughout the periods  involved  (except as otherwise noted therein).
          The  selected  financial  data set forth under the  caption  "Selected
          Consolidated  Financial  Data"  in  the  Prospectus  and  Registration
          Statement  fairly  present,  on the basis stated in the Prospectus and
          the Registration Statement,  the information included therein. The pro
          forma  financial   statements  included  in  the  Prospectus  and  the
          Registration  Statement include  assumptions that provide a reasonable
          basis for presenting the significant effects directly  attributable to
          the transactions and events described  therein,  the related pro forma
          adjustments give appropriate effect to those assumptions,  and the pro
          forma adjustments  reflect the proper application of those adjustments
          to  the  historical  financial  statement  amounts  in the  pro  forma
          financial  statements  included in the Prospectus and the Registration
          Statement.   The  pro  forma  financial  statements  included  in  the
          Prospectus  and the  Registration  Statement  comply as to form in all
          material  respects  with the  applicable  accounting  requirements  of
          Regulation S-X under the Act and the pro forma  adjustments  have been
          properly applied to the historical amounts in the compilation of those
          statements.

                                       4

<PAGE>
               (m) No  action,  suit or  proceeding  by or  before  any court or
          governmental agency, authority or body or any arbitrator involving the
          Company or the Subsidiaries or its or their property is pending or, to
          the  best  knowledge  of  the  Company,   threatened  that  (i)  could
          reasonably  be  expected  to have a  material  adverse  effect  on the
          performance  of  this  Agreement  or  the  consummation  of any of the
          transactions  contemplated hereby or (ii) could reasonably be expected
          to have a  material  adverse  effect on the  condition  (financial  or
          otherwise), prospects, earnings, business or properties of the Company
          and the  Subsidiaries,  taken as a whole,  whether or not arising from
          transactions in the ordinary  course of business,  except as set forth
          in or  contemplated  in the  Prospectus  (exclusive of any  supplement
          thereto) (a "Material Adverse Effect").

               (n) Each of the Company and the  Subsidiaries  owns or leases all
          such  properties as are necessary to the conduct of its  operations as
          presently conducted.

               (o) Neither the Company nor the  Subsidiaries  is in violation or
          default of (i) any provision of its charter or bylaws,  (ii) the terms
          of any  indenture,  contract,  lease,  mortgage,  deed of trust,  note
          agreement, loan agreement or other agreement,  obligation,  condition,
          covenant or instrument to which it is a party or bound or to which its
          property is subject,  or (iii) any  statute,  law,  rule,  regulation,
          judgment,   order  or   decree   of  any   court,   regulatory   body,
          administrative   agency,   governmental  body,   arbitrator  or  other
          authority having  jurisdiction over the Company or the Subsidiaries or
          any of its or their properties, as applicable.

               (p) Deloitte and Touche LLP, who have certified certain financial
          statements  of the  Company  and  its  consolidated  Subsidiaries  and
          delivered  their  report  with  respect  to the  audited  consolidated
          financial  statements and schedules  included in the  Prospectus,  are
          independent  public accountants with respect to the Company within the
          meaning of the Act and the applicable  published rules and regulations
          thereunder.

               (q) There are no transfer  taxes or other similar fees or charges
          under  Federal  law  or  the  laws  of any  state,  or  any  political
          subdivision  thereof,  required  to be paid  in  connection  with  the
          execution  and  delivery  of this  Agreement  or the  issuance  by the
          Company or sale by the Company of the Securities.

               (r) The Company has filed all foreign,  federal,  state and local
          tax returns that are required to be filed or has requested  extensions
          thereof  (except in any case in which the failure so to file would not
          have a Material  Adverse Effect) and has paid all taxes required to be
          paid by it and any other  assessment,  fine or penalty  levied against
          it, to the extent that any of the foregoing is due and payable, except
          for any such  assessment,  fine or  penalty  that is  currently  being
          contested  in good  faith or as  would  not  have a  Material  Adverse
          Effect.

               (s) No labor problem or dispute with the employees of the Company
          or the  Subsidiaries  exists or is  threatened  or  imminent,  and the
          Company is not aware of any existing or imminent labor  disturbance by
          the employees of any of 

                                       5
<PAGE>
          its  or  the  Subsidiaries'   principal   suppliers,   contractors  or
          customers, that could have a Material Adverse Effect.

               (t) The Company and the  Subsidiaries  are insured by insurers of
          recognized financial  responsibility against such losses and risks and
          in such  amounts as are prudent and  customary  in the  businesses  in
          which they are  engaged;  all  policies of  insurance  and fidelity or
          surety  bonds  insuring  the  Company  or the  Subsidiaries  or  their
          respective businesses,  assets, employees,  officers and directors are
          in full force and  effect;  the Company  and the  Subsidiaries  are in
          compliance  with the terms of such  policies  and  instruments  in all
          material  respects;  and there are no  claims  by the  Company  or the
          Subsidiaries  under  any such  policy  or  instrument  as to which any
          insurance   company  is  denying   liability  or  defending   under  a
          reservation of rights clause; neither the Company nor the Subsidiaries
          have been refused any  insurance  coverage  sought or applied for; and
          neither the Company  nor the  Subsidiaries  have any reason to believe
          that it will not be able to renew its existing  insurance  coverage as
          and when such  coverage  expires or to obtain  similar  coverage  from
          similar  insurers as may be  necessary  to continue  its business at a
          cost that would not have a Material Adverse Effect.

               (u) The  Subsidiaries are not currently  prohibited,  directly or
          indirectly,  from paying any dividends to the Company, from making any
          other  distribution on the Subsidiaries'  capital stock, from repaying
          to the  Company any loans or  advances  to the  Subsidiaries  from the
          Company or from  transferring  any of the  Subsidiaries'  property  or
          assets to the Company,  except as described in or  contemplated by the
          Prospectus.

               (v)  The  Company  and the  Subsidiaries  possess  all  licenses,
          certificates,   permits  and  other   authorizations   issued  by  the
          appropriate federal, state or foreign regulatory authorities necessary
          to conduct their  respective  businesses,  and neither the Company nor
          the Subsidiaries  have received any notice of proceedings  relating to
          the revocation or modification of any such certificate,  authorization
          or permit  which,  singly or in the  aggregate,  if the  subject of an
          unfavorable decision, ruling or finding, would have a Material Adverse
          Effect.

               (w) The  Company  and  the  Subsidiaries  maintain  a  system  of
          internal   accounting   controls   sufficient  to  provide  reasonable
          assurance  that (i)  transactions  are  executed  in  accordance  with
          management's general or specific authorizations; (ii) transactions are
          recorded as necessary to permit preparation of financial statements in
          conformity  with  generally  accepted  accounting  principles  and  to
          maintain  asset  accountability;  (iii)  access to assets is permitted
          only   in   accordance   with   management's   general   or   specific
          authorization;  and (iv) the  recorded  accountability  for  assets is
          compared  with  the  existing  assets  at  reasonable   intervals  and
          appropriate action is taken with respect to any differences.

                                       6
<PAGE>
               (x) The Company has not taken, directly or indirectly, any action
          designed  to or which has  constituted  or which might  reasonably  be
          expected to cause or result,  under the Exchange Act or otherwise,  in
          stabilization  or  manipulation  of the price of any  security  of the
          Company to facilitate the sale or resale of the Securities.

               (y) The Company and the  Subsidiaries  are (i) in compliance with
          any and all  applicable  foreign,  federal,  state and local  laws and
          regulations relating to the protection of human health and safety, the
          environment or hazardous or toxic substances or wastes,  pollutants or
          contaminants  ("Environmental  Laws"),  (ii) have  received and are in
          compliance with all permits,  licenses or other approvals  required of
          them under applicable  Environmental  Laws to conduct their respective
          businesses  and  (iii)  have not  received  notice  of any  actual  or
          potential  liability  for  the  investigation  or  remediation  of any
          disposal  or  release  of  hazardous  or toxic  substances  or wastes,
          pollutants  or  contaminants,  except where such  non-compliance  with
          Environmental  Laws, failure to receive required permits,  licenses or
          other  approvals,  or  liability  would  not,  individually  or in the
          aggregate,  have a Material Adverse Effect. Except as set forth in the
          Prospectus,  neither the Company nor the Subsidiaries  have been named
          as  a  "potentially   responsible   party"  under  the   Comprehensive
          Environmental  Response,  Compensation,  and Liability Act of 1980, as
          amended.

               (z)  In  the  ordinary  course  of  its  business,   the  Company
          periodically reviews the effect of Environmental Laws on the business,
          operations and properties of the Company and the Subsidiaries,  in the
          course  of which it  identifies  and  evaluates  associated  costs and
          liabilities (including,  without limitation,  any capital or operating
          expenditures   required  for   clean-up,   closure  of  properties  or
          compliance  with  Environmental  Laws,  or  any  permit,   license  or
          approval,  any related  constraints  on operating  activities  and any
          potential  liabilities to third parties). On the basis of such review,
          the Company has reasonably  concluded that such  associated  costs and
          liabilities  would not,  singly or in the  aggregate,  have a Material
          Adverse Effect.

               (aa) Each of the Company and the  Subsidiaries  has fulfilled its
          obligations,  if any, under the minimum  funding  standards of Section
          302 of the United States  Employee  Retirement  Income Security Act of
          1974  ("ERISA")  and the  regulations  and  published  interpretations
          thereunder  with respect to each "plan" (as defined in Section 3(3) of
          ERISA and such  regulations  and published  interpretations)  in which
          employees  of  the  Company  and  the  Subsidiaries  are  eligible  to
          participate  and  each  such  plan is in  compliance  in all  material
          respects  with the presently  applicable  provisions of ERISA and such
          regulations  and  published  interpretations.   The  Company  and  the
          Subsidiaries  have not  incurred  any unpaid  liability to the Pension
          Benefit Guaranty  Corporation  (other than for the payment of premiums
          in the ordinary course) or to any such plan under Title IV of ERISA.

                                       7

<PAGE>
               (ab) MedE America of Ohio,  an Ohio  corporation,  and  Wellmark,
          Incorporated, a Delaware corporation, are the only subsidiaries of the
          Company (the "Subsidiaries").

               (ac) The Company and the Subsidiaries  own,  possess,  license or
          have other rights to use, on  reasonable  terms,  all patents,  patent
          applications,   trade  and  service  marks,  trade  and  service  mark
          registrations,  trade names, copyrights,  licenses,  inventions, trade
          secrets,   technology,   know-how  and  other  intellectual   property
          (collectively,  the "Intellectual Property") necessary for the conduct
          of the  Company's  business  as now  conducted  or as  proposed in the
          Prospectus  to be  conducted.  Except as set  forth in the  Prospectus
          under the caption "Business--Intellectual  Property," (a) there are no
          rights of third parties to any such Intellectual  Property;  (b) there
          is no material  infringement by third parties of any such Intellectual
          Property;  (c)  there  is  no  pending  or  threatened  action,  suit,
          proceeding or claim by others  challenging the Company's  rights in or
          to any such Intellectual  Property,  and the Company is unaware of any
          facts which  would form a  reasonable  basis for any such  claim;  (d)
          there is no pending or threatened action, suit, proceeding or claim by
          others  challenging  the  validity  or scope of any such  Intellectual
          Property,  and the  Company is unaware of any facts which would form a
          reasonable  basis  for  any  such  claim;  (e)  there  is  no  pending
          threatened  action,  suit,  proceeding  or  claim by  others  that the
          Company  infringes  or  otherwise  violates  any  patent,   trademark,
          copyright, trade secret or other proprietary rights of others, and the
          Company is unaware  of any other  fact which  would form a  reasonable
          basis for any such  claim;  (f) there is no U.S.  patent or  published
          U.S.  patent  application  which contains  claims that dominate or may
          dominate any  Intellectual  Property  described in the  Prospectus  as
          being owned by or licensed to the Company or that  interferes with the
          issued or pending claims of any such  Intellectual  Property;  and (g)
          there is no prior art of which the  Company  is aware  that may render
          any  U.S.  patent  held by the  Company  invalid  or any  U.S.  patent
          application  held by the  Company  unpatentable  which  has  not  been
          disclosed to the U.S. Patent and Trademark Office.

               (ad)  The  statements  contained  in  the  Prospectus  under  the
          captions "Risk  Factors--Dependence on Intellectual Property;  Risk of
          Infringement,"  "Business--Intellectual  Property"  and  "Business  --
          Legal Proceedings" insofar as such statements summarize legal matters,
          agreements,  documents, or proceedings discussed therein, are accurate
          and fair  summaries of such legal  matters,  agreements,  documents or
          proceedings.

               (ae) Except as disclosed in the  Registration  Statement  and the
          Prospectus,  the  Company  (i) does not have any  material  lending or
          other   relationship   with  any  bank  or  lending  affiliate  of  an
          Underwriter  and (ii) does not intend to use any of the proceeds  from
          the sale of the  Securities  hereunder to repay any  outstanding  debt
          owed to any affiliate of an Underwriter.

               (af)  The  Company  and  the   Subsidiaries  are  implementing  a
          comprehensive,  detailed  program to analyze and address the risk that
          the 
                                       8
<PAGE>

          computer hardware and software used by them may be unable to recognize
          and properly execute date-sensitive  functions involving certain dates
          prior to and any  dates  after  December  31,  1999  (the  "Year  2000
          Problem"),  and reasonably believes that such risk will be remedied on
          a timely basis without  material  expense and will not have a Material
          Adverse Effect; and the Company believes, after due inquiry, that each
          supplier,  vendor,  customer or financial service organization used or
          serviced  by the  Company and the  Subsidiaries  has  remedied or will
          remedy on a timely basis the Year 2000  Problem,  except to the extent
          that a failure to remedy by any such  supplier,  vendor,  customer  or
          financial  service  organization  would  not have a  Material  Adverse
          Effect.  The Company is in compliance with the Commissions staff legal
          bulletin No. 5 dated January 12, 1998 related to Year 2000 compliance.

               (ag) Any  certificate  signed by any  officer of the  Company and
          delivered to the  Representatives  or counsel for the  Underwriters in
          connection  with the  offering  of the  Securities  shall be  deemed a
          representation  and  warranty by the  Company,  as to matters  covered
          thereby, to each Underwriter.

               2. Purchase and Sale.

               (a) Subject to the terms and  conditions and in reliance upon the
          representations and warranties herein set forth, the Company agrees to
          sell to each Underwriter,  and each Underwriter agrees,  severally and
          not jointly,  to purchase from the Company,  at a purchase  price of $
          per  share,  the  amount  of the  Underwritten  Securities  set  forth
          opposite such Underwriter's name in Schedule I hereto.

               (b) Subject to the terms and  conditions and in reliance upon the
          representations  and warranties  herein set forth,  the Company hereby
          grants an option to the several  Underwriters  to purchase,  severally
          and not jointly,  up to 540,000 Option Securities at the same purchase
          price per  share as the  Underwriters  shall pay for the  Underwritten
          Securities. Said option may be exercised only to cover over-allotments
          in the sale of the Underwritten  Securities by the Underwriters.  Said
          option may be  exercised in whole or in part at any time (but not more
          than once) on or before the 30th day after the date of the  Prospectus
          upon  written  or  telegraphic  notice by the  Representatives  to the
          Company setting forth the number of shares of the Option Securities as
          to which the several  Underwriters  are  exercising the option and the
          settlement  date.  The number of Option  Securities to be purchased by
          each  Underwriter  shall be the same percentage of the total number of
          shares  of the  Option  Securities  to be  purchased  by  the  several
          Underwriters  as such  Underwriter  is purchasing of the  Underwritten
          Securities,  subject  to  such  adjustments  as you in  your  absolute
          discretion shall make to eliminate any fractional shares.

          3. Delivery and Payment.  Delivery of and payment for the Underwritten
Securities and the Option Securities (if the option provided for in Section 2(b)
hereof shall have been  exercised  on or before the third  Business Day prior to
the


                                       9
<PAGE>
Closing  Date) shall be made at 10:00 AM, New York City time,  on , 1998,  or at
such  time on such  later  date not more  than  three  Business  Days  after the
foregoing date as the Representatives  shall designate,  which date and time may
be  postponed  by agreement  between the  Representatives  and the Company or as
provided in Section 9 hereof (such date and time of delivery and payment for the
Securities being herein called the "Closing  Date").  Delivery of the Securities
shall be made to the  Representatives for the respective accounts of the several
Underwriters   against   payment  by  the  several   Underwriters   through  the
Representatives  of the  purchase  price  thereof  to or upon  the  order of the
Company by wire transfer  payable in same-day  funds to an account  specified by
the Company.  Delivery of the Underwritten  Securities and the Option Securities
shall be made through the facilities of The Depository  Trust Company unless the
Representatives shall otherwise instruct.

          If the option  provided for in Section 2(b) hereof is exercised  after
the third  Business Day prior to the Closing Date,  the Company will deliver the
Option Securities (at the expense of the Company) to the  Representatives on the
date specified by the Representatives (which shall be within three Business Days
after  exercise  of said  option)  for the  respective  accounts  of the several
Underwriters,   against  payment  by  the  several   Underwriters   through  the
Representatives  of the  purchase  price  thereof  to or upon  the  order of the
Company by wire transfer  payable in same-day  funds to an account  specified by
the Company.  If settlement for the Option  Securities  occurs after the Closing
Date, the Company will deliver to the Representatives on the settlement date for
the Option  Securities,  and the obligation of the  Underwriters to purchase the
Option Securities shall be conditioned upon receipt of,  supplemental  opinions,
certificates and letters  confirming as of such date the opinions,  certificates
and letters delivered on the Closing Date pursuant to Section 6 hereof.

          4.  Offering  by  Underwriters.  It is  understood  that  the  several
Underwriters propose to offer the Securities for sale to the public as set forth
in the Prospectus.

          5. Agreements. The Company agrees with the several Underwriters that:

               (a)  The  Company   will  use  its  best  efforts  to  cause  the
          Registration  Statement,  if not effective at the Execution  Time, and
          any amendment thereof,  to become effective.  Prior to the termination
          of the  offering  of the  Securities,  the  Company  will not file any
          amendment  of  the   Registration   Statement  or  supplement  to  the
          Prospectus  or any  Rule  462(b)  Registration  Statement  unless  the
          Company has  furnished  you a copy for your review prior to filing and
          will not file any such  proposed  amendment or supplement to which you
          reasonably  object.   Subject  to  the  foregoing  sentence,   if  the
          Registration  Statement  has become or becomes  effective  pursuant to
          Rule 430A,  or filing of the  Prospectus is otherwise  required  under
          Rule  424(b),   the  Company  will  cause  the  Prospectus,   properly
          completed,  and any supplement thereto to be filed with the Commission
          pursuant to the  applicable  paragraph of Rule 424(b)  within the time
          period  prescribed  and  will  provide  evidence  satisfactory  to the
          Representatives  of such  timely  filing. 

                                       10
<PAGE>

          The Company  will  promptly  advise the  Representatives  (1) when the
          Registration  Statement, if not effective at the Execution Time, shall
          have become  effective,  (2) when the  Prospectus,  and any supplement
          thereto,  shall  have been  filed (if  required)  with the  Commission
          pursuant to Rule 424(b) or when any Rule 462(b) Registration Statement
          shall  have  been  filed  with  the  Commission,  (3)  when,  prior to
          termination  of the offering of the  Securities,  any amendment to the
          Registration Statement shall have been filed or become effective,  (4)
          of any request by the Commission or its staff for any amendment of the
          Registration  Statement, or any Rule 462(b) Registration Statement, or
          for  any   supplement  to  the   Prospectus  or  for  any   additional
          information,  (5) of the issuance by the  Commission of any stop order
          suspending  the  effectiveness  of the  Registration  Statement or the
          institution  or threatening of any proceeding for that purpose and (6)
          of the receipt by the Company of any notification  with respect to the
          suspension  of the  qualification  of the  Securities  for sale in any
          jurisdiction  or the  institution or threatening of any proceeding for
          such  purpose.  The Company  will use its best  efforts to prevent the
          issuance  of any  such  stop  order  or  the  suspension  of any  such
          qualification  and,  if  issued,  to  obtain as soon as  possible  the
          withdrawal thereof.

               (b) If, at any time when a prospectus  relating to the Securities
          is  required  to be  delivered  under the Act,  any event  occurs as a
          result of which the Prospectus as then supplemented  would include any
          untrue statement of a material fact or omit to state any material fact
          necessary  to  make  the  statements  therein  in  the  light  of  the
          circumstances  under  which  they were made not  misleading,  or if it
          shall be necessary to amend the  Registration  Statement or supplement
          the  Prospectus  to comply with the Act or the rules  thereunder,  the
          Company  promptly  will (1)  notify  the  Representatives  of any such
          event; (2) prepare and file with the Commission, subject to the second
          sentence  of  paragraph  (a)  of  this  Section  5,  an  amendment  or
          supplement  which will  correct  such  statement or omission or effect
          such compliance;  and (3) supply any supplemented Prospectus to you in
          such  quantities  as  you  may  reasonably  request.

               (c) As soon as  practicable,  the  Company  will  make  generally
          available  to its  security  holders  and to  the  Representatives  an
          earnings  statement or statements of the Company and the  Subsidiaries
          which will satisfy the provisions of Section 11(a) of the Act and Rule
          158 under the Act.

               (d) The Company will furnish to the  Representatives  and counsel
          for the  Underwriters  signed  copies  of the  Registration  Statement
          (including  exhibits  thereto) and to each other Underwriter a copy of
          the Registration  Statement (without exhibits thereto) and, so long as
          delivery of a prospectus by an  Underwriter  or dealer may be required
          by the Act,  as many  copies of each  Preliminary  Prospectus  and the
          Prospectus  and any  supplement  thereto  as the  Representatives  may
          reasonably request.

               (e) The Company will arrange, if necessary, for the qualification
          of the Securities for sale under the laws of such jurisdictions as the
          Representatives may designate and will maintain such qualifications in
          effect so long as required  for

                                       11

<PAGE>
          the  distribution of the  Securities;  provided that in no event shall
          the Company be obligated to qualify to do business in any jurisdiction
          where it is not now so  qualified  or to take any  action  that  would
          subject it to service  of process in suits,  other than those  arising
          out of the  offering or sale of the  Securities,  in any  jurisdiction
          where it is not now so subject.

               (f) The Company will not,  without the prior  written  consent of
          Salomon Smith Barney, for a period of 180 days following the Execution
          Time,  offer,  sell or contract to sell,  or otherwise  dispose of (or
          enter into any transaction  which is designed to, or might  reasonably
          be  expected  to,  result  in  the  disposition   (whether  by  actual
          disposition or effective  economic  disposition due to cash settlement
          or  otherwise)  by the Company or any  affiliate of the Company or any
          person in privity  with the Company or any  affiliate  of the Company)
          directly or indirectly,  or announce the offering of, any other shares
          of Common Stock or any securities  convertible  into, or  exchangeable
          for, shares of Common Stock;  provided,  however, that the Company may
          issue and sell Common  Stock  pursuant to any  employee  stock  option
          plan,  stock  ownership  plan  or  dividend  reinvestment  plan of the
          Company  in effect at the  Execution  Time and the  Company  may issue
          Common  Stock  issuable  upon  the  conversion  of  securities  or the
          exercise  of  warrants  outstanding  at the  Execution  Time.

               (g) The Company will not take, directly or indirectly, any action
          designed  to or which has  constituted  or which might  reasonably  be
          expected to cause or result,  under the Exchange Act or otherwise,  in
          stabilization  or  manipulation  of the price of any  security  of the
          Company to facilitate the sale or resale of the Securities.

               (h) The Company agrees to pay the costs and expenses  relating to
          the following matters:  (i) the preparation,  printing or reproduction
          and  filing  with  the  Commission  of  the   Registration   Statement
          (including   financial   statements   and  exhibits   thereto),   each
          Preliminary  Prospectus,   the  Prospectus,   and  each  amendment  or
          supplement  to any of them;  (ii) the printing (or  reproduction)  and
          delivery  (including  postage,  air  freight  charges  and charges for
          counting and packaging) of such copies of the Registration  Statement,
          each  Preliminary  Prospectus,  the Prospectus,  and all amendments or
          supplements  to any of  them,  as may,  in each  case,  be  reasonably
          requested  for use in  connection  with the  offering  and sale of the
          Securities; (iii) the preparation, printing, authentication,  issuance
          and delivery of certificates  for the Securities,  including any stamp
          or transfer taxes in connection with the original issuance and sale of
          the Securities;  (iv) the printing (or  reproduction)  and delivery of
          this  Agreement,  any blue sky memorandum and all other  agreements or
          documents printed (or reproduced) and delivered in connection with the
          offering of the  Securities;  (v) the  registration  of the Securities
          under the Exchange Act and the listing of the Securities on the Nasdaq
          National  Market;  (vi)  any  registration  or  qualification  of  the
          Securities for offer and sale under the securities or blue sky laws of
          the several states  (including filing fees and the reasonable fees and
          expenses of counsel for the Underwriters relating to such registration
          and  qualification);  (vii) any  filings  required to be

                                       12

<PAGE>

          made  with  the  National  Association  of  Securities  Dealers,  Inc.
          (including filing fees and the reasonable fees and expenses of counsel
          for  the   Underwriters   relating  to  such   filings);   (viii)  the
          transportation  and other expenses incurred by or on behalf of Company
          representatives   in  connection  with  presentations  to  prospective
          purchasers  of the  Securities;  (ix)  the fees  and  expenses  of the
          Company's  accountants and the fees and expenses of counsel (including
          local and special  counsel) for the  Company;  and (x) all other costs
          and  expenses  incident  to  the  performance  by the  Company  of its
          obligations hereunder.

          6. Conditions to the Obligations of the Underwriters.  The obligations
of the  Underwriters  to purchase  the  Underwritten  Securities  and the Option
Securities,  as the  case  may be,  shall  be  subject  to the  accuracy  of the
representations and warranties on the part of the Company contained herein as of
the Execution Time, the Closing Date and any settlement date pursuant to Section
3  hereof,  to  the  accuracy  of the  statements  of the  Company  made  in any
certificates  pursuant  to the  provisions  hereof,  to the  performance  by the
Company of its obligations hereunder and to the following additional conditions:

               (a) If the Registration  Statement has not become effective prior
          to the Execution Time, unless the Representatives  agree in writing to
          a later time, the  Registration  Statement  will become  effective not
          later than (i) 6:00 PM New York City time on the date of determination
          of the public  offering price,  if such  determination  occurred at or
          prior to 3:00 PM New York  City  time on such  date or (ii) 9:30 AM on
          the Business Day following the day on which the public  offering price
          was determined,  if such determination occurred after 3:00 PM New York
          City time on such date; if filing of the Prospectus, or any supplement
          thereto, is required pursuant to Rule 424(b), the Prospectus,  and any
          such  supplement,  will be filed in the  manner  and  within  the time
          period  required  by Rule  424(b);  and no stop order  suspending  the
          effectiveness of the Registration Statement shall have been issued and
          no  proceedings  for  that  purpose  shall  have  been  instituted  or
          threatened.

               (b) The Company  shall have  caused  Reboul,  MacMurray,  Hewitt,
          Maynard & Kristol,  counsel for the Company,  to have furnished to the
          Representatives their opinion, dated the Closing Date and addressed to
          the  Representatives,  to the effect that:

                    (i) each of the Company and the  Subsidiaries  has been duly
               incorporated  and is validly  existing as a  corporation  in good
               standing  under  the  laws of the  jurisdiction  in  which  it is
               chartered or organized,  with full corporate  power and authority
               to  own or  lease,  as the  case  may  be,  and  to  operate  its
               properties   and  conduct  its   business  as  described  in  the
               Prospectus,  and is duly  qualified  to do  business as a foreign
               corporation  and is in  good  standing  under  the  laws  of each
               jurisdiction which requires such qualification.

                    (ii) all the outstanding  shares of capital stock of each of
               the Subsidiaries have been duly and validly authorized and issued
               and are


                                       13

<PAGE>
               fully paid and nonassessable,  and, except as otherwise set forth
               in the Prospectus, all outstanding shares of capital stock of the
               Subsidiaries  are owned by the Company directly free and clear of
               any  perfected  security  interest  and, to the knowledge of such
               counsel,  after due inquiry, any other security interest,  claim,
               lien or encumbrance;

                    (iii) the Company's  authorized equity  capitalization is as
               set forth in the  Prospectus;  the  capital  stock of the Company
               conforms  in all  material  respects to the  description  thereof
               contained in the  Prospectus;  the  outstanding  shares of Common
               Stock have been duly and  validly  authorized  and issued and are
               fully paid and  nonassessable;  the Securities have been duly and
               validly  authorized,  and,  when issued and delivered to and paid
               for by the Underwriters pursuant to this Agreement, will be fully
               paid and  nonassessable;  the  Securities  are duly  listed,  and
               admitted and authorized for trading,  subject to official  notice
               of issuance and  evidence of  satisfactory  distribution,  on the
               Nasdaq National  Market;  the certificates for the Securities are
               in valid and sufficient  form; the holders of outstanding  shares
               of capital stock of the Company are not entitled to preemptive or
               other  rights to  subscribe  for the  Securities  except for such
               rights of WCAS Capital Partners II, L.P. as have been effectively
               waived;  and, except as set forth in the Prospectus,  no options,
               warrants  or  other  rights  to  purchase,  agreements  or  other
               obligations to issue, or rights to convert any  obligations  into
               or exchange any  securities  for,  shares of capital  stock of or
               ownership interests in the Company are outstanding;

                    (iv) to the knowledge of such  counsel,  there is no pending
               or threatened  action,  suit or proceeding by or before any court
               or  governmental  agency,  authority  or body  or any  arbitrator
               involving  the  Company  or the  Subsidiaries  or  its  or  their
               property  of  a  character   required  to  be  disclosed  in  the
               Registration  Statement which is not adequately  disclosed in the
               Prospectus, and there is no franchise, contract or other document
               of a  character  required  to be  described  in the  Registration
               Statement or  Prospectus,  or to be filed as an exhibit  thereto,
               which is not described or filed as required;  and the  statements
               included in the  Prospectus  under the headings  "Risk Factors --
               Proposed  Healthcare  Data  Confidentiality  Legislation,"  "Risk
               Factors--Dependence   on   Intellectual    Property;    Risk   of
               Infringement,"  "Business -- Government Regulation," "Business --
               Legal Proceedings" and  "Business--Intellectual  Property" fairly
               summarize the matters therein described;

                    (v) the  Registration  Statement has become  effective under
               the  Act;  any  required  filing  of  the  Prospectus,   and  any
               supplements thereto, pursuant to Rule 424(b) has been made in the
               manner and within the time period required by Rule 424(b); to the
               knowledge  of  such  counsel,   no  stop  order   suspending  the
               effectiveness of the Registration  Statement has been issued,  no
               proceedings  for that purpose have been  instituted or threatened
               and the Registration Statement and the Prospectus (other than the
               financial 

                                       14
<PAGE>

               statements and other financial  information contained therein, as
               to which such counsel need express no opinion)  comply as to form
               in all material respects with the applicable  requirements of the
               Act and the rules  thereunder;  and such counsel has no reason to
               believe that on the Effective  Date or at the Execution  Time the
               Registration  Statement  contained  any  untrue  statement  of  a
               material  fact or omitted to state any material  fact required to
               be stated therein or necessary to make the statements therein not
               misleading  or that  the  Prospectus  as of its  date  and on the
               Closing  Date  included or  includes  any untrue  statement  of a
               material  fact or  omitted  or  omits to  state a  material  fact
               necessary  to make the  statements  therein,  in the light of the
               circumstances under which they were made, not misleading (in each
               case,  other than the financial  statements  and other  financial
               information  contained  therein,  as to which such  counsel  need
               express no opinion);

                    (vi) this Agreement has been duly  authorized,  executed and
               delivered by the Company;

                    (vii) the  Company is not and,  after  giving  effect to the
               offering and sale of the  Securities  and the  application of the
               proceeds thereof as described in the Prospectus,  will not be, an
               "investment  company" as defined in the Investment Company Act of
               1940, as amended;

                    (viii) no consent, approval,  authorization,  filing with or
               order of any court or governmental  agency or body is required in
               connection with the transactions contemplated herein, except such
               as have been  obtained  under the Act and such as may be required
               under the blue sky laws of any  jurisdiction  in connection  with
               the  purchase  and   distribution   of  the   Securities  by  the
               Underwriters in the manner  contemplated in this Agreement and in
               the  Prospectus  and  such  other  approvals  (specified  in such
               opinion) as have been  obtained;  

                    (ix) neither the issue and sale of the  Securities,  nor the
               consummation of any other of the transactions herein contemplated
               nor the  fulfillment  of the terms  hereof  will  conflict  with,
               result in a breach or  violation  of or  imposition  of any lien,
               charge or encumbrance  upon any property or assets of the Company
               or its  subsidiaries  pursuant  to, (i) the charter or by-laws of
               the Company or the Subsidiaries, (ii) the terms of any indenture,
               contract,  lease, mortgage,  deed of trust, note agreement,  loan
               agreement or other agreement, obligation,  condition, covenant or
               instrument to which the Company or the  Subsidiaries  are a party
               or bound or to which its or their  property is subject,  or (iii)
               any statute,  law, rule,  regulation,  judgment,  order or decree
               applicable  to the  Company  or the  Subsidiaries  of any  court,
               regulatory  body,   administrative  agency,   governmental  body,
               arbitrator  or  other  authority  having  jurisdiction  over  the
               Company or the Subsidiaries or any of their  properties;  and 

                                       15
<PAGE>
                    (x) no holders of  securities  of the Company have rights to
               the  registration  of  such  securities  under  the  Registration
               Statement  except for such rights of WCAS  Capital  Partners  II,
               L.P. as have been effectively  waived. 

               In  rendering  such  opinion,  such  counsel  may  rely (A) as to
          matters  involving the application of laws of any  jurisdiction  other
          than the State of Delaware or the Federal  laws of the United  States,
          to the extent they deem proper and specified in such opinion, upon the
          opinion of other  counsel  of good  standing  whom they  believe to be
          reliable and who are  satisfactory to counsel for the Underwriters and
          (B) as to  matters  of  fact,  to the  extent  they  deem  proper,  on
          certificates  of  responsible  officers  of  the  Company  and  public
          officials.  References to the Prospectus in this paragraph (b) include
          any supplements thereto at the Closing Date.

               (c) The Representatives shall have received from Dewey Ballantine
          LLP, counsel for the Underwriters, such opinion or opinions, dated the
          Closing Date and addressed to the Representatives, with respect to the
          issuance and sale of the Securities,  the Registration Statement,  the
          Prospectus  (together with any  supplement  thereto) and other related
          matters as the Representatives may reasonably require, and the Company
          shall have  furnished to such  counsel such  documents as they request
          for the purpose of enabling them to pass upon such matters.

               (d) The Company  shall have  furnished to the  Representatives  a
          certificate of the Company, signed by the Chairman of the Board or the
          President  and the principal  financial or  accounting  officer of the
          Company,  dated the  Closing  Date,  to the effect that the signers of
          such certificate have carefully  examined the Registration  Statement,
          the  Prospectus,  any supplements to the Prospectus and this Agreement
          and that: 

                    (i) the  representations  and  warranties  of the Company in
               this  Agreement are true and correct in all material  respects on
               and as of the Closing Date with the same effect as if made on the
               Closing Date and the Company has complied with all the agreements
               and satisfied  all the  conditions on its part to be performed or
               satisfied at or prior to the Closing Date;

                    (ii) no  stop  order  suspending  the  effectiveness  of the
               Registration  Statement  has been issued and no  proceedings  for
               that purpose have been instituted or, to the Company's knowledge,
               threatened; and

                    (iii) since the date of the most recent financial statements
               included in the Prospectus (exclusive of any supplement thereto),
               there   has   been   no   Material   Adverse   Effect.  

                                       16
<PAGE>
               (e) The Representatives  shall have received letters addressed to
          you dated the date  hereof  and the  Closing  date from  Deloitte  and
          Touche LLP and Carver Moquist Alagna, LLC, each independent  certified
          public accountants,  substantially in the forms heretofore approved by
          you.

               (f) Subsequent to the Execution Time or, if earlier, the dates as
          of which information is given in the Registration Statement (exclusive
          of  any  amendment  thereof)  and  the  Prospectus  (exclusive  of any
          supplement  thereto),  there  shall  not have  been (i) any  change or
          decrease  specified in the letter or letters  referred to in paragraph
          (e) of this Section 6 or (ii) any change, or any development involving
          a prospective  change,  in or affecting  the  condition  (financial or
          otherwise),  earnings,  business or  properties of the Company and the
          Subsidiaries   taken  as  a  whole,   whether  or  not  arising   from
          transactions in the ordinary  course of business,  except as set forth
          in or  contemplated  in the  Prospectus  (exclusive of any  supplement
          thereto) the effect of which, in any case referred to in clause (i) or
          (ii)  above,  is,  in the sole  judgment  of the  Representatives,  so
          material  and  adverse as to make it  impractical  or  inadvisable  to
          proceed   with  the  offering  or  delivery  of  the   Securities   as
          contemplated by the Registration Statement (exclusive of any amendment
          thereof) and the Prospectus (exclusive of any supplement thereto).

               (g) The  Securities  shall  have been  listed  and  admitted  and
          authorized for trading on the Nasdaq National Market, and satisfactory
          evidence   of  such   actions   shall  have  been   provided   to  the
          Representatives.

               (h) At or prior to the  Execution  Time,  the Company  shall have
          furnished to the Representatives a letter substantially in the form of
          Exhibit A hereto from each officer,  director and  stockholder  of the
          Company addressed to the Representatives.

               (i) The Company shall have provided evidence to the Underwriters,
          in form and substance  satisfactory to the Representatives and for the
          Underwriters,  that  concurrently  with  the  Closing  (i) the  Senior
          Subordinated  Note and the Credit  Facility (as such terms are defined
          in the  Prospectus)  will be repaid in full in the manner set forth in
          the  Prospectus  under  the  heading  "Use of  Proceeds"  and (ii) the
          Recapitalization (as defined in the Prospectus) will be completed.

               (j) [Amended Credit Facility]

               (k) The Company shall have provided evidence to the Underwriters,
          in form and substance  satisfactory to the Representatives and for the
          Underwriters, that the Company's Certificate of Incorporation has been
          amended to  provide  for the  issuance  of up to  5,000,000  shares of
          Preferred  Stock as set forth in the  Prospectus  under  the  headings
          "Risk Factors--Potential  Adverse Effect of Anti-Takeover Provisions,"
          "Description   of   Capital   Stock"  and   "Description   of  Capital
          Stock--Preferred Stock."


                                       17
<PAGE>
               (l) Prior to the Closing Date,  the Company shall have  furnished
          to the  Representatives  such further  information,  certificates  and
          documents as the Representatives may reasonably request.

          If any of the  conditions  specified  in this Section 6 shall not have
been fulfilled in all material  respects when and as provided in this Agreement,
or if any of the opinions and certificates  mentioned above or elsewhere in this
Agreement shall not be in all material respects reasonably  satisfactory in form
and  substance to the  Representatives  and counsel for the  Underwriters,  this
Agreement and all obligations of the Underwriters  hereunder may be canceled at,
or at any time prior to, the Closing Date by the Representatives. Notice of such
cancelation  shall  be  given to the  Company  in  writing  or by  telephone  or
facsimile confirmed in writing.

          The  documents  required to be  delivered  by this  Section 6 shall be
delivered at the office of Dewey Ballantine LLP,  counsel for the  Underwriters,
at 1301 Avenue of the Americas, New York, New York, on the Closing Date.

          7.  Reimbursement  of  Underwriters'  Expenses.  If  the  sale  of the
Securities  provided for herein is not consummated  because any condition to the
obligations of the  Underwriters set forth in Section 6 hereof is not satisfied,
because  of any  termination  pursuant  to  Section  10 hereof or because of any
refusal,  inability  or  failure  on the  part of the  Company  to  perform  any
agreement  herein or comply with any provision  hereof other than by reason of a
default by any of the Underwriters,  the Company will reimburse the Underwriters
severally through Salomon Smith Barney on demand for all out-of-pocket  expenses
(including  reasonable fees and  disbursements  of counsel) that shall have been
incurred  by them in  connection  with  the  proposed  purchase  and sale of the
Securities.

          8. Indemnification and Contribution.

               (a) The  Company  agrees  to  indemnify  and hold  harmless  each
          Underwriter,  the  directors,  officers,  employees and agents of each
          Underwriter  and each person who controls any  Underwriter  within the
          meaning  of either the Act or the  Exchange  Act  against  any and all
          losses,  claims,  damages or liabilities,  joint or several,  to which
          they or any of them may become subject under the Act, the Exchange Act
          or other Federal or state  statutory law or regulation,  at common law
          or otherwise,  insofar as such losses,  claims, damages or liabilities
          (or  actions  in respect  thereof)  arise out of or are based upon any
          untrue  statement  or alleged  untrue  statement  of a  material  fact
          contained in the  registration  statement for the  registration of the
          Securities as originally filed or in any amendment thereof,  or in any
          Preliminary Prospectus or the Prospectus,  or in any amendment thereof
          or supplement  thereto, or arise out of or are based upon the omission
          or alleged  omission to state  therein a material  fact required to be
          stated  therein  or  necessary  to make  the  statements  therein  not
          misleading,  and agrees to reimburse each such  indemnified  party, as
          incurred,  for any legal or other expenses reasonably incurred by them
          in connection with  investigating  or defending any such loss,  claim,
          damage, liability or action; provided,  however, that the Company will
          not 

                                       18
<PAGE>
          be liable in any such case to the extent  that any such  loss,  claim,
          damage or  liability  arises out of or is based  upon any such  untrue
          statement or alleged untrue  statement or omission or alleged omission
          made  therein  in  reliance  upon  and  in  conformity   with  written
          information   furnished  to  the  Company  by  or  on  behalf  of  any
          Underwriter  through the  Representatives  specifically  for inclusion
          therein. This indemnity agreement will be in addition to any liability
          which the Company may otherwise have.

               (b)  Each  Underwriter   severally  and  not  jointly  agrees  to
          indemnify and hold harmless the Company,  each of its directors,  each
          of its officers who signs the Registration Statement,  and each person
          who controls  the Company  within the meaning of either the Act or the
          Exchange Act, to the same extent as the foregoing  indemnity  from the
          Company  to each  Underwriter,  but only  with  reference  to  written
          information  relating to such Underwriter  furnished to the Company by
          or  on  behalf  of  such  Underwriter   through  the   Representatives
          specifically  for  inclusion  in  the  documents  referred  to in  the
          foregoing  indemnity.  This indemnity agreement will be in addition to
          any liability  which any  Underwriter  may otherwise have. The Company
          acknowledges  that the  statements  set forth in the last paragraph of
          the cover page  regarding  delivery of the  Securities,  the legend in
          block capital  letters on page 2 related to  stabilization,  syndicate
          covering   transactions  and  penalty  bids  and,  under  the  heading
          "Underwriting" or "Plan of Distribution," (i) the sentences related to
          concessions  and  reallowances  and  (ii)  the  paragraph  related  to
          stabilization, syndicate covering transactions and penalty bids in any
          Preliminary   Prospectus  and  the  Prospectus   constitute  the  only
          information  furnished  in  writing  by or on  behalf  of the  several
          Underwriters  for  inclusion  in  any  Preliminary  Prospectus  or the
          Prospectus.

               (c) The Company hereby  confirms that at its request Smith Barney
          Inc.  has  without   compensation  acted  as  "qualified   independent
          underwriter" (in such capacity,  the "QIU") within the meaning of Rule
          2720 of the Conduct  Rules of the National  Association  of Securities
          Dealers,   Inc.  in  connection  with  the  offering  of  the  Offered
          Securities. The Company agrees to indemnify and hold harmless the QIU,
          the  directors,  officers,  employees  and  agents of the QIU and each
          person who  controls  the QIU within the  meaning of either the Act or
          the  Exchange  Act  against  any and all  losses,  claims,  damages or
          liabilities, joint or several, to which they or any of them may become
          subject  under the Act,  the  Exchange  Act or other  Federal or state
          statutory law or  regulation,  at common law or otherwise,  insofar as
          such losses,  claims,  damages or  liabilities  (or actions in respect
          thereof)  arise  out of or are  based  upon any  untrue  statement  or
          alleged  untrue   statement  of  a  material  fact  contained  in  the
          registration  statement  for the  registration  of the  Securities  as
          originally  filed or in any amendment  thereof,  or in any Preliminary
          Prospectus  or  the  Prospectus,   or  in  any  amendment  thereof  or
          supplement  thereto, or arise out of or are based upon the omission or
          alleged  omission  to state  therein a material  fact  required  to be
          stated  therein  or  necessary  to make  the  statements  therein  not
          misleading,  and agrees to reimburse each such  indemnified  party, as
          incurred,  for any legal or other expenses reasonably incurred by them
          in connection with  investigating  or defending any such loss,  claim,
          damage, liability or action; provided,  however, that the Company will
          not be  liable  in any such  case to the  extent  that any such  loss,

                                       19
<PAGE>
          claim,  damage or  liability  arises  out of or is based upon any such
          untrue  statement or alleged  untrue  statement or omission or alleged
          omission made therein in reliance upon and in conformity  with written
          information  furnished  to the  Company  by or on  behalf  of the  QIU
          through the Representatives  specifically for inclusion therein.  This
          indemnity  agreement  will be in addition to any  liability  which the
          Company may otherwise have.

               (d) Promptly  after  receipt by an  indemnified  party under this
          Section  8  of  notice  of  the  commencement  of  any  action,   such
          indemnified  party will,  if a claim in respect  thereof is to be made
          against  the  indemnifying  party  under this  Section  8,  notify the
          indemnifying  party in writing of the  commencement  thereof;  but the
          failure so to notify the  indemnifying  party (i) will not  relieve it
          from liability under paragraph (a), (b) or (c) above unless and to the
          extent it did not  otherwise  learn of such  action  and such  failure
          results in the  forfeiture by the  indemnifying  party of  substantial
          rights  and  defenses  and (ii) will not,  in any event,  relieve  the
          indemnifying party from any obligations to any indemnified party other
          than the indemnification  obligation provided in paragraph (a), (b) or
          (c) above. The indemnifying party shall be entitled to appoint counsel
          of the indemnifying party's choice at the indemnifying party's expense
          to  represent   the   indemnified   party  in  any  action  for  which
          indemnification  is sought (in which case the indemnifying party shall
          not  thereafter  be  responsible  for the  fees  and  expenses  of any
          separate counsel  retained by the indemnified  party or parties except
          as set forth  below);  provided,  however,  that such counsel shall be
          satisfactory   to   the   indemnified   party.   Notwithstanding   the
          indemnifying  party's  election to appoint  counsel to  represent  the
          indemnified  party in an action,  the indemnified party shall have the
          right to employ separate counsel  (including  local counsel),  and the
          indemnifying  party shall bear the reasonable fees, costs and expenses
          of such  separate  counsel  if (i) the use of  counsel  chosen  by the
          indemnifying  party to represent the  indemnified  party would present
          such counsel with a conflict of interest, (ii) the actual or potential
          defendants  in,  or  targets  of,  any such  action  include  both the
          indemnified party and the indemnifying party and the indemnified party
          shall  have  reasonably  concluded  that  there may be legal  defenses
          available to it and/or other  indemnified  parties which are different
          from or additional to those available to the indemnifying party, (iii)
          the indemnifying party shall not have employed counsel satisfactory to
          the  indemnified  party to represent  the  indemnified  party within a
          reasonable time after notice of the institution of such action or (iv)
          the indemnifying party shall authorize the indemnified party to employ
          separate  counsel  at  the  expense  of  the  indemnifying  party.  An
          indemnifying  party will not, without the prior written consent of the
          indemnified  parties,  settle or compromise or consent to the entry of
          any judgment with respect to any pending or threatened claim,  action,
          suit or proceeding in respect of which indemnification or contribution
          may be sought  hereunder  (whether or not the indemnified  parties are
          actual or  potential  parties  to such claim or  action)  unless  such
          settlement, compromise or consent includes an

                                       20

<PAGE>
          unconditional  release of each  indemnified  party from all  liability
          arising out of such claim, action, suit or proceeding.

               (e) In the event that the indemnity  provided in paragraph (a) or
          (b) of  this  Section  8 is  unavailable  to or  insufficient  to hold
          harmless  an  indemnified  party for any  reason,  the Company and the
          Underwriters  severally  agree to contribute to the aggregate  losses,
          claims,  damages and  liabilities  (including  legal or other expenses
          reasonably  incurred in  connection  with  investigating  or defending
          same) (collectively  "Losses") to which the Company and one or more of
          the  Underwriters  may be subject in such proportion as is appropriate
          to reflect the  relative  benefits  received by the Company on the one
          hand and by the  Underwriters  on the other from the  offering  of the
          Securities;  provided,  however, that in no case shall any Underwriter
          (except  as  may  be  provided  in any  agreement  among  underwriters
          relating to the offering of the  Securities)  be  responsible  for any
          amount in excess of the underwriting discount or commission applicable
          to the  Securities  purchased by such  Underwriter  hereunder.  If the
          allocation   provided  by  the  immediately   preceding   sentence  is
          unavailable for any reason, the Company and the Underwriters severally
          shall  contribute in such  proportion as is appropriate to reflect not
          only such relative benefits but also the relative fault of the Company
          on the one hand and of the  Underwriters  on the  other in  connection
          with the statements or omissions which resulted in such Losses as well
          as any other relevant equitable  considerations.  Benefits received by
          the Company shall be deemed to be equal to the total net proceeds from
          the offering (before deducting  expenses) received by it, and benefits
          received by the Underwriters  shall be deemed to be equal to the total
          underwriting  discounts and commissions,  in each case as set forth on
          the cover page of the  Prospectus.  Relative fault shall be determined
          by reference to, among other things, whether any untrue or any alleged
          untrue  statement  of a  material  fact  or the  omission  or  alleged
          omission to state a material fact relates to  information  provided by
          the  Company on the one hand or the  Underwriters  on the  other,  the
          intent  of  the  parties  and  their  relative  knowledge,  access  to
          information   and  opportunity  to  correct  or  prevent  such  untrue
          statement or omission.  The Company and the Underwriters agree that it
          would not be just and equitable if contribution were determined by pro
          rata allocation or any other method of allocation  which does not take
          account   of  the   equitable   considerations   referred   to  above.
          Notwithstanding the provisions of this paragraph (e), no person guilty
          of fraudulent  misrepresentation  (within the meaning of Section 11(f)
          of the Act) shall be entitled to contribution  from any person who was
          not guilty of such fraudulent misrepresentation.  For purposes of this
          Section 8, each person who controls an Underwriter  within the meaning
          of either  the Act or the  Exchange  Act and each  director,  officer,
          employee  and agent of an  Underwriter  shall have the same  rights to
          contribution  as such  Underwriter,  and each person who  controls the
          Company within the meaning of either the Act or the Exchange Act, each
          officer  of  the  Company  who  shall  have  signed  the  Registration
          Statement  and each director of the Company shall have the same rights
          to contribution as the Company, subject in each case to the applicable
          terms and conditions of this paragraph (e).

                                       21
<PAGE>

          9. Default by an Underwriter.  If any one or more  Underwriters  shall
fail to purchase  and pay for any of the  Securities  agreed to be  purchased by
such  Underwriter or  Underwriters  hereunder and such failure to purchase shall
constitute a default in the performance of its or their  obligations  under this
Agreement,  the remaining  Underwriters shall be obligated  severally to take up
and pay for (in the  respective  proportions  which the amount of Securities set
forth opposite their names in Schedule I hereto bears to the aggregate amount of
Securities set forth opposite the names of all the remaining  Underwriters)  the
Securities which the defaulting Underwriter or Underwriters agreed but failed to
purchase;  provided,  however,  that in the event that the  aggregate  amount of
Securities which the defaulting Underwriter or Underwriters agreed but failed to
purchase  shall exceed 10% of the aggregate  amount of  Securities  set forth in
Schedule I hereto,  the remaining  Underwriters shall have the right to purchase
all, but shall not be under any  obligation to purchase any, of the  Securities,
and if such nondefaulting Underwriters do not purchase all the Securities,  this
Agreement will terminate without  liability to any nondefaulting  Underwriter or
the Company.  In the event of a default by any  Underwriter as set forth in this
Section 9, the Closing Date shall be postponed  for such period,  not  exceeding
five Business  Days, as the  Representatives  shall  determine in order that the
required  changes in the  Registration  Statement  and the  Prospectus or in any
other  documents  or  arrangements  may be effected.  Nothing  contained in this
Agreement shall relieve any defaulting Underwriter of its liability,  if any, to
the Company and any  nondefaulting  Underwriter  for damages  occasioned  by its
default hereunder.

          10. Termination. This Agreement shall be subject to termination in the
absolute discretion of the Representatives, by notice given to the Company prior
to delivery of and payment for the Securities, if at any time prior to such time
(i)  trading in the  Company's  Common  Stock shall have been  suspended  by the
Commission or the Nasdaq National  Market or trading in securities  generally on
the New York  Stock  Exchange  or the  Nasdaq  National  Market  shall have been
suspended  or limited  or minimum  prices  shall have been  established  on such
Exchange or National Market,  (ii) a banking moratorium shall have been declared
either by  Federal  or New York  State  authorities  or (iii)  there  shall have
occurred any outbreak or escalation of  hostilities,  declaration  by the United
States of a national emergency or war, or other calamity or crisis the effect of
which on  financial  markets is such as to make it, in the sole  judgment of the
Representatives,  impractical  or  inadvisable  to proceed  with the offering or
delivery of the Securities as contemplated  by the Prospectus  (exclusive of any
supplement thereto).

          11.   Representations  and  Indemnities  to  Survive.  The  respective
agreements, representations, warranties, indemnities and other statements of the
Company or its officers and of the Underwriters set forth in or made pursuant to
this  Agreement  will  remain  in  full  force  and  effect,  regardless  of any
investigation  made by or on behalf of any  Underwriter or the Company or any of
the officers,  directors or controlling persons referred to in Section 8 hereof,
and will survive  delivery of and payment for the Securities.  The provisions of
Sections 7 and 8 hereof shall survive the  termination  or  cancelation  of this
Agreement.

                                       22
<PAGE>
          12.  Notices.  All  communications  hereunder  will be in writing  and
effective only on receipt, and, if sent to the Representatives,  will be mailed,
delivered  or telefaxed to the Salomon  Smith Barney  General  Counsel (fax no.:
(212) 816-7912) and confirmed to the General Counsel,  Salomon Smith Barney,  at
388 Greenwich Street, New York, New York, , Attention:  General Counsel;  or, if
sent to the  Company,  will be mailed,  delivered  or  telefaxed  to  [FACSIMILE
NUMBER] and confirmed to it at , attention of the Legal Department.

          13.  Successors.  This  Agreement  will inure to the benefit of and be
binding upon the parties hereto and their respective successors and the officers
and directors and controlling  persons  referred to in Section 8 hereof,  and no
other person will have any right or obligation hereunder.

          14.  Applicable  Law. This Agreement will be governed by and construed
in  accordance  with the laws of the State of New York  applicable  to contracts
made and to be performed within the State of New York.

          15.  Counterparts.  This  Agreement  may be  signed  in  one  or  more
counterparts,  each of  which  shall  constitute  an  original  and all of which
together shall constitute one and the same agreement.

          16.  Headings.  The section  headings used herein are for  convenience
only and shall not affect the construction hereof.

          17. Definitions.  The terms which follow, when used in this Agreement,
shall have the meanings indicated.

                  "Act" shall mean the Securities  Act of 1933, as amended,  and
         the rules and regulations of the Commission promulgated thereunder.

                  "Business  Day" shall mean any day other  than a  Saturday,  a
         Sunday or a legal  holiday or a day on which  banking  institutions  or
         trust companies are authorized or obligated by law to close in New York
         City.

                  "Commission"   shall   mean  the   Securities   and   Exchange
         Commission.

                  "Effective  Date"  shall  mean  each  date and  time  that the
         Registration  Statement,  any  post-effective  amendment or  amendments
         thereto and any Rule  462(b)  Registration  Statement  became or become
         effective.

                  "Exchange Act" shall mean the Securities Exchange Act of 1934,
         as amended, and the rules and regulations of the Commission promulgated
         thereunder.

                  "Execution  Time"  shall  mean the date  and  time  that  this
         Agreement is executed and delivered by the parties hereto.

                                       23
<PAGE>
                  "Preliminary Prospectus" shall mean any preliminary prospectus
         referred  to in  paragraph  1(a) above and any  preliminary  prospectus
         included in the Registration Statement at the Effective Date that omits
         Rule 430A Information.

                  "Prospectus"  shall  mean  the  prospectus   relating  to  the
         Securities  that is first  filed  pursuant  to Rule  424(b)  after  the
         Execution  Time or, if no filing  pursuant to Rule 424(b) is  required,
         shall  mean the form of final  prospectus  relating  to the  Securities
         included in the Registration Statement at the Effective Date.

                  "Registration Statement" shall mean the registration statement
         referred to in paragraph 1(a) above,  including  exhibits and financial
         statements,  as amended at the Execution  Time (or, if not effective at
         the  Execution  Time,  in the form in which it shall become  effective)
         and,  in the event any  post-effective  amendment  thereto  or any Rule
         462(b)  Registration  Statement  becomes effective prior to the Closing
         Date, shall also mean such registration statement as so amended or such
         Rule 462(b) Registration Statement, as the case may be. Such term shall
         include any Rule 430A Information  deemed to be included therein at the
         Effective Date as provided by Rule 430A.

                  "Rule  424",  "Rule  430A" and "Rule  462" refer to such rules
         under the Act.

                  "Rule 430A Information" shall mean information with respect to
         the  Securities and the offering  thereof  permitted to be omitted from
         the Registration  Statement when it becomes effective  pursuant to Rule
         430A.

                  "Rule 462(b) Registration Statement" shall mean a registration
         statement  and any  amendments  thereto  filed  pursuant to Rule 462(b)
         relating to the offering covered by the registration statement referred
         to in Section 1(a) hereof.

                  "Salomon Smith Barney" shall mean Smith Barney Inc. or Salomon
         Brothers Inc to the  extent that  either such  party is  a signatory to
         this Agreement.









                                       24
<PAGE>
          If the  foregoing  is in  accordance  with your  understanding  of our
agreement, please sign and return to us the enclosed duplicate hereof, whereupon
this letter and your acceptance  shall  represent a binding  agreement among the
Company and the several Underwriters.

                                      Very truly yours,

                                      MedE America Corporation

                                      By: ______________________________________

                                          Name:

                                          Title:















                                       25
<PAGE>
The  foregoing  Agreement is hereby 
confirmed and accepted as of the date
first above written.

Smith Barney Inc.
William Blair & Company, L.L.C.
Volpe Brown Whelan & Company, LLC

By:   Smith Barney Inc.


       By: _________________________
           Name:
           Title:

For  themselves  and the other
several  Underwriters  named in
Schedule I to the foregoing
Agreement.


<PAGE>
                                   SCHEDULE I

                                                        Number of Underwritten
                                                            Securities To be
  Underwriters                                                 Purchased
  ------------                                          ----------------------

Smith Barney Inc....................................
William Blair & Company, L.L.C......................
Volpe Brown Whelan & Company, LLC...................
                                                            ---------------
                  Total.............................        
                                                            ================

<PAGE>
[Form of Lock-Up Agreement]                                            EXHIBIT A


               [Letterhead of officer, director or shareholder of
                                  Corporation]

                            MEDE AMERICA CORPORATION
                     Initial Public Offering of Common Stock

                                                                  June ___, 1998

Smith Barney Inc.
William Blair & Company, L.L.C.
Volpe Brown Whelan & Company, LLC
  c/o Smith Barney Inc.
  388 Greenwich Street
  New York, New York 10013

Ladies and Gentlemen:

          This letter is being  delivered to you in connection with the proposed
Underwriting  Agreement  (the  "Underwriting  Agreement"),  between MEDE AMERICA
Corporation,  a  Delaware  corporation  (the  "Company"),  and  each  of  you as
Underwriters named therein,  relating to an underwritten initial public offering
of Common Stock, $.01 par value (the "Common Stock"), of the Company.

          In order to induce  you and the other  Underwriters  to enter into the
Underwriting  Agreement,  the  undersigned  will not,  without the prior written
consent of Smith Barney Inc., sell, offer to sell, solicit an offer to purchase,
contract to sell, grant any option to sell,  pledge or otherwise  dispose of, or
file  (or  participate  in the  filing  of) a  registration  statement  with the
Securities and Exchange Commission in respect of, or establish or increase a put
equivalent  position or liquidate or decrease a call equivalent  position within
the meaning of Section 16 of the  Securities  Exchange Act of 1934,  as amended,
and  the  rules  and  regulations  of the  Securities  and  Exchange  Commission
promulgated  thereunder  with  respect  to, any  shares of capital  stock of the
Company or any securities  convertible  into or exercisable or exchangeable  for
such  capital  stock,  or  publicly  announce  an  intention  to effect any such
transaction,  for a period of 180 days  after the date of the Final  Prospectus,
other than shares of Common  Stock  disposed  of as bona fide gifts  approved by
Smith Barney Inc.
<PAGE>
          If for any reason the Underwriting Agreement shall be terminated prior
to the Closing Date (as defined in the  Underwriting  Agreement),  the agreement
set forth above shall likewise be terminated.

                                            Yours very truly,


                                            ----------------------------------
                                            Stockholder Name


                                            By: _______________________________
                                                Name:
                                                Title:
                                                Address:



                                      A-2


                                                      

                                                                     EXHIBIT 3.2

                AMENDED AND RESTATED CERTIFICATE OF INCORPORATION

                                       OF

                            MEDE AMERICA CORPORATION

                            ------------------------


                  FIRST:   The name of the Corporation is MEDE AMERICA
CORPORATION.

                  SECOND:  The  address  of   the   registered   office  of  the
Corporation  in the  State  of  Delaware  is 1013  Centre  Road,  in the City of
Wilmington, County of New Castle. The name of the Corporation's registered agent
at such address is Corporation Service Company.

                  THIRD:   The purpose for which the Corporation is formed is to
engage in any lawful act or activity  for which  corporations  may be  organized
under the Delaware General Corporation Law.

                  FOURTH:  The total  number of shares of all  classes  of stock
which the  Corporation  shall  have  authority  to issue is  35,000,000  shares,
consisting of 5,000,000  shares of Preferred Stock,  $.01 par value  ("Preferred
Stock"),  of which  250,000  shares are hereby  designated as Series A Preferred
Stock, $.01 par value ("Series A Preferred  Stock"),  and 30,000,  000 shares of
Common Stock, $.01 par value ("Common Stock").

         Effective  immediately  upon the filing of this  Amended  and  Restated
Certificate  of  Incorporation  in the office of the  Secretary  of State of the
State of Delaware,  the  outstanding  shares of capital stock of the Corporation
shall be and hereby are combined  and  reclassified  as follows:  each shares of
Preferred  Stock shall be reclassified as and converted into one share of Series
A Preferred  Stock, and each 4.5823 shares of Common Stock shall be reclassified
as and  converted  into one  share of  Common  Stock;  provided,  however,  that
fractional  shares of Common  Stock will not be issued in  connection  with such
combination  and  reclassification,  and each  holder of a  fractional  share of
Common Stock shall receive in lieu thereof a cash payment from the  Corporation,
the fair value of which shall be  determined  by the Board of  Directors in good
faith within 90 days after the filing of this  Amended and Restated  Certificate
of Incorporation.



                                          


<PAGE>



         Certificates  representing shares combined and reclassified as provided
in this Amended and Restated  Certificate of Incorporation  are hereby canceled,
and, upon  presentation  of the canceled  certificates to the  Corporation,  the
holders thereof shall be entitled to receive new  certificates  representing the
shares resulting from such combination and reclassification.

         The Board of Directors is authorized to provide for the issuance of the
shares of Preferred Stock in series and, by filing a certificate pursuant to the
applicable  law of the State of  Delaware,  to  establish  from time to time the
number of shares to be included in each such series, and to fix the designation,
powers, preferences and rights of the shares of each such series and the qualifi
cations,  limitations  or  restrictions  thereof.  The authority of the Board of
Directors with respect to the Preferred Stock shall include,  but not be limited
to, determination of the following:

                           1. The number of shares constituting  that series and
         the distinctive designation of that series;

                           2. The  dividend  rate on the shares of that  series,
         whether  dividends shall be cumulative,  and, if so, from which date or
         dates,  and the  relative  rights of  priority,  if any,  of payment of
         dividends on share of that series;

                           3. Whether that series shall have voting  rights,  in
         addition to the voting rights provided by law, and, if so, the terms of
         such voting rights;

                           4.  Whether   that  series   shall  have   conversion
         privileges,  and, if so, the terms and  conditions of such  conversion,
         including  provision  for  adjustment  of the  conversion  rate in such
         events as the Board of Directors shall determine;

                           5.  Whether or not the shares of that series shall be
         redeemable,  and, if so, the terms and  conditions of such  redemption,
         including  the  date or  dates  upon  or  after  which  they  shall  be
         redeemable,  and the  amount per share  payable in case of  redemption,
         which  amount  may vary under  different  conditions  and at  different
         redemption dates;

                           6.  Whether that series shall have a sinking fund for
         the  redemption  or purchase of shares of that series,  and, if so, the
         terms and amount of such sinking fund;

                           7. The  rights of the  shares  of that  series in the
         event of voluntary or involuntary  liquidation,  dissolution or winding
         up of the Corporation,  and the relative rights of priority, if any, of
         payment of shares of that series; and

                           8.  Any  other  relative   rights,   preferences  and
         limitations of that series.

         All  cross-references  in each subdivision of this Article FOURTH refer
to other  para  graphs  in such  subdivision  unless  otherwise  indicated.  The
following is a statement of the  designations,  

                                       2

<PAGE>

and the powers,  preferences and rights, and the qualifications,  limitations or
restrictions thereof, in respect of each class of stock of the Corporation:


                                       I.

                            SERIES A PREFERRED STOCK

                  Except as otherwise  expressly  provided herein, all shares of
         Series A  Preferred  Stock  shall be  identical  and shall  entitle the
         holders thereof to the same rights and privileges.

                  1.       Cumulative Dividends.

                           (i) The holders of Series A Preferred  Stock shall be
                  entitled  to  receive,  when and as  declared  by the Board of
                  Directors  out of funds  legally  available  for such purpose,
                  cash dividends at the rate of $10.00 per share per annum,  and
                  no  more.  In the  event  such  dividends  are  declared,  the
                  dividend  payment  dates  with  respect  thereto  shall be the
                  immediately succeeding September 30.

                           (ii) In no event,  so long as any Series A  Preferred
                  Stock shall remain outstanding,  shall any dividend whatsoever
                  be declared or paid upon, nor shall any  distribution  be made
                  upon, any Common Stock, other than a dividend or distribu tion
                  payable in shares of Common  Stock,  nor,  without the written
                  consent of the holders of 66-2/3% of the outstanding  Series A
                  Preferred Stock, shall any shares of Common Stock be purchased
                  or redeemed by the  Corporation,  nor shall any moneys be paid
                  to or made  available  for a sinking  fund for the purchase or
                  redemption  of any  Common  Stock,  unless  in  each  instance
                  cumulative  dividends  accrued  and unpaid on all  outstanding
                  shares of the Series A Preferred  Stock for all past  dividend
                  periods shall have been paid in full.

                  2.       Redemption.

                  2A.      Mandatory  Redemptions.  The Series A Preferred Stock
         shall be redeemed in full in two equal  installments  on September  30,
         2001 and  September  30,  2002,  at the  Redemption  Price (as  defined
         below).

                  2B.      Optional  Redemptions.  The Series A Preferred  Stock
         may be redeemed  in whole at any time or in part from time to time,  at
         the option of the Corporation, at the Redemption Price.

                  2C.      Redemption Date;  Redemption Price. Any date on which
         the  Corporation  elects or is  required  to redeem  Series A Preferred
         Stock under this  paragraph  2 shall be  referred  to as a  "Redemption
         Date." The per share "Redemption Price" of the Series A



                                        3


<PAGE>

         Preferred Stock to be redeemed on a Redemption Date shall be the sum of
         (x)  $100.00  per share,  plus (y) any  accrued  but  unpaid  dividends
         thereon to the date of such redemption.

                  2D.      Notice of  Redemption.  Not less than 30 days  before
         any Redemption  Date,  written  notice shall be given by mail,  postage
         prepaid to the holders of record of the Series A Preferred  Stock to be
         redeemed,  addressed to each such stockholder at his or its post office
         address as shown by the  records  of the  Corporation,  specifying  the
         number of shares to be redeemed,  the  subparagraph or subparagraphs of
         this paragraph 2 pursuant to which such  redemption  shall be made, the
         Redemption  Price and the place at which and the date, which date shall
         not be a day on which  banks in the  City of New York are  required  or
         authorized  to close,  on which the shares of Series A Preferred  Stock
         will be  redeemed.  If such notice of  redemption  shall have been duly
         given and if on or before such  Redemption Date the funds necessary for
         redemption  shall  have been set aside so as to be and  continue  to be
         available  therefor,  then,  notwithstanding  that any  certificate for
         shares of Series A Preferred  Stock to be redeemed  shall not have been
         surrendered  for  cancellation,  after  the close of  business  on such
         Redemption Date, such shares shall no longer be deemed outstanding, the
         dividends thereon shall cease to accrue, and all rights with respect to
         such  shares  shall  forthwith  after  the  close  of  business  on the
         Redemption Date, cease, except only the right of the holders thereof to
         receive the Redemption Price for such shares, without interest.

                  2E.      Redeemed or Otherwise  Acquired Shares to be Retired.
         Any  shares of  Series A  Preferred  Stock  redeemed  pursuant  to this
         paragraph  2 or  otherwise  acquired by the  Corporation  in any manner
         whatsoever  shall be  permanently  retired  and  shall  not  under  any
         circumstances  be reissued;  and the  Corporation may from time to time
         take such  appropriate  corporate  action as may be necessary to reduce
         the authorized Series A Preferred Stock accordingly.

                  2F.      Shares to be Redeemed,  Purchased or Retired. In case
         of the redemption,  purchase or retirement,  for any reason,  of only a
         part of the  outstanding  shares of the Series A  Preferred  Stock on a
         Redemption Date, all shares of Series A Preferred Stock to be redeemed,
         purchased or retired shall be selected pro rata,  and there shall be so
         redeemed,  purchased  or retired from each  registered  holder in whole
         shares,  as nearly as practicable to the nearest share,  the proportion
         of all the shares to be redeemed, purchased or retired which the number
         of shares  held of record by such holder  bears to the total  number of
         shares of Series A Preferred Stock at the time outstanding.

                  3.       Liquidation.  Upon any  liquidation,  dissolution  or
         winding up of the Corporation, whether voluntary or involuntary, or the
         sale of all or  substantially  all the assets of the Corporation  (each
         such  event  being  referred  to as a  "Liquidation"),  a holder of the
         shares  of Series A  Preferred  Stock  shall be  entitled,  before  any
         distribution  or payment is made upon any Common Stock,  to receive out
         of the assets of the  Corporation  (x) $100.00 per share,  plus (y) any
         accrued but unpaid dividends thereon to the date of


                                        4


<PAGE>

         such  redemption,  for each share of Series A  Preferred  Stock held by
         such holder.  If upon such  Liquidation,  the assets to be  distributed
         among the holders of Series A Preferred  Stock shall be insufficient to
         permit  payment  to the  holders  of Series A  Preferred  Stock of that
         amount  distributable  as  aforesaid,  then the  entire  assets  of the
         Corporation to be dis tributed  shall be distributed  ratably among the
         holders of Series A Preferred Stock. Upon any such  Liquidation,  after
         the  holders of the Series A  Preferred  Stock  shall have been paid in
         full the  amounts to which they shall be  entitled,  the holders of the
         Common Stock will share the  remaining  net assets of the  Corporation.
         Written  notice of such  Liquida  tion,  stating a  payment  date,  the
         aggregate  amount  of the  payments  to which  such  holder of Series A
         Preferred  Stock is  entitled  and the place  where  said sums shall be
         payable shall be given by mail, postage prepaid,  not less than 30 days
         prior to the payment date stated  therein,  to the holders of record of
         the Series A  Preferred  Stock,  such  notice to be  addressed  to each
         stockholder  at its post office  address as shown by the records of the
         Corporation.  Neither the  consolidation  or merger of the  Corporation
         into or with any other  corporation or corporations,  nor the reduction
         of the  capital  stock of the  Corpora  tion,  shall be  deemed to be a
         Liquidation.

                  4.       Voting Rights. Except as otherwise provided by law or
         this  Certificate of  Incorporation,  the holders of Series A Preferred
         Stock  shall  not be  entitled  to vote  on  matters  presented  to the
         stockholders of the Corporation.

                  5.       Restrictions.  At any time  when  shares  of Series A
         Preferred  Stock are  outstanding,  except  where  the vote or  written
         consent of the holders of a greater number of shares of the Corporation
         is  required by law or by this  Certificate  of  Incorporation,  and in
         addition to any other vote  required by law,  without the prior consent
         of the holders of 66-2/3% of the outstanding  Series A Preferred Stock,
         given in person or by proxy,  either in writing or at a special meeting
         called for that purpose,  at which meeting the holders of the shares of
         Series A Preferred Stock shall vote together as a class:

                           (i) The Corporation  will not create or authorize the
                  creation  of any  additional  class of shares  unless the same
                  ranks  junior  to the  Series  A  Preferred  Stock  both as to
                  dividends and as to the distribution of assets on Liquidation,
                  or increase  the  authorized  amount of the Series A Preferred
                  Stock,  or increase the  authorized  amount of any  additional
                  class of shares  unless the same ranks  junior to the Series A
                  Preferred   Stock  both  as  to   dividends   and  as  to  the
                  distribution of assets on Liquidation,  or create or authorize
                  any   obligations   or   securities   convert   ible  into  or
                  exchangeable  for shares of Series A  Preferred  Stock or into
                  shares of any other class  unless the same ranks junior to the
                  Series A Preferred  Stock both as to  dividends  and as to the
                  distribution  of  assets  on  Liquidation,  whether  any  such
                  creation or  authorization  or  increase  shall be by means of
                  amendment  of  the  Certificate  of   Incorporation,   merger,
                  consolidation, recapitalization or otherwise.


                                        5


<PAGE>


                           (ii) The Corporation will not amend,  alter or repeal
                  the  Corporation's  Certificate of Incorporation or By-laws in
                  any manner,  or file any directors'  reso lutions  pursuant to
                  Section  151(g)  of  the  Delaware  General   Corporation  Law
                  containing  any  provision,  in either case which  affects the
                  respective preferences, voting power, qualifications,  special
                  or  relative  rights or  privileges  of the Series A Preferred
                  Stock or the  Common  Stock or which in any  manner  adversely
                  affects  the Series A Preferred  Stock or the Common  Stock or
                  the holders thereof.

                  6.       Conversion.  The shares of Series A  Preferred  Stock
         shall be convertible as follows:

                  6A.      In the  event  that,  at any  time  while  any of the
         Series A Preferred  Stock shall be outstanding,  the Corporation  shall
         complete a firm commitment  initial public offering of shares of Common
         Stock registered under the Securities Act of 1933, as amended, in which
         the net  proceeds  paid by the public to the  Corporation  are at least
         $20,000,000,  then all  outstanding  shares of Series A Preferred Stock
         shall,  automatically  and  without  further  action on the part of the
         holders of the Series A Preferred  Stock, be converted into such number
         of fully  paid and  nonassessable  whole  shares of Common  Stock as is
         obtained by dividing the aggregate Liquidation Payments that would then
         be payable in respect of the Series A  Preferred  Stock by the price to
         the public in such initial public  offering.  Such conversion  shall be
         effective  simultaneously  with the  closing of such  public  offering;
         provided,  however,  that certificates  evidencing the shares of Common
         Stock  issuable  upon such  conversion  shall  not be issued  except on
         surrender of the  certificates for the shares of the Series A Preferred
         Stock so converted.

                  6B.      Fractional  Shares;  Dividends.  No fractional shares
         may be issued  upon  conversion  of the Series A  Preferred  Stock into
         Common  Stock.  If any  fractional  interest in a share of Common Stock
         would,  except  for  the  provisions  of  the  preceding  sentence,  be
         deliverable  upon  any such  conversion,  the  Corporation,  in lieu of
         delivering  the  fractional  share  thereof,  shall  pay to the  holder
         surrendering  the Series A Preferred  Stock for conversion an amount in
         cash equal to the current market price of such  fractional  interest as
         determined in good faith by the Board of Directors of the  Corporation.
         No cash  dividends  shall be paid in respect of the Series A  Preferred
         Stock upon such conversion.

                  6C.      Stock to be Reserved. Prior to the consummation of an
         initial  public  offering of its Common  Stock,  the  Corporation  will
         reserve and keep  available out of its  authorized  Common Stock or its
         treasury shares, solely for the purpose of issue upon the conversion of
         the Series A Preferred Stock as herein provided,  such number of shares
         of Common Stock as shall then be issuable  upon the  conversion  of all
         outstanding  shares  of  Series  A  Preferred  Stock.  The  Corporation
         covenants  that all  shares of Common  Stock  which  shall be so issued
         shall be duly and validly issued and fully paid and  nonassessable  and
         free  from all  taxes,  liens and  charges  with  respect  to the issue
         thereof.  The Corporation will take all such action as may be necessary
         to assure that all such shares of Common

                                        6


<PAGE>


         Stock may be so  issued  without  violation  of any  applicable  law or
         regulation,  or of any requirements of any national securities exchange
         upon which the Common Stock of the Corporation may be listed.

                  6E.      Issue Tax. The issuance of certificates for shares of
         Common Stock upon  conversion of the Series A Preferred  Stock shall be
         made  without  charge to the holders  thereof for any  issuance  tax in
         respect thereof; provided that the Corporation shall not be required to
         pay any tax which may be payable in respect of any transfer involved in
         the issuance and delivery of any  certificate in a name other than that
         of the holder of the Series A Preferred Stock which is being converted.

                                       II.

                                  COMMON STOCK

                  All  shares  of  Common  Stock  shall be  identical  and shall
         entitle the holders thereof to the same rights and privileges:

                  1.  Dividends.  When and as dividends  are  declared  upon the
         Common  Stock,  whether  payable in cash,  in  property or in shares of
         stock of the Corporation, the holders of Common Stock shall be entitled
         to share equally, share for share, in such dividends.

                  2.  Voting  Rights.  Each  holder  of  Common  Stock  shall be
         entitled to one vote per share.

                  FIFTH:   The name and mailing address of the sole incorporator
of the Corporation are as follows:

                              Revital D. Havazelet
                              45 Rockefeller Plaza
                              New York, N.Y. 10111

                  SIXTH:  In  furtherance  and not in  limitation  of the powers
conferred  by the laws of the State of  Delaware,  the Board of Directors of the
Corporation is expressly  authorized and empowered to make,  alter or repeal the
By-laws  of the  Corporation,  subject to the power of the  stockholders  of the
Corporation to alter or repeal any By-law made by the Board of Directors.

                  SEVENTH:  The  Corporation  reserves the right at any time and
from time to time to amend, alter, change or repeal any provisions  contained in
this Amended and Restated  Certificate of  Incorporation;  and other  provisions
authorized  by the laws of the  State of  Delaware  at the time in force  may be
added or  inserted,  in the manner now or hereafter  prescribed  by law; and all
rights,   preferences  and  privileges  of  whatsoever   nature  conferred  upon
stockholders,  


                                        7


<PAGE>


directors or any other  persons  whomsoever  by and pursuant to this Amended and
Restated  Certificate  of  Incorporation  in its  present  form or as  hereafter
amended are granted subject to the right reserved in this Article.

                  EIGHTH:   No  person  shall  be   personally   liable  to  the
Corporation  or its  stockholders  for monetary  damages for breach of fiduciary
duty as a director, provided, however, that the foregoing shall not eliminate or
limit the liability of a director (i) for any breach of the  director's  duty of
loyalty to the Corporation or its  stockholders,  (ii) for acts or omissions not
in good faith or which involve intentional  misconduct or a knowing violation of
law,  (iii) under  Section 174 of the  General  Corporation  Law of the State of
Delaware or (iv) for any transaction from which the director derived an improper
personal benefit.

                  NINTH:  Every person now or hereafter serving as a director or
officer of the  Corporation  and every such  director or officer  serving at the
request of the Corporation as a director,  officer, employee or agent of another
corporation,  partnership,  joint venture,  trust or other enterprise,  shall be
indemnified  by the  Corporation  in accordance  with and to the fullest  extent
permitted  by law for the defense of, or in  connection  with,  any  threatened,
pending or  completed  action,  suit or  proceeding,  whether  civil,  criminal,
administrative  or  investigative,  arising  out of or in  connection  with such
service.  Expenses  incurred  by any person so entitled  to  indemnification  in
defending  a civil or criminal  action,  suit or  proceeding  may be paid by the
Corporation  in  advance  of the  final  disposition  of  such  action,  suit or
proceeding  as  authorized  by the Board of Directors in the specific  case upon
receipt of an  undertaking  by or on behalf of such director or officer to repay
such amount unless it shall  ultimately be determined  that he is entitled to be
indemnified by the Corporation as authorized in this Article.

                 IN WITNESS WHEREOF, the Corporation has caused this Amended and
Restated  Certificate  of  Incorporation  to be signed by Thomas P. Staudt,  its
President and Chief Executive Officer, this          day of July, 1998.

                    

                                                --------------------------------
                                                      Thomas P. Staudt
                                                      President and
                                                      Chief Executive Officer



                                        8






                                                                     EXHIBIT 3.3

- --------------------------------------------------------------------------------





                                     BY-LAWS

                                       OF

                            MEDE AMERICA CORPORATION




                                   ----------



                       Incorporated under the Laws of the

                                State of Delaware



                                    ---------


                                  Adopted as of
                                February 13, 1995

                                  Amended as of
                         May 24, 1996 and July  , 1998



================================================================================


<PAGE>

                                TABLE OF CONTENTS

                                                                            Page

ARTICLE I        Offices......................................................1

ARTICLE II       Meetings of Stockholders.....................................1

  Section  1     Place of Meetings............................................1
  Section  2     Annual Meeting...............................................1
  Section  3     Special Meetings.............................................2
  Section  4     Notice of Meetings...........................................2
  Section  5     List of Stockholders.........................................2
  Section  6     Quorum.......................................................3
  Section  7     Voting.......................................................3
  Section  8     Proxies......................................................3
  Section  9     Action Without a Meeting.....................................3

ARTICLE III      Board of Directors...........................................4

  Section  1     Powers.......................................................4
  Section  2     Election and Term............................................4
  Section  3     Number.......................................................4
  Section  4     Notification of Nominations..................................4
  Section  5     Quorum and Manner of Acting..................................5
  Section  6     Organization Meeting.........................................5
  Section  7     Regular Meetings.............................................5
  Section  8     Special Meetings; Notice.....................................5
  Section  9     Removal of Directors.........................................5
  Section 10     Resignations.................................................6
  Section 11     Vacancies....................................................6
  Section 12     Compensation of Directors....................................6
  Section 13     Action Without a Meeting.....................................6
  Section 14     Telephonic Participation in Meetings.........................6
  Section 15     Committees...................................................6

ARTICLE IV       Officers.....................................................7

  Section  1     Principal Officers...........................................7
  Section  2     Election and Term of Office..................................7
  Section  3     Other Officers...............................................7
  Section  4     Removal......................................................7
  Section  5     Resignations.................................................7



                                        i


<PAGE>


                                                                            Page
                                                                            ----

  Section  6     Vacancies.....................................................7
  Section  7     Chairman of the Board.........................................7
  Section  8     President.....................................................7
  Section  9     Vice President................................................8
  Section 10     Treasurer.....................................................8
  Section 11     Secretary.....................................................8
  Section 12     Salaries......................................................8

ARTICLE V        Indemnification...............................................8

  Section  1     Right of Indemnification......................................8
  Section  2     Expenses......................................................8
  Section  3     Agreements....................................................9
  Section  4     Other Rights of Indemnification...............................9
  Section  5     Indemnification of Employees and Agents.......................9
  Section  6     Insurance.....................................................9

ARTICLE VI       Shares and Their Transfer.....................................9

  Section  1     Certificate for Stock.........................................9
  Section  2     Stock Certificate Signature...................................9
  Section  3     Stock Ledger..................................................9
  Section  4     Cancellation.................................................10
  Section  5     Registrations of Transfers of Stock..........................10
  Section  6     Regulations..................................................10
  Section  7     Lost, Stolen, Destroyed or Mutilated Certificates............10
  Section  8     Record Dates.................................................10

ARTICLE VII      Miscellaneous Provisions.....................................11

  Section  1     Corporate Seal...............................................11
  Section  2     Voting of Stocks Owned by the Corporation....................11
  Section  3     Dividends....................................................11

ARTICLE VIII     Amendments...................................................11




                                       ii


<PAGE>




                                     BY-LAWS

                                       OF

                            MEDE AMERICA CORPORATION

                            (a Delaware corporation)


                                   ----------


                                    ARTICLE I

                                     OFFICES

                  The  registered  office  of the  Corporation  in the  State of
Delaware shall be located in the City of Wilmington,  County of New Castle.  The
Corporation may establish or discontinue,  from time to time, such other offices
within or without the State of Delaware as may be deemed  proper for the conduct
of the Corporation's business.

                                   ARTICLE II

                            MEETINGS OF STOCKHOLDERS

                  Section 1. Place of Meetings.  All  meetings of  stock-holders
shall be held at such place or places,  within or without the State of Delaware,
as may  from  time to time be fixed by the  Board of  Directors,  or as shall be
specified in the respective notices, or waivers of notice, thereof.

                  Section  2.  Annual   Meeting.   (a)  The  annual  meeting  of
stockholders for the election of Directors and the transaction of other business
shall be held on such date and at such place as may be  designated  by the Board
of Directors.  At each annual  meeting the  stockholders  entitled to vote shall
elect a Board of Directors  and may transact  such other proper  business as may
come before the meeting.

                  (b) To be properly brought before an annual meeting,  business
must be (i) specified in the notice of the meeting (or any  supplement  thereto)
given by or at the  direction  of the  Chairman  of the  meeting or the Board of
Directors,  (ii)  otherwise  properly  brought  before the  meeting by or at the
direction  of the  Chairman  of the meeting or the Board of  Directors  or (iii)
otherwise properly brought before the meeting by a stockholder.  For business to
be properly  brought before an annual meeting by a stockholder,  the stockholder
must have given written notice thereof, either by personal delivery or by United
States mail, postage prepaid, to the Secretary of the Corporation, not more than
90 days or less



<PAGE>


than 60 days in advance of the  anniversary  date of the  immediately  preceding
annual  meeting.  Any  such  notice  shall  set  forth  as to  each  matter  the
stockholder  proposes to bring before the annual meeting (i) a brief description
of the  business  desired to be brought  before the  meeting and the reasons for
conducting  such  business at the meeting,  and in the event that such  business
includes a proposal to amend either the Certificate of  Incorporation or By-laws
of the Corporation,  the language of the proposed  amendment;  (ii) the name and
address of the stockholder proposing such business;  (iii) a representation that
the  stockholder is a holder of record of stock of the  Corporation  entitled to
vote at such  meeting and intends to appear in person or by proxy at the meeting
to propose such business;  (iv) any material interest of the stockholder in such
business;  and (v) if the  stockholder  intends to solicit proxies in support of
such stockholder's  proposal, a representation to that effect. No business shall
be conducted at an annual meeting of stockholders except in accordance with this
Section 2(b),  and the Chairman of the meeting may refuse to permit any business
to be brought before an annual  meeting  without  compliance  with the foregoing
procedures  or  if  the  stockholder   solicits   proxies  in  support  of  such
stockholder's  proposal without such stockholder  having made the representation
required by clause (v) of the preceding sentence.

                  Section 3. Special Meetings.  Except as otherwise  required by
law,  special  meetings of the  stockholders  for any purpose or purposes may be
called only by the Chairman of the Board,  the  President,  or a majority of the
entire Board of  Directors.  Only such business as is specified in the notice of
any special meeting of the stockholders shall come before such meeting.

                  Section  4.  Notice of  Meetings.  Whenever  stockholders  are
required or permitted to take any action at a meeting,  a written  notice of the
meeting  shall  be given  which  shall  state  the  place,  date and hour of the
meeting,  and, in the case of a special  meeting,  the  purpose or purposes  for
which the  meeting is called.  Unless  otherwise  provided  by law,  the written
notice of any meeting  shall be given not less than ten nor more than sixty days
before the date of the meeting to each stockholder of record entitled to vote at
such meeting.  If mailed, such notice shall be deemed to be given when deposited
in the United States mail, postage prepaid,  directed to the stockholder at such
stockholder's  address as it appears on the records of the  Corporation.  Notice
shall not be required to be given to any stockholder who shall waive such notice
in writing,  whether  prior to or after such  meeting,  or who shall attend such
meeting in person or by proxy unless such  attendance is for the express purpose
of  objecting,  at the  beginning of such meeting,  to the  transactions  of any
business because the meeting is not lawfully called or convened.

                  Section 5. List of  Stockholders.  It shall be the duty of the
Secretary or other officer of the Corporation who shall have charge of the stock
ledger (or a transfer agent or similar entity appointed to perform such duty) to
prepare and make, at least ten days before every meeting of the stockholders,  a
complete  list  of the  stockholders  entitled  to  vote  thereat,  arranged  in
alphabetical  order,  and showing the address of each stockholder and the number
of shares  registered in his name. Such list shall be open to the examination of
any  stockholder,  for any  purpose  germane  to the  meeting,  during  ordinary
business hours,  for a period of at least ten days prior to the meeting,  either
at a place within the city where the meeting is to be held, which place shall be
specified in the notice of the meeting,  or, if not so  specified,  at the place
where the meeting is to be held. The list shall be kept and produced at the time
and place of the  meeting  during  the whole  time  thereof  and  subject to the
inspection  of any  stockholder  who may be present.  The  original or duplicate
ledger shall be the only evidence as to who are



                                        2


<PAGE>


the  stockholders  entitled to examine such list or the books of the Corporation
or to vote in person or by proxy at such meeting.

                  Section 6. Quorum.  At each meeting of the  stockholders,  the
holders of record of a  majority  of the  issued  and  outstanding  stock of the
Corporation  entitled  to vote at such  meeting,  present in person or by proxy,
shall  constitute  a  quorum  for the  transaction  of  business,  except  where
otherwise provided by law, the Certificate of Incorporation or these By-laws. In
the absence of a quorum, any officer entitled to preside at, or act as Secretary
of, such  meeting  shall have the power to adjourn the meeting from time to time
until a quorum shall be constituted.

                  Section 7. Voting. Every stockholder of record who is entitled
to vote shall at every meeting of the  stockholders  be entitled to one vote for
each share of stock held by him on the record date; except, however, that shares
of its own stock  belonging to the Corporation or to another  corporation,  if a
majority of the shares  entitled to vote in the  election of  directors  of such
other corporation is held by the Corporation,  shall neither be entitled to vote
nor counted for quorum pur poses.  Nothing in this Section shall be construed as
limiting  the right of the  Corporation  to vote its own  stock  held by it in a
fiduciary capacity. At all meetings of the stockholders, a quorum being present,
all matters shall be decided by majority vote of the shares of stock entitled to
vote held by  stockholders  present in person or by proxy,  except as  otherwise
required  by law or the  Certificate  of  Incorporation.  Unless  demanded  by a
stockholder of the  Corporation  present in person or by proxy at any meeting of
the  stockholders and entitled to vote thereat or so directed by the chairman of
the meeting or required by law, the vote thereat on any question  need not be by
written ballot. On a vote by written ballot,  each ballot shall be signed by the
stockholder  voting,  or in his name by his proxy,  if there be such proxy,  and
shall  state the number of shares  voted by him and the number of votes to which
each share is entitled.

                  Section 8.  Proxies.  Each  stockholder  entitled to vote at a
meeting of  stockholders  or to express  consent to corporate  action in writing
without a meeting  may  authorize  another  person or  persons to act for him by
proxy.  A proxy  acting  for any  stockholder  shall  be  duly  appointed  by an
instrument in writing  subscribed by such  stockholder.  No proxy shall be valid
after the  expiration  of three  years  from the date  thereof  unless the proxy
provides for a longer period.

                  Section 9. Action Without a Meeting. Any action required to be
taken at any annual or special  meeting of  stockholders or any action which may
be taken at any annual or special meeting of stockholders may be taken without a
meeting,  without  prior  notice  and  without a vote,  if a consent  in writing
setting forth the action so taken shall be signed by the holders of  outstanding
stock  having not less than the minimum  number of votes that would be necessary
to  authorize  or take such action at a meeting at which all shares  entitled to
vote  thereon  were  present  and  voted.  Prompt  notice  of the  taking of the
corporate action without a meeting by less than unanimous  written consent shall
be given to those stockholders who have not consented in writing.



                                        3


<PAGE>




                                   ARTICLE III

                               BOARD OF DIRECTORS

                  Section 1. Powers. The business and affairs of the Corporation
shall be managed under the direction of the Board of Directors.

                  Section 2. Election and Term. Except as otherwise  provided by
law,  Directors shall be elected at the annual meeting of stockholders and shall
hold  office  until the next  annual  meeting of  stockholders  and until  their
successors  are elected  and  qualify,  or until they sooner die,  resign or are
removed.  At each annual meeting of stockholders,  at which a quorum is present,
the  persons  receiving a  plurality  of the votes cast shall be the  Directors.
Acceptance of the office of Director may be expressed orally or in writing,  and
attendance at the organization meeting shall constitute such acceptance.

                  Section  3.  Number.  The  number of  Directors  shall be such
number as shall be  determined  from time to time by the Board of Directors  but
shall not be less than three nor more than eleven and initially shall be two.

                  Section 4.  Notification of  Nominations.  Nominations for the
election  of  directors  may  be  made  by  the  Board  of  Directors  or by any
stockholder  entitled to vote for the  election of  directors.  Any  stockholder
entitled to vote for the election of directors at a meeting may nominate persons
for election as directors only if written notice of such stockholder's intent to
make such nomination is given,  either by personal  delivery or by United States
mail,  postage prepaid,  to the Secretary of the Corporation (i) with respect to
an election to be held at an annual meeting of  stockholders,  not more than 120
days or less than 90 days in advance of the anniversary  date of the immediately
preceding  annual meeting,  and (ii) with respect to an election to be held at a
special  meeting of stockholders  for the election of directors,  not later than
the close of business on the seventh day  following  the date on which notice of
such  meeting is first given to  stockholders.  Each such notice shall set forth
(a) the name and address of the  stockholder  who intends to make the nomination
and of the person or  persons to be  nominated;  (b) a  representation  that the
stockholder  is a holder of record of stock of the Corpora tion entitled to vote
at such  meeting  and  intends to appear in person or by proxy at the meeting to
nominate the person or persons specified in the notice; (c) a description of all
arrangements or understandings  between the stockholder and each nominee and any
other person or persons  (naming  such person or persons)  pursuant to which the
nomination  or  nominations  are to be made by the  stockholder;  (d) such other
information  regarding each nominee  proposed by such  stockholder as would have
been required to be included in a proxy  statement  filed  pursuant to the proxy
rules of the Securities and Exchange Commission had each nominee been nominated,
or intended to be nominated, by the Board of Directors;  (e) the consent of each
nominee to serve as a director of the corporation if so elected;  and (f) if the
stockholder  intends  to  solicit  proxies  in  support  of  such  stockholder's
nominee(s),  a  representation  to that effect.  The Chairman of the meeting may
refuse  to  acknowledge  the  nomina  tion of any  person  which was not made in
accordance with the foregoing  procedure or if the stock holder  nominating such
person(s) solicits proxies in support of such  stockholder's  nominee(s) without
such stockholder  having made the  representation  required by clause (f) of the
preceding sentence.



                                        4


<PAGE>



                  Section  5.  Quorum and  Manner of  Acting.  Unless  otherwise
provided by law,  the  presence of 50% of the whole Board of  Directors  (or any
committee thereof) shall be necessary to constitute a quorum for the transaction
of business. In the absence of a quorum, a majority of the Directors present may
adjourn the meeting from time to time until a quorum shall be present. Notice of
any adjourned meeting need not be given. At all meetings of Directors,  a quorum
being  present,  all  matters  shall be  decided  by the  affirmative  vote of a
majority of the  Directors  present,  except as  otherwise  required by law. The
Board of  Directors  (or any  committee  thereof)  may hold its meetings at such
place or  places  within  or  without  the  State of  Delaware  as the  Board of
Directors  may from  time to time  determine  or as shall  be  specified  in the
respective notices, or waivers of notice, thereof.

                  Section 6. Organization Meeting. Immediately after each annual
meeting of stockhold  ers for the  election of Directors  the Board of Directors
shall meet at the place of the annual meeting of stockholders for the purpose of
organization,  the election of officers and the  transaction of other  business.
Notice of such meeting  need not be given.  If such meeting is held at any other
time or place, notice thereof must be given as hereinafter  provided for special
meetings of the Board of Directors,  subject to the execution of a waiver of the
notice  thereof  signed by, or the  attendance at such meeting of, all Directors
who may not have received such notice.

                  Section 7. Regular Meetings.  Regular meetings of the Board of
Directors will be held  quarterly,  as regularly  scheduled,  and may be held at
such place, within or without the State of Delaware,  as shall from time to time
be  determined   by  the  Board  of   Directors.   After  there  has  been  such
determination,  and notice  thereof  has been once  given to each  member of the
Board of  Directors  as  hereinafter  provided  for  special  meetings,  regular
meetings may be held without further notice being given.

                  Section 8. Special Meetings;  Notice.  Special meetings of the
Board of Directors (or any committee  thereof) shall be held whenever  called by
the  Chairman  of the Board,  if any,  the  President  or by a  majority  of the
Directors.  Notice  of each  such  meeting  shall be  mailed  to each  Director,
addressed to him at his residence or usual place of business, at least five days
before the date on which the  meeting is to be held,  or shall be sent to him at
such place by telegraph, cable, radio or wireless, or be delivered personally or
by telephone,  not later than the day before the day on which such meeting is to
be held;  provided,  however,  that any such  notice  relating to a meeting of a
committee of the Board of Directors  need only be sent to each Director  serving
on such  committee.  Each  such  notice  shall  state  the time and place of the
meeting and, as may be required, the purposes thereof.  Notice of any meeting of
the  Board of  Directors  (or any  committee  thereof)  need not be given to any
Director if he shall sign a written  waiver  thereof  either before or after the
time stated therein for such meeting,  or if he shall be present at the meeting.
Unless  limited by law,  the  Company's  Certificate  of Incorpora  tion,  these
By-laws  or the  terms  of the  notice  thereof,  any  and all  business  may be
transacted  at any  meeting  without  the  notice  thereof  having  specifically
identified the matters to be acted upon.

                  Section 9.  Removal of  Directors.  Any Director or the entire
Board of Directors may be removed, with or without cause, at any time, by action
of the holders of record of the majority of the issued and outstanding  stock of
the  Corporation  (a)  present  in person or by proxy at a meeting of holders of
such stock and  entitled  to vote  thereon or (b) by a consent in writing in the
manner  contemplated in Section 9 of Article II, and the vacancy or vacancies in
the Board of Directors caused



                                        5


<PAGE>



by any such  removal may be filled by action of such a majority at such  meeting
or at any subsequent meeting or by consent.

                  Section 10. Resignations.  Any Director of the Corporation may
resign at any time by giving  written  notice to the  Chairman of the Board,  if
any, the President, the Vice President or the Secretary of the Corporation.  The
resignation  of any Director shall take effect upon receipt of notice thereof or
at such later time as shall be specified in such notice;  and, unless  otherwise
specified therein,  the acceptance of such resignation shall not be necessary to
make it effective.

                  Section 11. Vacancies. Any vacancies on the Board of Directors
resulting from death,  resignation,  removal or other cause shall only be filled
by the affirmative vote of a majority of the remaining directors then in office,
even though less than a quorum of the Board of Directors, or by a sole remaining
director,  and newly created  directorships  resulting  from any increase in the
number of  directors  shall be filled  by the Board of  Directors,  or if not so
filled,  by the  stockholders at the next annual meeting thereof or at a special
meeting  called for that purpose in  accordance  with  Article II,  Section 3 of
these By-laws.  Any director  elected in accordance with the preceding  sentence
shall hold office for the  remainder of the full term of such director and until
such director's successor shall have been elected and qualified.

                  Section 12.  Compensation  of Directors.  Directors,  as such,
shall not receive any stated  salary for their  services,  but, by resolution of
the Board,  a specific  sum fixed by the Board plus  expenses may be allowed for
attendance  at each  regular  or special  meeting of the Board or any  committee
thereof; provided,  however, that nothing herein contained shall be construed to
preclude any Director from serving the  Corporation  or any parent or subsidiary
corporation  thereof in any other  capacity and receiving  compensation  in such
capacity.

                  Section 13. Action Without a Meeting.  Any action  required or
permitted to be taken at any meeting of the Board of Directors (or any committee
thereof) may be taken without a meeting if a written  consent  thereto is signed
by all members of the Board (or such  committee),  and such  written  consent is
filed with the minutes or proceedings of the Board.

                  Section 14. Telephonic  Participation in Meetings.  Members of
the Board of Directors (or any committee  thereof) may  participate in a meeting
of the Board (or such  committee)  by means of  conference  telephone or similar
communications  equipment  by means of which all persons  participat  ing in the
meeting can hear each other, and such participation shall constitute presence in
person at such meeting.

                  Section 15.  Committees.  The Board of  Directors  may appoint
such committees of the Board of Directors as it may deem  appropriate,  and such
committees shall exercise the authority delegated to them. The membership of any
such  committee  shall  consist of such  Directors as the Board of Directors may
deem  advisable  from time to time to serve.  The Board of Directors may fill in
any vacancies on any committee as they occur. Each committee shall meet as often
as its business may require.



                                        6


<PAGE>



                                   ARTICLE IV

                                    OFFICERS

                  Section 1. Principal  Officers.  The Board of Directors  shall
elect a  President,  a Secretary  and a Treasurer,  and may in addition  elect a
Chairman of the Board,  one or more Vice Presi dents and such other  officers as
it deems fit; the President,  the Secretary,  the Treasurer, the Chairman of the
Board, if any, and the Vice Presidents,  if any, being the principal officers of
the Corporation. One person may hold, and perform the duties of, any two or more
of said offices.

                  Section 2. Election and Term of Office. The principal officers
of the  Corporation  shall be elected  annually by the Board of Directors at the
organization  meeting  thereof.  Each such  officer  shall hold office until his
successor shall have been elected and shall qualify, or until his earlier death,
resignation or removal.

                  Section 3. Other Officers.  In addition,  the Board may elect,
or the Chairman of the Board,  if any, or the President may appoint,  such other
officers  as they  deem  fit.  Any such  other  officers  chosen by the Board of
Directors  shall be subordinate  officers and shall hold office for such period,
have such  authority  and  perform  such duties as the Board of  Directors,  the
Chairman of the Board, if any, or the President may from time to time determine.

                  Section 4. Removal. Any officer may be removed, either with or
without cause,  at any time, by resolution  adopted by the Board of Directors at
any regular  meeting of the Board, or at any special meeting of the Board called
for that purpose, at which a quorum is present.

                  Section 5. Resignations. Any officer may resign at any time by
giving written notice to the Chairman of the Board,  if any, the President,  the
Secretary or the Board of Directors. Any such resignation shall take effect upon
receipt  of such  notice or at any later time  specified  therein;  and,  unless
otherwise  specified  therein,  the acceptance of such resignation  shall not be
necessary to make it effective.

                  Section  6.  Vacancies.  A vacancy in any office may be filled
for the unexpired  portion of the term in the manner prescribed in these By-laws
for election or appointment to such office for such term.

                  Section 7. Chairman of the Board. The Chairman of the Board of
Directors if one be elected,  shall preside,  if present, at all meetings of the
Board of Directors  and he shall have and perform such other duties as from time
to time may be assigned to him by the Board of Directors.

                  Section  8.  President.  The  President  shall  be  the  chief
executive  officer of the  Corpora  tion and shall have the  general  powers and
duties of supervision  and management  usually vested in the office of president
of a  corporation.  He shall  preside at all  meetings  of the  stockholders  if
present thereat, and in the absence or non-election of the Chairman of the Board
of Directors, at all meetings of the Board of Directors,  and shall have general
supervision, direction and control of the business of the Corporation. Except as
the Board of Directors shall authorize the execution thereof in some other



                                        7


<PAGE>


manner, he shall execute bonds, mortgages,  and other contracts on behalf of the
Corporation,  and shall cause the seal to be affixed to any instrument requiring
it and when so  affixed  the seal  shall be  attested  by the  signature  of the
Secretary or the Treasurer.

                  Section 9. Vice President. Each Vice President shall have such
powers  and  shall  perform  such  duties  as  shall be  assigned  to him by the
directors.

                  Section 10.  Treasurer.  The  Treasurer  shall have charge and
custody of, and be responsible for, all funds and securities of the Corporation.
He shall exhibit at all reasonable times his books of account and records to any
of the Directors of the Corporation  upon  application  during business hours at
the office of the  Corporation  where such books and records shall be kept; when
requested  by the  Board of  Directors,  he  shall  render  a  statement  of the
condition of the finances of the  Corporation  at any meeting of the Board or at
the annual  meeting of  stockholders;  he shall  receive,  and give receipt for,
moneys  due and  payable  to the  Corporation  from any  source  whatsoever;  in
general, he shall perform all the duties incident to the office of Treasurer and
such other duties as from time to time may be assigned to him by the Chairman of
the Board of Directors,  the President or the Board of Directors.  The Treasurer
shall give such bond,  if any, for the  faithful  discharge of his duties as the
Board of Directors may require.

                  Section 11. Secretary. The Secretary, if present, shall act as
secretary at all meetings of the Board of Directors and of the  stockholders and
keep the minutes thereof in a book or books to be provided for that purpose;  he
shall see that all  notices  required  to be given by the  Corporation  are duly
given and served;  he shall have charge of the stock records of the Corporation;
he shall see that all reports,  statements and other  documents  required by law
are  properly  kept and filed;  and in general he shall  perform  all the duties
incident to the office of  Secretary  and such other duties as from time to time
may be assigned to him by the President or the Board of Directors.

                  Section 12. Salaries.  The salaries of the principal  officers
shall be fixed from time to time by the Board of Directors,  and the salaries of
any other officers may be fixed by the President.

                                    ARTICLE V

                                 INDEMNIFICATION

                  Section  1.  Right of  Indemnification.  Every  person  now or
hereafter  serving as a director  or officer of the  Corporation  and every such
director  or officer  serving at the request of the  Corporation  as a director,
officer, employee or agent of another corporation,  partnership,  joint venture,
trust or other enterprise, shall be indemnified by the Corporation in accordance
with and to the  fullest  extent  permitted  by law for the  defense  of,  or in
connection  with,  any  threatened,   pending  or  completed  action,   suit  or
proceeding, whether civil, criminal, administrative or investigative.

                  Section 2. Expenses. Expenses incurred in defending a civil or
criminal action, suit or proceeding may be paid by the Corporation in advance of
the final  disposition  of such action,  suit or proceeding as authorized by the
Board of Directors in the specific case upon receipt of an undertaking



                                        8


<PAGE>


by or on behalf of such director or officer to repay such amount unless it shall
ultimately  be  determined  that  he  is  entitled  to  be  indemnified  by  the
Corporation as authorized in this Article V.

                  Section 3. Agreements. The Company is authorized to enter into
indemnification  agreements with any of its directors or officers subject to the
provisions of this Article V.

                  Section  4.  Other  Rights  of  Indemnification.  The right of
indemnification  herein  provided  shall  not be deemed  exclusive  of any other
rights to which any such  director or officer may now or  hereafter  be entitled
under any by-law,  agreement, vote of stockholders or disinterested directors or
otherwise,  both as to  action  in his  official  capacity  and as to  action in
another  capacity  while holding such office,  and shall continue as to a person
who has ceased to be a director or officer and shall inure to the benefit of the
heirs, executors and administrators of such person.

                  Section 5. Indemnification of Employees and Agents. The rights
of  indemnification  provided to directors and officers in this Article V may be
applicable, at the discretion of the Company, to its employees and agents.

                  Section 6.  Insurance.  The Company is  authorized to purchase
insurance  on behalf of any person whom it is required or permitted to indemnify
according to this Article V.

                                   ARTICLE VI

                            SHARES AND THEIR TRANSFER

                  Section 1.  Certificate  for Stock.  Every  stockholder of the
Corporation  shall be entitled to a certificate or  certificates,  to be in such
form as the Board of Directors shall prescribe,  certifying the number of shares
of the capital stock of the  Corporation  owned by him. No certificate  shall be
issued for partly paid shares.

                  Section 2. Stock Certificate  Signature.  The certificates for
such  stock  shall be  numbered  in the order in which  they shall be issued and
shall be signed by the  President  or any Vice  President  and the  Secretary or
Treasurer  of the  Corporation  and its seal shall be affixed  thereto.  If such
certificate is countersigned  (1) by a transfer agent other than the Corporation
or its  employee,  or,  (2) by a  registrar  other than the  Corporation  or its
employee,  the signatures of such officers of the Corporation may be facsimiles.
In case any  officer  of the  Corporation  who has  signed,  or whose  facsimile
signature  has been placed upon,  any such  certificate  shall have ceased to be
such  officer  before  such  certificate  is  issued,  it may be  issued  by the
Corporation  with the same  effect  as if he were  such  officer  at the date of
issue.

                  Section  3.  Stock  Ledger.  A  record  shall  be  kept by the
Secretary or by any other officer,  employee or agent designated by the Board of
Directors of the name of each person,  firm or corporation holding capital stock
of the  Corporation,  the number of shares  represented  by, and the  respective
dates of, each  certificate for such capital stock,  and in case of cancellation
of any such certificate, the respective dates of cancellation.



                                        9


<PAGE>



                  Section 4. Cancellation.  Every certificate surrendered to the
Corporation for exchange or  registration of transfer shall be canceled,  and no
new  certificate  or  certificates  shall be issued in exchange for any existing
certificate until such existing certificate shall have been so canceled, except,
subject to Section 7 of this  Article VI, in cases  provided  for by  applicable
law.

                  Section 5. Registrations of Transfers of Stock.  Registrations
of transfers of shares of the capital stock of the Corporation  shall be made on
the  books  of the  Corporation  by the  registered  holder  thereof,  or by his
attorney thereunto  authorized by power of attorney duly executed and filed with
the Secretary of the  Corporation  or with a transfer  clerk or a transfer agent
appointed as in Section 6 of this  Article VI provided,  and on surrender of the
certificate or certificates for such shares properly endorsed and the payment of
all taxes  thereon.  The person in whose name shares of stock stand on the books
of the Corporation shall be deemed the owner thereof for all purposes as regards
the Corporation;  provided,  however, that whenever any transfer of shares shall
be made for collateral security, and not absolutely, it shall be so expressed in
the  entry of the  transfer  if,  when the  certificates  are  presented  to the
Corporation  for transfer,  both the transferor  and the transferee  request the
Corporation to do so.

                  Section 6.  Regulations.  The Board of Directors may make such
rules  and  regulations  as it may deem  expedient,  not  inconsistent  with the
Certificate of Incorporation or these By- laws,  concerning the issue,  transfer
and registration of certificates for shares of the stock of the Corporation.  It
may appoint,  or authorize any principal officer or officers to appoint,  one or
more transfer clerks or one or more transfer agents and one or more  registrars,
and may require all certificates of stock to bear the signature or signatures of
any of them.

                  Section 7. Lost, Stolen,  Destroyed or Mutilated Certificates.
Before any certificates for stock of the Corporation shall be issued in exchange
for  certificates  which  shall  become  mutilated  or shall be lost,  stolen or
destroyed,  proper evidence of such loss, theft, mutilation or destruction shall
be procured for the Board of Directors, if it so requires.

                  Section 8. Record Dates.  For the purpose of  determining  the
stockholders  entitled to notice of or to vote at any meeting of stockholders or
any adjournment thereof, or entitled to receive payment of any dividend or other
distribution  or allotment of any rights,  or entitled to exercise any rights in
respect of any change, conversion or exchange of stock or for the purpose of any
other lawful  action,  the Board of Directors  may fix, in advance,  a date as a
record date for any such  determination of stockholders.  Such record date shall
not be more than sixty or less than ten days before the date of such meeting, or
more than sixty days prior to any other action. If a record date is not fixed by
the  Board  of  Directors  as  aforesaid,  (i) the  date  for  determination  of
stockholders entitled to notice of or to vote at a meeting of stockholders shall
be the close of business on the day next  preceding  the day on which  notice is
given,  or if no notice is given,  the day next  preceding  the day on which the
meeting is held, and (ii) the record date for determining  stockholders  for any
purpose  other than that  specified in clause (i) shall be the close of business
on the day on which the resolution of the Board of Directors relating thereto is
adopted.



                                       10


<PAGE>



                                   ARTICLE VII

                            MISCELLANEOUS PROVISIONS

                  Section  1.  Corporate  Seal.  The  Board of  Directors  shall
provide a corporate seal,  which shall be in the form of a circle and shall bear
the  name  of  the  Corporation  and  words  and  figures  showing  that  it was
incorporated  in the State of Delaware in the year 1995. The Secretary  shall be
the custodian of the seal. The Board of Directors may authorize a duplicate seal
to be kept and used by any other officer.

                  Section  2.  Voting of Stocks  Owned by the  Corporation.  The
Board of Directors  may  authorize  any person on behalf of the  Corporation  to
attend,  vote and grant proxies to be used at any meeting of stockholders of any
corporation (except the Corporation) in which the Corporation may hold stock.

                  Section  3.  Dividends.  Subject  to  the  provisions  of  the
Certificate of  Incorporation,  the Board of Directors may, out of funds legally
available therefor, at any regular or special meeting declare dividends upon the
capital  stock  of the  Corporation  as and when  they  deem  expedient.  Before
declaring  any  dividend  there  may  be set  apart  out  of  any  funds  of the
Corporation  available for dividends such sum or sums as the Directors from time
to time in their discretion deem proper for working capital or as a reserve fund
to meet contingencies or for equalizing  dividends or for such other purposes as
the Board of Directors shall deem conducive to the interests of the Corporation.

                                  ARTICLE VIII

                                   AMENDMENTS

                  These By-laws of the  Corporation  may be altered,  amended or
repealed by the Board of Directors at (a) any regular or special  meeting of the
Board of Directors,  provided,  however,  that the Board of Directors may alter,
amend or repeal  the  provisions  of these  By-laws  relating  to the  number of
Directors only if all the members of the Board of Directors  consent  thereto in
writing,  or (b) by the affirmative  vote of the holders of record of a majority
of the issued and outstanding  stock of the Corporation (i) present in person or
by proxy at a meeting of holders of such stock and  entitled to vote  thereon or
(ii) by a consent in writing in the manner  contemplated in Section 9 of Article
II,  provided,  however,  that notice of the proposed  alteration,  amendment or
repeal is  contained  in the notice of such  meeting.  By-laws,  whether made or
altered by the  stockholders  or by the Board of Directors,  shall be subject to
alteration or repeal by the stockholders as in this Article VIII above provided.



                                       11





                  MEDE AMERICA CORPORATION AND ITS SUBSIDIARIES
                 STOCK OPTION AND RESTRICTED STOCK PURCHASE PLAN

                  Section  1.   Purpose.   The  purpose  of  the  MedE   America
Corporation and its Subsidiaries Stock Option and Restricted Stock Purchase Plan
(the "Plan") is to promote the interests of MedE America Corporation, a Delaware
corporation (the "Company"), and any Subsidiary thereof and the interests of the
Company's  stockholders  by  providing  an  opportunity  to selected  employees,
officers and directors of the Company or any  Subsidiary  thereof as of the date
of the adoption of the Plan or at any time  thereafter to purchase  Common Stock
of the  Company.  By  encouraging  such stock  ownership,  the Company  seeks to
attract,  retain and motivate such  employees and other persons and to encourage
such  employees  and other  persons to devote their best efforts to the business
and financial  success of the Company.  It is intended that this purpose will be
effected by the granting of  "non-qualified  stock  options"  and/or  "incentive
stock options" to acquire the Common Stock of the Company and/or by the granting
of rights to purchase  the Common Stock of the Company on a  "restricted  stock"
basis.  Under the Plan,  the  Committee  shall have the  authority  (in its sole
discretion) to grant  "incentive  stock  options"  within the meaning of Section
422(b) of the Code,  "non-qualified  stock  options"  as  described  in Treasury
Regulation Section 1.83-7 or any successor  regulation  thereto,  or "restricted
stock" awards.

                  Section  2.  Definitions.   For  purposes  of  the  Plan,  the
following  terms  used  herein  shall  have  the  following  meanings,  unless a
different meaning is clearly required by the context:

                  2.1.  "Award"  shall  mean an award of the  right to  purchase
Common Stock granted under the provisions of Section 7 of the Plan.

                  2.2. "Board of Directors" shall mean the Board of Directors of
the Company.

                  2.3.  "Code" shall mean the Internal  Revenue Code of 1986, as
amended.

                  2.4.  "Committee"  shall  mean the  committee  of the Board of
Directors referred to in Section 5 hereof;  provided,  that if no such committee
is appointed by the Board of Directors, the Board of Directors shall have all of
the authority and obligations of the Committee under the Plan.



<PAGE>



                  2.5.  "Common  Stock"  shall mean the Common  Stock,  $.01 par
value, of the Company.

                  2.6.  "Employee"  shall mean (i) with  respect to an ISO,  any
person,  including,  without limitation,  an officer or director of the Company,
who,  at the time an ISO is granted to such person  hereunder,  is employed on a
full-time  basis by the Company or any Parent or Subsidiary of the Company,  and
(ii) with respect to a Non-Qualified Option and/or an Award, any person employed
by, or  performing  services for, the Company or any Parent or Subsidiary of the
Company, including, without limitation, directors and officers.

                  2.7.  "ISO"  shall  mean an Option  granted  to a  Participant
pursuant  to the Plan that  constitutes  and shall be treated  as an  "incentive
stock option" as defined in Section 422(b) of the Code.

                  2.8.  "Non-Qualified Option" shall mean an Option granted to a
Participant  pursuant to the Plan that is intended  to be, and  qualifies  as, a
"non-qualified  stock option" as described in Treasury Regulation Section 1.83-7
or any successor  regulation thereto and that shall not constitute or be treated
as an ISO.

                  2.9.  "Option"  shall  mean  any ISO or  Non-Qualified  Option
granted to an Employee pursuant to the Plan.

                  2.10.  "Participant"  shall mean any Employee to whom an Award
and/or an Option is granted under the Plan.

                  2.11. "Parent" of the Company shall have the meaning set forth
in Section 424(e) of the Code.

                  2.12.  "Subsidiary"  of the Company shall have the meaning set
forth in Section 424(f) of the Code.

                  Section 3.  Eligibility.  Awards and/or Options may be granted
to any  Employee.  The  Committee  shall have the sole  authority  to select the
persons  to whom  Awards  and/or  Options  are to be granted  hereunder,  and to
determine whether a person is to be granted a Non-Qualified Option, an ISO or an
Award or any combination  thereof. No person shall have any right to participate
in the Plan. Any person selected by the Committee for  participation  during any
one  period  will not by  virtue  of such  participation  have  the  right to be
selected as a Participant for any other period.

                  Section 4.  Common Stock Subject to the Plan.

                  4.1.  Number of Shares.  The total  number of shares of Common
Stock for which Options and/or Awards may be granted under


                                        2


<PAGE>



the Plan shall not exceed in the  aggregate  Three  Million  One  Thousand  Four
Hundred (3,501,400) shares of Common Stock (subject to adjustment as provided in
Section 8 hereof).

                  4.2.  Reissuance.  The  shares  of  Common  Stock  that may be
subject to Options and/or Awards granted under the Plan may be either authorized
and unissued  shares or shares  reacquired at any time and now or hereafter held
as  treasury  stock  as the  Committee  may  determine.  In the  event  that any
outstanding Option expires or is terminated for any reason, the shares allocable
to the  unexercised  portion  of such  Option  may again be subject to an Option
and/or  Award  granted  under the Plan.  If any shares of Common Stock issued or
sold  pursuant  to an  Award  or the  exercise  of an  Option  shall  have  been
repurchased  by the Company,  then such shares may again be subject to an Option
and/or Award granted under the Plan.

                  4.3.  Special ISO Limitations.

                  (a) The aggregate fair market value (determined as of the date
an ISO is granted) of the shares of Common  Stock with respect to which ISOs are
exercisable  for the first time by an Employee  during any calendar  year (under
all  incentive  stock option plans of the Company or any Parent or Subsidiary of
the Company) shall not exceed $100,000.

                  (b) No ISO shall be granted to an  Employee  who,  at the time
the ISO is granted,  owns  (actually or  constructively  under the provisions of
Section 424(d) of the Code) stock possessing more than 10% of the total combined
voting power of all classes of stock of the Company or any Parent or  Subsidiary
of the Company,  unless (i) the option price is at least 110% of the fair market
value  (determined  as of the time the ISO is  granted)  of the shares of Common
Stock subject to the ISO and (ii) the ISO by its terms is not  exercisable  more
than five years from the date it is granted.

                  4.4.  Limitations Not Applicable to  Non-Qualified  Options or
Awards.  Notwithstanding  any other  provision of the Plan,  the  provisions  of
Sections 4.3(a) and (b) shall not apply, nor shall be construed to apply, to any
Non-Qualified Option or Award granted under the Plan.

                  Section 5.  Administration of the Plan.

                  5.1.  Administration.  The  Plan  shall be  administered  by a
committee of the Board of Directors (the  "Committee")  established by the Board
of Directors and  consisting of no less than three  persons.  All members of the
Committee  shall be  "disinterested  persons"  within the  meaning of Rule 16b-3
promulgated under the Securities Exchange Act of 1934, as amended


                                        3


<PAGE>



(the "Exchange Act"). The Committee shall be appointed from time to time by, and
shall serve at the pleasure of, the Board of Directors.

                  5.2.  Grant of Options/Awards.

                  (a)  Options.  The Committee shall have the sole authority and
discretion  under the Plan (i) to select  the  Employees  who are to be  granted
Options hereunder;  (ii) to designate whether any Option to be granted hereunder
is to be an ISO or a  Non-Qualified  Option;  (iii) to  establish  the number of
shares of Common Stock that may be subject to each Option; (iv) to determine the
time and the conditions subject to which Options may be exercised in whole or in
part;  (v) to  determine  the amount (not less than the par value per share) and
the form of the  consideration  that may be used to  purchase  shares  of Common
Stock  upon  exercise  of  any  Option  (including,   without  limitation,   the
circumstances under which issued and outstanding shares of Common Stock owned by
a Participant  may be used by the  Participant  to exercise an Option);  (vi) to
impose  restrictions  and/or  conditions  with respect to shares of Common Stock
acquired upon exercise of an Option;  (vii) to determine the circumstances under
which shares of Common Stock acquired upon exercise of any Option may be subject
to  repurchase  by the  Company;  (viii)  to  determine  the  circumstances  and
conditions  subject to which shares  acquired  upon exercise of an Option may be
sold or otherwise transferred,  including, without limitation, the circumstances
and  conditions  subject  to which a  proposed  sale of shares  of Common  Stock
acquired  upon  exercise of an Option may be subject to the  Company's  right of
first  refusal (as well as the terms and  conditions  of any such right of first
refusal);  (ix) to establish a vesting  provision for any Option relating to the
time when (or the  circumstances  under  which) the Option may be exercised by a
Participant,  including,  without  limitation,  vesting  provisions  that may be
contingent  upon (A) the Company's  meeting  specified  financial  goals,  (B) a
change of  control  of the  Company  or (C) the  occurrence  of other  specified
events;  (x) to accelerate the time when  outstanding  Options may be exercised,
provided,  however,  that any ISOs  shall be  deemed  "accelerated"  within  the
meaning of Section  424(h) of the Code;  and (xi) to establish  any other terms,
restrictions  and/or  conditions  applicable to any Option not inconsistent with
the  provisions  of  the  Plan.  Notwithstanding  anything  in the  Plan  to the
contrary, in no event shall any Option granted to any director or officer of the
Company who is subject to Section 16 of the Exchange Act become exercisable,  in
whole or in part,  prior to the date  that is six  months  after  the date  such
Option is granted to such director or officer.

                  (b) Awards.  The Committee  shall have the sole  authority and
discretion under the Plan (i) to select the


                                        4


<PAGE>



Employees who are to be granted Awards  hereunder;  (ii) to determine the amount
to be paid by a  Participant  to acquire  shares of Common Stock  pursuant to an
Award,  which  amount may be equal to, more than,  or less than 100% of the fair
market  value of such  shares on the date the Award is granted  (but in no event
less than the par value of such  shares);  (iii) to determine  the time or times
and the  conditions  subject to which Awards may be made;  (iv) to determine the
time or times and the  conditions  subject to which the  shares of Common  Stock
subject to an Award are to become vested and no longer  subject to repurchase by
the Company; (v) to establish transfer restrictions and the terms and conditions
on which any such transfer  restrictions  with respect to shares of Common Stock
acquired pursuant to an Award shall lapse; (vi) to establish vesting  provisions
with  respect to any  shares of Common  Stock  subject  to an Award,  including,
without  limitation,  vesting  provisions  which may be contingent  upon (A) the
Company's  meeting  specified  financial  goals,  (B) a change of control of the
Company or (C) the occurrence of other specified events;  (vii) to determine the
circumstances  under which shares of Common Stock acquired  pursuant to an Award
may  be  subject  to  repurchase  by  the  Company;   (viii)  to  determine  the
circumstances  and  conditions  subject  to which any  shares  of  Common  Stock
acquired pursuant to an Award may be sold or otherwise  transferred,  including,
without limitation, the circumstances and conditions subject to which a proposed
sale of shares of Common Stock  acquired  pursuant to an Award may be subject to
the Company's right of first refusal (as well as the terms and conditions of any
such right of first refusal);  (ix) to determine the form of consideration  that
may be used to purchase shares of Common Stock pursuant to an Award  (including,
without limitation,  the circumstances under which issued and outstanding shares
of  Common  Stock  owned  by a  Participant  may be used by the  Participant  to
purchase the Common Stock subject to an Award);  (x) to  accelerate  the time at
which any or all restrictions imposed with respect to any shares of Common Stock
subject  to an  Award  will  lapse;  and  (xi) to  establish  any  other  terms,
restrictions and/or conditions applicable to any Award not inconsistent with the
provisions of the Plan.

                  5.3.  Interpretation.  The  Committee  shall be  authorized to
interpret the Plan and may, from time to time, adopt such rules and regulations,
not  inconsistent  with the  provisions of the Plan, as it may deem advisable to
carry out the purposes of the Plan.

                  5.4.  Finality.  The  interpretation  and  construction by the
Committee  of any  provision  of the  Plan,  any  Option  and/or  Award  granted
hereunder  or any  agreement  evidencing  any such Option  and/or Award shall be
final and conclusive upon all parties.


                                        5


<PAGE>



                  5.5. Expenses,  Etc. All expenses and liabilities  incurred by
the Committee in the  administration  of the Plan shall be borne by the Company.
The Committee may employ attorneys, consultants, accountants or other persons in
connection with the  administration  of the Plan. The Company,  and its officers
and directors, shall be entitled to rely upon the advice, opinions or valuations
of any such persons.  No member of the Committee shall be liable for any action,
determination or interpretation  taken or made in good faith with respect to the
Plan or any Option and/or Award granted hereunder.

                  Section 6.  Terms and Conditions of Options.

                  6.1.  ISOs. The terms and conditions of each ISO granted under
the Plan shall be  specified by the  Committee  and shall be set forth in an ISO
agreement  between the Company and the Participant in such form as the Committee
shall approve.  The terms and conditions of each ISO shall be such that each ISO
issued  hereunder shall  constitute and shall be treated as an "incentive  stock
option" as defined in Section  422(b) of the Code.  The terms and  conditions of
any ISO  granted  hereunder  need not be  identical  to those of any  other  ISO
granted hereunder.

                  The  terms  and  conditions  of each  ISO  shall  include  the
following:

                  (a) The option price shall be fixed by the Committee but shall
in no event be less than 100% (or 110% in the case of an Employee referred to in
Section  4.3(b)  hereof) of the fair market  value of the shares of Common Stock
subject to the ISO on the date the ISO is granted. For purposes of the Plan, the
fair market value per share of Common Stock as of any day shall mean the average
of the  closing  prices  of sales of  shares  of  Common  Stock on all  national
securities  exchanges on which the Common Stock may at the time be listed or, if
there  shall have been no sales on any such day,  the average of the highest bid
and lowest asked prices on all such  exchanges at the end of such day, or, if on
any  day  the  Common  Stock  shall  not  be  so  listed,  the  average  of  the
representative bid and asked prices quoted in the NASDAQ system as of 3:30 p.m.,
New York  time,  on such day,  or, if on any day the Common  Stock  shall not be
quoted  in the  NASDAQ  system,  the  average  of the high and low bid and asked
prices  on such day in the  over-the-counter  market  as  reported  by  National
Quotation Bureau Incorporated,  or any similar successor organization. If at any
time the  Common  Stock is not listed on any  national  securities  exchange  or
quoted in the NASDAQ  system or the  over-the-counter  market,  the fair  market
value of the shares of Common Stock  subject to an Option on the date the ISO is
granted shall be the fair market value  thereof  determined in good faith by the
Board of Directors.


                                        6


<PAGE>



                  (b) ISOs, by their terms, shall not be transferable  otherwise
than  by  will  or  the  laws  of  descent  and  distribution,   and,  during  a
Participant's lifetime, an ISO shall be exercisable only by the Participant.

                  (c) The  Committee  shall  fix the  term of all  ISOs  granted
pursuant to the Plan (including,  without limitation, the date on which such ISO
shall expire and terminate); provided, however, that such term shall in no event
exceed ten years from the date on which such ISO is granted  (or, in the case of
an ISO granted to an Employee  referred to in Section 4.3(b)  hereof,  such term
shall in no event exceed five years from the date on which such ISO is granted).
Each ISO shall be exercisable in such amount or amounts,  under such  conditions
and at such times or intervals or in such installments as shall be determined by
the Committee in its sole discretion;  provided, however, that in no event shall
any ISO  granted to any  director  or officer of the  Company  who is subject to
Section 16 of the Exchange Act become exercisable, in whole or in part, prior to
the date that is six months after the date such ISO is granted to such  director
or officer.

                  (d) To the extent that the Company or any Parent or Subsidiary
of the  Company is required to  withhold  any  Federal,  state or local taxes in
respect of any  compensation  income  realized by any Participant as a result of
any  "disqualifying  disposition"  of any shares of Common Stock  acquired  upon
exercise of an ISO granted hereunder, the Company shall deduct from any payments
of any kind  otherwise  due to such  Participant  the  aggregate  amount of such
Federal,  state or local taxes  required to be so withheld or, if such  payments
are insufficient to satisfy such Federal, state or local taxes, such Participant
will be required to pay to the Company, or make other arrangements  satisfactory
to the Company  regarding payment to the Company of, the aggregate amount of any
such taxes. All matters with respect to the total amount of taxes to be withheld
in respect of any such  compensation  income shall be determined by the Board of
Directors, in its sole discretion.

                  (e) In the sole  discretion  of the  Committee  the  terms and
conditions  of any  ISO  may  (but  need  not)  include  any  of  the  following
provisions:

                  (i) In the event a  Participant  shall cease to be employed by
         the Company or any Parent or  Subsidiary  of the Company on a full-time
         basis  for  any  reason  other  than  as  a  result  of  his  death  or
         "disability"  (within the meaning of Section 22(e)(3) of the Code), the
         unexercised  portion of any ISO held by such  Participant  at that time
         may only be  exercised  within  one  month  after the date on which the
         Participant ceased to be so employed, and only to the extent


                                        7


<PAGE>



         that the Participant could have otherwise  exercised such ISO as of the
         date on which he ceased to be so employed.

             (ii) In the event a  Participant  shall cease to be employed by the
         Company or any Parent or Subsidiary of the Company on a full-time basis
         by reason of his  "disability"  (within the meaning of Section 22(e)(3)
         of  the  Code),  the  unexercised  portion  of any  ISO  held  by  such
         Participant  at that time may only be  exercised  within one year after
         the date on which the Participant ceased to be so employed, and only to
         the extent that the Participant could have otherwise exercised such ISO
         as of the date on which he ceased to be so employed.

            (iii) In the event a  Participant  shall die while in the  employ of
         the  Company  or a Parent or  Subsidiary  of the  Company  (or within a
         period of one month  after  ceasing  to be an  Employee  for any reason
         other than his "disability"  (within the meaning of Section 22(e)(3) of
         the  Code) or  within  a period  of one  year  after  ceasing  to be an
         Employee by reason of such  "disability"),  the unexercised  portion of
         any ISO held by such  Participant  at the time of his death may only be
         exercised within one year after the date of such  Participant's  death,
         and  only to the  extent  that the  Participant  could  have  otherwise
         exercised  such ISO at the time of his death.  In such event,  such ISO
         may be exercised by the executor or administrator of the  Participant's
         estate or by any person or  persons  who shall  have  acquired  the ISO
         directly from the Participant by bequest or inheritance.

                  6.2.  Non-Qualified  Options. The terms and conditions of each
Non-Qualified Option granted under the Plan shall be specified by the Committee,
in its sole  discretion,  and shall be set forth in a written  option  agreement
between the  Company and the  Participant  in such form as the  Committee  shall
approve. The terms and conditions of each Non-Qualified Option will be such (and
each  Non-Qualified  Option  Agreement  shall  expressly  so  state)  that  each
Non-Qualified  Option issued hereunder shall not constitute nor be treated as an
"incentive stock option" as defined in Section 422(b) of the Code, but will be a
"non-qualified  stock option" for Federal,  state and local income tax purposes.
The terms and conditions of any Non-Qualified  Option granted hereunder need not
be identical to those of any other Non-Qualified Option granted hereunder.

                  The  terms  and  conditions  of  each   Non-Qualified   Option
Agreement shall include the following:

                  (a)  The  option  (exercise)  price  shall  be  fixed  by  the
Committee  and may be equal to,  more than or less than 100% of the fair  market
value of the shares of Common Stock subject to the


                                        8


<PAGE>



Non-Qualified Option on the date such Non-Qualified Option is granted.

                  (b)  The  Committee  shall  fix the  term of all  NonQualified
Options granted pursuant to the Plan (including, without limitation, the date on
which such  Non-Qualified  Option shall expire and terminate).  Such term may be
more than ten years from the date on which such Non-Qualified Option is granted.
Each Non-Qualified Option shall be exercisable in such amount or amounts,  under
such conditions (including, without limitation,  provisions governing the rights
to exercise such NonQualified Option), and at such times or intervals or in such
installments  as shall be determined  by the  Committee in its sole  discretion;
provided, however, that in no event shall any NonQualified Option granted to any
director or officer of the Company who is subject to Section 16 of the  Exchange
Act  become  exercisable,  in whole or in  part,  prior to the date  that is six
months after the date such  Non-Qualified  Option is granted to such director or
officer.

                  (c) Non-Qualified Options shall not be transferable  otherwise
than by will or the laws of descent and distribution, and during a Participant's
lifetime a Non-Qualified Option shall be exercisable only by the Participant.

                  (d) To the extent that the Company is required to withhold any
Federal,  state or local taxes in respect of any compensation income realized by
any  Participant in respect of a  Non-Qualified  Option granted  hereunder or in
respect of any shares of Common Stock acquired upon exercise of a  Non-Qualified
Option,  the Company shall deduct from any payments of any kind otherwise due to
such  Participant  the aggregate  amount of such  Federal,  state or local taxes
required to be so withheld or, if such payments are insufficient to satisfy such
Federal,  state or local taxes,  or if no such payments are due or to become due
to such  Participant,  then,  such  Participant  will be  required to pay to the
Company,  or make  other  arrangements  satisfactory  to the  Company  regarding
payment to the Company of, the aggregate  amount of any such taxes.  All matters
with  respect to the total amount of taxes to be withheld in respect of any such
compensation  income shall be determined by the Board of Directors,  in its sole
discretion.

                  7. Terms and Conditions of Awards. The terms and conditions of
each Award  granted under the Plan shall be specified by the  Committee,  in its
sole  discretion,  and  shall be set forth in a written  agreement  between  the
Participant and the Company,  in such form as the Committee  shall approve.  The
terms and  provisions  of any Award granted  hereunder  need not be identical to
those of any other Award granted hereunder.


                                        9


<PAGE>



                  The terms and  conditions  of each  Award  shall  include  the
following:

                  (a) The  amount to be paid by a  Participant  to  acquire  the
shares of Common Stock  pursuant to an Award shall be fixed by the Committee and
may be equal to,  more than or less  than 100% of the fair  market  value of the
shares of Common  Stock  subject  to the Award on the date the Award is  granted
(but in no event less than the par value of such shares).

                  (b) Each Award shall  contain  such vesting  provisions,  such
transfer  restrictions  and  such  other  restrictions  and  conditions  as  the
Committee, in its sole discretion, may determine, including, without limitation,
the  circumstances  under which the  Company  shall have the right and option to
repurchase shares of Common Stock acquired pursuant to an Award.

                  (c) Stock  certificates  representing  Common  Stock  acquired
pursuant to an Award shall bear a legend referring to any  restrictions  imposed
on such Stock and such other matters as the Committee may determine.

                  (d) To the extent that the Company is required to withhold any
Federal,  state or local taxes in respect of any compensation income realized by
the  Participant  in respect of an Award  granted  hereunder,  in respect of any
shares  acquired  pursuant to an Award, or in respect of the vesting of any such
shares of Common  Stock,  then the Company shall deduct from any payments of any
kind  otherwise due to such  Participant  the aggregate  amount of such Federal,
state or  local  taxes  required  to be so  withheld,  or if such  payments  are
insufficient  to  satisfy  such  Federal,  state or local  taxes,  or if no such
payments  are due or to become due to such  Participant,  then such  Participant
will be required to pay to the Company, or make other arrangements  satisfactory
to the Company  regarding payment to the Company of, the aggregate amount of any
such taxes. All matters with respect to the total amount of taxes to be withheld
in respect of any such compensation income shall be determined by the Committee,
in its sole discretion.

                  Section  8.  Adjustments.  (a) In the  event  that,  after the
adoption of the Plan by the Board of Directors,  the  outstanding  shares of the
Company's  Common  Stock shall be  increased  or  decreased  or changed  into or
exchanged for a different  number or kind of shares of stock or other securities
of  the  Company  or  of  another  entity  through  reorganization,   merger  or
consolidation,   recapitalization,   reclassification,  stock  split,  split-up,
combination  or exchange of shares or  declaration  of any dividends  payable in
Common Stock, the Board of Directors shall  appropriately  adjust (i) the number
of shares of Common Stock (and the option price per share) subject to the


                                       10


<PAGE>



unexercised  portion of any  outstanding  Option (to the nearest  possible  full
share); provided, however, that the limitations of Section 424 of the Code shall
apply with  respect to  adjustments  made to ISOs,  (ii) the number of shares of
Common Stock to be acquired  pursuant to an Award which have not become  vested,
and (iii) the number of shares of Common Stock for which  Options  and/or Awards
may be granted  under the Plan,  as set forth in Section  4.1  hereof,  and such
adjustments shall be effective and binding for all purposes of the Plan.

                  (b) If any capital  reorganization or  reclassification of the
capital stock of the Company or any  consolidation or merger of the Company with
another entity,  or the sale of all or  substantially  all its assets to another
entity,  shall be effected in such a way that  holders of Common  Stock shall be
entitled to receive  stock,  securities or assets with respect to or in exchange
for Common Stock,  then, subject to Section 8(c) below, each holder of an Option
shall thereafter have the right to purchase,  upon the exercise of the Option in
accordance  with the terms and  conditions  specified  in the  option  agreement
governing  such  Option  and in lieu of the shares of Common  Stock  immediately
theretofore  receivable upon the exercise of such Option,  such shares of stock,
securities or assets (including,  without limitation,  cash) as may be issued or
payable  with respect to or in exchange  for a number of  outstanding  shares of
such Common Stock equal to the number of shares of such Common Stock immediately
theretofore   so   receivable   had   such   reorganization,   reclassification,
consolidation, merger or sale not taken place.

                  (c) Notwithstanding Section 8(b) hereof (but only if expressly
provided in any option  agreement),  in the event of (i) any offer to holders of
the  Company's  Common Stock  generally  relating to the  acquisition  of all or
substantially  all of  their  shares,  including,  without  limitation,  through
purchase,  merger  or  otherwise,  or (ii) any  proposed  transaction  generally
relating to the  acquisition of  substantially  all of the assets or business of
the Company (herein  sometimes  referred to as an  "Acquisition"),  the Board of
Directors may, in its sole discretion, cancel any outstanding Options (provided,
however,  that the  limitations  of  Section  424 of the Code  shall  apply with
respect to adjustments made to ISO's) and pay or deliver, or cause to be paid or
delivered,  to the holder thereof an amount in cash or securities having a value
(as  determined  by the Board of  Directors  acting in good faith)  equal to the
product of (A) the number of shares of Common Stock (the "Option  Shares") that,
as of the date of the  consummation  of such  Acquisition,  the  holder  of such
Option had become entitled to purchase (and had not purchased) multiplied by (B)
the  amount,  if any,  by which (1) the formula or fixed price per share paid to
holders of shares of Common Stock pursuant to such  Acquisition  exceeds (2) the
option price applicable to such Option Shares.


                                       11


<PAGE>



                  Section  9.  Effect  of the Plan on  Employment  Relationship.
Neither the Plan nor any Option and/or Award granted  hereunder to a Participant
shall be construed as conferring upon such  Participant any right to continue in
the employ of (or otherwise  provide  services to) the Company or any Subsidiary
or Parent  thereof,  or limit in any  respect  the right of the  Company  or any
Subsidiary or Parent thereof to terminate such Participant's employment or other
relationship  with the Company or any Subsidiary or Parent,  as the case may be,
at any time.

                  Section 10.  Amendment of the Plan. The Board of Directors may
amend the Plan from time to time as it deems desirable; provided, however, that,
without the  approval of the  holders of a majority of the  outstanding  capital
stock of the Company entitled to vote thereon or consent  thereto,  the Board of
Directors  may not amend the Plan (i) to increase  (except for  increases due to
adjustments in accordance with Section 8 hereof) the aggregate  number of shares
of Common Stock for which Options and/or Awards may be granted  hereunder,  (ii)
to decrease the minimum  exercise price specified by the Plan in respect of ISOs
or (iii) to change the class of  Employees  eligible  to receive  ISOs under the
Plan.

                  Section 11.  Termination  of the Plan.  The Board of Directors
may terminate the Plan at any time.  Unless the Plan shall theretofore have been
terminated by the Board of Directors,  the Plan shall  terminate ten years after
the date of its initial  adoption by the Board of  Directors.  No Option  and/or
Award may be granted hereunder after termination of the Plan. The termination or
amendment of the Plan shall not alter or impair any rights or obligations  under
any Option and/or Award theretofore granted under the Plan.

                  Section  12.  Effective  Date of the Plan.  The Plan  shall be
effective  as of March 22,  1995,  the date on which the Plan was adopted by the
Board of Directors of the Company.

                                    * * * * *



                                       12




                                       
                                                                    EXHIBIT 10.3

                        FORM OF INDEMNIFICATION AGREEMENT

                  INDEMNIFICATION AGREEMENT, made this ___ day of July, 1998, by
and   between   MedE   America   Corporation,   a  Delaware   corporation   (the
"Corporation"), and ___________________________("Indemnitee").

                                    RECITALS

                  WHEREAS,  Indemnitee  is currently  serving as, or is assuming
the position of, a director  and/or officer of the  Corporation  and/or,  at the
Corporation's  request,  a director,  officer,  employee and/or agent of another
Corporation,  partnership,  joint venture,  trust or other  enterprise,  and the
Corporation wishes Indemnitee to continue in such capacity(ies);

                  WHEREAS, the Amended and Restated Certificate of Incorporation
of the Corporation (the "Certificate of  Incorporation")  and the By-laws of the
Corporation  (the "By-laws") each provide that the Corporation  shall indemnify,
to the fullest extent permitted by law, certain persons, including directors and
officers of the Corporation,  against specified  expenses and losses arising out
of certain threatened, pending or completed actions, suits or proceedings;

                  WHEREAS,  Section 145(f) of the Delaware  General  Corporation
Law (the  "DGCL")  expressly  recognizes  that the  indemnification  provided by
Section  145 of the DGCL shall not be deemed  exclusive  of any other  rights to
which those seeking  indemnification  or advancement of expenses may be entitled
under any bylaw,  agreement,  vote of stockholders or disinterested directors or
otherwise, both as to action in an official capacity and as to action in another
capacity while holding such office;

                  WHEREAS,  in recognition of  Indemnitee's  need for protection
against personal liability in order to induce Indemnitee to serve or continue to
serve the Corporation in an effective manner as a director and/or officer of the
Corporation  and/or,  at the  Corporation's  request,  as a  director,  officer,
employee or agent of another corporation,  partnership,  joint venture, trust or
other enterprise,  and, in the case of directors and officers,  to supplement or
replace the Corporation's directors' and officers' liability insurance coverage,
and  to  provide  Indemnitee  with  specific  contractual   assurance  that  the
protection  promised by the  Certificate  of  Incorporation  and By-laws will be
available  to  Indemnitee,  the  Corporation,  with the  prior  approval  of its
stockholders,  wishes to provide  Indemnitee  with the benefits  contemplated by
this Agreement;

                  WHEREAS,  as a  result  of the  provision  of  such  benefits,
Indemnitee has indicated that he is willing to serve, or continue to serve, as a
director and/or officer of the Corporation 


<PAGE>

and/or, at the Corporation's  request, as a director,  officer,  employee and/or
agent  of  another  corporation,  partnership,  joint  venture,  trust  or other
enterprise;

                  NOW, THEREFORE,  , in consideration of the premises and mutual
covenants  herein  contained,  the Corporation  and Indemnitee  hereby agrees as
follows:

                  1. Definitions.

                  (a) "Expenses" means, for the purposes of this Agreement,  all
direct and indirect costs of any type or nature whatsoever  (including,  without
limitation,  any fees and  disbursements  of Indemnitee's  counsel,  accountants
another experts and other out-of-pocket  costs) actually and reasonably incurred
by Indemnitee  in connection  with the  investigation,  preparation,  defense or
appeal of a  Proceeding;  provided,  however,  that  Expenses  shall not include
judgments, fines, penalties or amounts paid in settlement of a Proceeding unless
such matters may be indemnified under applicable provisions of the DGCL.

                  (b)  "Proceeding"  means,  for the purposes of this Agreement,
any threatened,  pending or completed action, suit or proceeding, whether civil,
criminal,   administrative  or  investigative   (including  actions,   suits  or
proceedings brought by or in the right of the Corporation),  in which Indemnitee
may be or may have been involved as a party or otherwise,  by reason of the fact
that Indemnitee is or was a director or officer of the Corporation, by reason of
any action  taken by him or of any  inaction  on his part  while  acting as such
director  or officer  or by reason of the fact that he is or was  serving at the
request of the Corporation as a director,  officer, employee or agent of another
foreign or domestic  corporation,  partnership,  joint  venture,  trust or other
enterprise,  or was a  director  and/or  officer  of  the  foreign  or  domestic
corporation which was a predecessor corporation to the Corporation or of another
enterprise at the request of such predecessor corporation,  whether or not he is
serving in such  capacity at the time any  liability  or expense is incurred for
which indemnification or reimbursement can be provided under this Agreement.

                  2. Indemnification.

                  (a) Third Party  Proceedings.  To the fullest extent permitted
by  law,  the  Corporation  shall  indemnify  Indemnitee  against  Expenses  and
liabilities of any type whatsoever  (including,  but not limited to,  judgments,
fines, penalties,  and amounts paid in settlement (if the settlement is approved
in advance by the  Corporation))  incurred by Indemnitee  in  connection  with a
Proceeding  (other than a Proceeding by or in the right of the  Corporation)  if
Indemnitee acted in good faith and in a manner Indemnitee reasonably believed to
be in, or not opposed  to, the best  interests  of the  Corporation,  and,  with
respect to any criminal action or proceeding, had no reasonable cause to believe
Indemnitee's  conduct  was  unlawful.  The  termination  of  any  Proceeding  by
judgment,  order, settlement,  conviction,  or upon a plea of nolo contendere or
its equivalent,  shall not, of itself,  create a presumption that Indemnitee did
not act in good faith and in a manner that Indemnitee  reasonably believed to be
in, or not opposed to, the best interests of

                                       2
<PAGE>

the  Corporation,  or, with respect to any criminal  Proceeding,  had reasonable
cause to believe that  Indemnitee's  conduct was unlawful.  Notwithstanding  the
foregoing,  no  indemnification  shall be made in any criminal  proceeding where
Indemnitee  has been  adjudged  guilty  unless a  disinterested  majority of the
directors determines that Indemnitee did not receive, participate in or share in
any pecuniary  benefit to the detriment of the  Corporation  and, in view of all
the circumstances of the case,  Indemnitee is fairly and reasonably  entitled to
indemnity for Expenses or liabilities.

                   (b) Proceedings by or in the Right of the Corporation. To the
fullest extent  permitted by law, the  Corporation  shall  indemnify  Indemnitee
against  Expenses  incurred  by  Indemnitee  in  connection  with the defense or
settlement  of a Proceeding by or in the right of the  Corporation  to procure a
judgment  in its  favor  if  Indemnitee  acted  in good  faith  and in a  manner
Indemnitee  reason ably believed to be in, or not opposed to, the best interests
of the Corporation.  Notwithstanding the foregoing,  no indemnification shall be
made in respect of any claim,  issue or matter as to which Indemnitee shall have
been adjudged to be liable to the Corporation in the performance of Indemnitee's
duty to the  Corporation  unless and only to the extent  that the court in which
such Proceeding is or was pending shall determine upon application that, in view
of all the  circumstances  of the  case,  Indemnitee  is fairly  and  reasonably
entitled to indemnity for Expenses.

                  (c)  Scope.   Notwithstanding  any  other  provision  of  this
Agreement  other than Section 3, the Corporation  shall indemnify  Indemnitee to
the fullest extent permitted by law, notwith standing that such  indemnification
is not  specifically  authorized  by other  provisions  of this  Agreement,  the
Certificate of Incorporation, the By-laws or statute.

                  3.  Limitations on Indemnification. Any other provision herein
to the contrary notwithstanding, the Corporation shall not be obligated pursuant
to the terms of this Agreement:

                  (a) Excluded  Acts.  To indemnify  Indemnitee  for any acts or
omissions  or  transactions  from  which a  director  may not be  relieved  of
liability under Section 102(b)(7) of the DGCL; or

                  (b) Claims  Initiated by  Indemnitee.  To indemnify or advance
expenses to  Indemnitee  with  respect to  Proceedings  or claims  initiated  or
brought voluntarily by Indemnitee and not by way of defense, except with respect
to proceedings brought to establish or enforce a right to indemnification  under
this  Agreement  or any other  statute or law or  otherwise  as  required  under
Section 145 of the DGCL, but such indemnification or advancement of Expenses may
be  provided  by  the  Corporation  in  specific  cases  if a  majority  of  the
disinterested  directors  has  approved  the  initiation  or  bringing  of  such
proceeding or claim; or

                   (c)  Lack of Good  Faith.  To  indemnify  Indemnitee  for any
Expenses  incurred by Indemnitee  with respect to any  proceeding  instituted by
Indemnitee  to enforce or  interpret  this  Agreement,  if a court of  competent
jurisdiction  determines that each of the material assertions made by Indemnitee
in such proceeding was not made in good faith or was frivolous; or

                                       3

<PAGE>

                  (d) Insured  Claims.  To indemnify  Indemnitee for Expenses or
liabilities of any type whatsoever  (including,  but not limited to,  judgments,
fines or  penalties,  and  amounts  paid in  settlement)  which  have  been paid
directly to or on behalf of Indemnitee by an insurance carrier under a policy of
directors' and officers'  liability  insurance  maintained by the Corporation or
another policy of insurance maintained by the Corporation or Indemnitee; or

                  (e) Claims Under Section  16(b).  To indemnify  Indemnitee for
expenses  and the  payment  of profits  arising  from the  purchase  and sale by
Indemnitee  of  securities  in  violation  of  Section  16(b) of the  Securities
Exchange Act of 1934, as amended, or any similar successor statute.

                  4. Determination of Right to Indemnification.  Upon receipt of
a written claim addressed to the Board of Directors for indemnification pursuant
to Section 2 of this Agreement,  the  Corporation  shall determine by any of the
methods set forth in Section  145(d) of the DGCL whether  Indemnitee has met the
applicable standards of conduct that make it permissible under applicable law to
indemnify  Indemnitee.  If a claim under Section 2 of this Agreement is not paid
in full by the Corporation  within ninety days after such written claim has been
received by the  Corporation,  Indemnitee may at any time thereafter  bring suit
against the  Corporation  to recover the unpaid amount of the claim and,  unless
such  action is  dismissed  by the court as  frivolous  or brought in bad faith,
Indemnitee  shall be entitled to be paid also the  expense of  prosecuting  such
claim. Neither the failure of the Corporation (including its Board of Directors,
independent legal counsel or its stockholders) to make a determination  prior to
the commencement of such action that  indemnification of Indemnitee is proper in
the circumstances  because Indemnitee has met the applicable standard of conduct
under applicable law, nor an actual determination by the Corporation  (including
its Board of  Directors,  independent  legal counsel or its  stockholders)  that
Indemnitee  has not met such  applicable  standard  of conduct,  shall  create a
presumption that Indemnitee has not met the applicable standard of conduct.  The
court in which such action is brought shall determine whether  Indemnitee or the
Corporation shall have the burden of proof concerning  whether Indemnitee has or
has not met the applicable standard of conduct.

                   5.  Advancement  and  Repayment  of  Expenses.  The  Expenses
incurred by Indemnitee in defending and  investigating  any Proceeding  shall be
paid by the Corporation prior to the final disposition of such Proceeding within
thirty days after  receiving  from  Indemnitee  copies of invoices  presented to
Indemnitee for such Expenses and an undertaking by or on behalf of Indemnitee to
the  Corporation to repay such amount to the extent it is ultimately  determined
that Indemnitee is not entitled to  indemnification.  In determining  whether or
not to make an advance  hereunder,  the ability of Indemnitee to repay shall not
be a factor.  Notwithstanding  the  foregoing,  in a  proceeding  brought by the
Corporation  directly, in its own right (as distinguished from an action brought
derivatively  or by any  receiver  or  trustee),  the  Corporation  shall not be
required  to  make  the  advances  called  for  hereby  if  a  majority  of  the
disinterested  directors  determines that (i) it does not appear that Indemnitee
has met the standards of conduct that made it permissible  under  applicable law
to indemnify Indemnitee and (ii) the advancement of Expenses would not be in the
best interests of the Corporation and its stockholders.


                                       4
<PAGE>

                  6. Partial  Indemnification.  If Indemnitee is entitled  under
any  provision  of this  Agreement  to  indemnification  or  advancement  by the
Corporation  of some or a portion of any  Expenses  or  liabilities  of any type
whatsoever  (including,  but not limited to, judgments,  fines,  penalties,  and
amounts  paid in  settlement)  incurred  by him in the  investigation,  defense,
settlement or appeal of a Proceeding,  but is not entitled to indemnification or
advancement of the total amount  thereof,  the  Corporation  shall  nevertheless
indemnify or pay  advancements to Indemnitee for the portion of such Expenses or
liabilities to which Indemnitee is entitled.

                  7.  Notice to  Corporation  by  Indemnitee.  Indemnitee  shall
notify the Corporation in writing of any matter with respect to which Indemnitee
intends to seek  indemnification  hereunder  as soon as  reasonably  practicable
following the receipt by Indemnitee of written notice thereof; provided that any
delay in so notifying Corporation shall not constitute a waiver by Indemnitee of
his rights  hereunder.  The written  notification  to the  Corporation  shall be
addressed  to the Board of  Directors  and shall  include a  description  of the
nature  of the  Proceeding  and  the  facts  underlying  the  Proceeding  and be
accompanied  by copies of any documents  filed with the court,  if any, in which
the Proceeding is pending.  In addition,  Indemnitee  shall give the Corporation
such  information and  cooperation as it may reasonably  require and as shall be
within Indemnitee's power.

                  8. Defense of Claim. In the event that the  Corporation  shall
be  obligated  under  Section 5 hereof  to pay the  Expenses  of any  Proceeding
against Indemnitee, the Corporation, if appropriate, shall be entitled to assume
the defense of such  Proceeding,  with  counsel  approved by  Indemnitee,  which
approval shall not be unreasonably withheld,  upon the delivery to Indemnitee of
written notice of its election to do so. After delivery of such notice, approval
of  such  counsel  by  Indemnitee  and the  retention  of  such  counsel  by the
Corporation,  the  Corporation  will not be  liable  to  Indemnitee  under  this
Agreement  for any fees of counsel  subsequently  incurred  by  Indemnitee  with
respect to the same  proceeding;  provided  that (i)  Indemnitee  shall have the
right to employ his or her own counsel in any such  Proceeding  at  Indemnitee's
expense  and  (ii) if (A) the  employment  of  counsel  by  Indemnitee  has been
previously  authorized by the Corporation,  (B) Indemnitee shall have reasonably
concluded that there may be a conflict of interest  between the  Corporation and
Indemnitee in the conduct of such defense or (C) the  Corporation  shall not, in
fact, have employed counsel to assume the defense of such  Proceeding,  then the
fees and expenses of Indemnitee's counsel shall be paid by the Corporation.

                  9.  Attorneys'  Fees.  If any  legal  action is  necessary  to
enforce the terms of this Agreement,  the prevailing  party shall be entitled to
recover,  in  addition  to other  amounts to which the  prevailing  party may be
entitled, actual attorneys' fees and court costs as may be awarded by the court.

                  10.   Continuation   of   Obligations.   All   agreements  and
obligations of the Corporation contained herein shall continue during the period
Indemnitee is a director or officer of the Corporation,  or is or was serving at
the request of the Corporation as a director,  officer,  fiduciary,  employee or
agent  of  another  corporation,  partnership,  joint  venture,  trust  or other


                                       5
<PAGE>

enterprise, and shall continue thereafter so long as Indemnitee shall be subject
to any possible  proceeding by reason of the fact that Indemnitee  served in any
capacity referred to herein.

                  11.  Successors  and  Assigns.   This  Agreement   establishes
contract  rights that shall be binding upon,  and shall inure to the benefit of,
the successors, assigns, heirs and legal representatives of the parties hereto.

                  12.      Non-exclusivity.

                  (a) The  provisions  for  indemnification  and  advancement of
expenses  set forth in this  Agreement  shall not be deemed to be  exclusive  of
another  rights  that  Indemnitee  may have  under  any  provision  of law,  the
Certificate  of  Incorporation  or  By-laws,   the  vote  of  the  Corporation's
stockholders or disinterested directors,  other agreements or otherwise, both as
to  action  in his  official  capacity  and  action in  another  capacity  while
occupying his position as a director or officer of the Corporation.

                  (b) In the  event  of any  changes  after  the  date  of  this
Agreement  in any  applicable  law,  statute,  or rule that  expand the right of
Delaware  corporation  to indemnify its  directors  and  officers,  Indemnitee's
rights and the Corporation's  obligations under this Agreement shall be expanded
to the fullest extent permitted by such changes.  In the event of any changes in
any  applicable  law,  statute  or rule  that  narrow  the  right of a  Delaware
corporation to indemnify a director and officer, such changes, to the extent not
otherwise required by such law, statute or rule to be applied to this Agreement,
shall have no effect on this  Agreement or the parties'  rights and  obligations
hereunder.

                  13.  Effectiveness  of  Agreement.  This  Agreement  shall  be
effective  as of the date set forth on the  first  page and may apply to acts or
omissions of  Indemnitee  that occurred  prior to such date if Indemnitee  was a
director or officer of the Corporation or its predecessor, or was serving at the
request of the Corporation or its predecessor as a director,  officer,  employee
or agent of another  corporation,  partnership,  joint  venture,  trust or other
enterprise, at the time such act or omission occurred.

                  14.  Severability.  Nothing in this  Agreement  is intended to
require or shall be construed as requiring the  Corporation  to do or omit to do
any act or thing in violation of applicable  law. The  Corporation's  inability,
pursuant to court order, to perform its  obligations  under this Agreement shall
not  constitute  a breach of this  Agreement.  If this  Agreement or any portion
hereof  shall  be   invalidated   on  any  ground  by  any  court  of  competent
jurisdiction,  then the Corporation shall nevertheless  indemnify  Indemnitee to
the fullest extent  permitted by any  applicable  portion of this Agreement that
shall  not have been  invalidated,  and the  balance  of this  Agreement  not so
invalidated shall be enforceable in accordance with its terms.

                  15.  Governing  Law. This Agreement  shall be interpreted  and
enforced in  accordance  with the laws of the State of  Delaware.  To the extent
permitted by applicable law, the 




                                       6
<PAGE>

parties  hereby waive any  provisions  of law that render any  provision of this
Agreement unenforceable in any respect.

                  16.  Notices.  All  notices,   requests,   demands  and  other
communications under this Agreement shall be in writing and shall be deemed duly
given (i) if delivered by hand or by nationally recognized overnight courier and
receipted for by the party  addressed,  on the date of such receipt,  or (ii) if
delivered by facsimile  transmission to the recipient followed by a copy sent by
mail,  on the date of such  transmission,  or (iii) if  mailed by  certified  or
registered  mail with postage  prepaid to the  following  address,  on the third
business day after the mailing date:

                  If to the Corporation:

                           MedE America Corporation
                           90 Merrick Avenue, Suite 501
                           East Meadow, New York  11554
                           Facsimile: 516-542-4508

                           Attn.: General Counsel

                  If to Indemnitee:






or to such other  address as either party shall have notified the other party in
accordance with this Section 16.

                  17. Mutual Acknowledgment. Both the Corporation and Indemnitee
acknowledge that in certain  instances,  federal law or applicable public policy
may prohibit the Corporation from  indemnifying its directors and officers under
this Agreement or otherwise.  Indemnitee  understands and acknowledges  that the
Corporation  has  undertaken or may be required in the future to undertake  with
the Securities and Exchange Commission to submit the question of indemnification
to a court in certain  circumstances  for a determination  of the  Corporation's
right under public policy to indemnify Indemnitee.

                  18.  Counterparts.  This  Agreement may be executed in several
counterparts, each of which shall constitute an original.

                  19.  Amendment and  Termination.  No amendment,  modification,
termination  or  cancellation  of this  Agreement  shall be effective  unless in
writing signed by both parties hereto.

                                       7
<PAGE>

                  IN WITNESS  WHEREOF,  the parties have executed this Agreement
as of the day and year first set forth above.

                                           MEDE AMERICA CORPORATION



                                           By
                                             ----------------------------



                                             ----------------------------
                                                Indemnitee


                                       8

                                 LEASE AGREEMENT

     THIS LEASE AGREEMENT  (hereinafter  called the "Lease") is made and entered
into this 10th day of July,  1995,  by and between  Rand Realty CO  (hereinafter
called "Landlord");  and Electronic Claims & Funding,  Inc.  (hereinafter called
"Tenant").

     1. PREMISES.  Landlord does hereby rent and lease to Tenant and Tenant does
hereby  rent and lease from  Landlord  for  general  office use  reasonable  and
customary for a project such as the Property (as defined  below) only and for no
other  purposes  whatsoever,  the  space  described  below  consisting  of 6,400
rentable square feet of space known as Suite 200 hereinafter referred to as (the
"Premises")  as described  and shown on the floor plan  attached  hereto  marked
Exhibit  "A-1" and located on the Property as described and shown on Exhibit "A"
attached  hereto  and made a part  hereof  (the  "Property")  together  with the
non-exclusive right to use the common area and parking areas on the Property (as
the same may from time to time be changed by  Landlord) in common with all other
tenants of the Property with any other parties permitted by Landlord to use such
areas.

     2. LEASE TERM.  Tenant shall have and hold the Premises for a term ("Term")
commencing on August 1, 1995 (the  "Commencement  Date") and shall  terminate at
noon on the last day of January 31, 2001 (the "Expiration  Date") sixty-six (66)
full calendar months following the Commencement  Date,  unless sooner terminated
or extended as hereinafter provided.

     3. RENT. Tenant shall pay to Landlord, at 4637 Buford Highway,  Atlanta, GA
30341 or at such other place as Landlord  shall  designate in writing to Tenant;
the  ("Base  Rent") as set forth in  Exhibit  "D",  due on the first day of each
calendar  month,  in advance,  without  abatement,  demand,  deduction or offset
whatsoever.  One full monthly  installment of Base Rent shall be due and payable
on the date of execution of this Lease by Tenant for the first month's Base Rent
and a like  monthly  installment  of Base Rent  shall be due and  payable  on or
before the first day of each  calendar  month  following the  Commencement  Date
during the Term hereof; provided, that if the Commencement Date should be a date
other than the first day of a calendar month, Tenant shall pay, on or before the
Commencement Date, a prorated monthly Based Rent installment for the period from
the  Commencement  Date to the end of the  Base  Rent  due  for the  first  full
calendar month of the Term.  Tenant shall pay, as additional  rent  ("Additional
Rent"),  all other sums due from Tenant  under this Lease (the term  "Rent",  as
used herein,  means all Base Rent and  Additional  Rent payable  hereunder  from
Tenant to Landlord).

     4.  RENT  ADJUSTMENT.  The  rent  shall be  adjusted  pursuant  to  Special
Stipulation 1 which shall be incorporated herein by this reference.

     5.  LATE  CHARGE   INTEREST.   Other  remedies  for   non-payment  of  Rent
notwithstanding,  if either the monthly payment of Base Rent or Tenant's monthly
payment of the estimated  Tenant's Share of Common Area  Maintenance Cost is not
received by Landlord on or before the fifth (5th) day of the month for which the
Base Rent or such  estimated  Tenant's  Share  payment  is due,  or if any other
payment  due  Landlord  by Tenant is not  received  by Landlord on or before the
fifth (5th) day following the date such payment is due as herein provided or the
date on which  Tenant  was  invoiced,  a late  charge of fifteen  percent  (15%)
percent of such past due amount  shall be due and  payable by Tenant to Landlord
as Additional Rent as  compensation  for Landlord's  administrative  expenses in
handling such late payments. In addition,  interest at a rate equal to the lower
of the then  current  prime rate of  NationsBank  of Georgia,  N.A.,  plus three
percent (3%) or the highest rate  permitted by  applicable  law,  from the fifth
(5th) day after the date such  payment was due until such payment is received by
Landlord,  shall be due and  payable  as  Additional  Rent in  addition  to such
amounts owed under this Lease.

     6. PARTIAL  PAYMENT.  No payment by Tenant or  acceptance by Landlord of an
amount  less  than the Rent  herein  stipulated  shall be deemed a waiver of any
other Rent due.  No partial  payment or  endorsement  on any check or any letter
accompanying  such  payment of Rent shall be deemed an accord and  satisfaction,
but Landlord may accept such payment  without  prejudice to Landlord's  right to
collect  the  balance  of any Rent due under the terms of this Lease or any late
charge assessed against Tenant hereunder.

     7.  CONSTRUCTION OF THIS AGREEMENT.  No failure of Landlord to exercise any
power given Landlord hereunder, or to insist upon strict compliance by Tenant of
his obligations, hereunder, and no custom or practice of the parties at variance
with the terms hereof shall  constitute a waiver of  Landlord's  right to demand
exact compliance with the terms hereof. Time is of the essence of this Lease.

     8. USE OF THE  PREMISES.  "Tenant shall use and occupy the Premises for the
purpose described in Paragraph 1 above and for no other purpose whatsoever.  The
Premises shall not be used for an illegal purpose, nor in violation of any valid
regulation of any governmental body, nor in any manner to create any nuisance or
trespass nor in any manner to violate the  insurance or increase the rate of the
insurance on the Property or any of the buildings located on the Property.

     9.  DEFINITIONS.  "Landlord",  as used in this Lease,  shall  include first
party,  its  representatives,  assigns and  successors in title to the Premises.
"Tenant" shall include second party, its heirs and representatives, and, if this
Lease  shall be  validly  assigned  or  sublet,  shall  also  included  Tenant's
assignees or subtenants as to the Premises or portion  thereof,  covered by such
assignment  or  sublease.  "Landlord"  and  "Tenant"  include  male and  female,
singular and plural, corporation (and if a corporation, its officers, employees,
agents or  attorneys),  partnership  or  individual,  as may fit the  particular
parties.
<PAGE>

     10.  REPAIRS BY LANDLORD.  Tenant,  by taking  possession  of the Premises,
shall accept and shall be held to have  accepted the Premises and the  leasehold
improvements  therein, as suitable for the use intended by this Lease.  Landlord
shall be responsible  for repair of the building's  roof,  foundation,  exterior
walls,  common  areas and  structural  portions,  provided  such repairs are not
necessary due to the act or omission of Tenant,  Tenant's  invitees or anyone in
the employ or control of Tenant or by Tenants  failure to repair the Premises as
required by Paragraph 11 below. Tenant shall promptly notify Landlord in writing
of the need for any  such  repairs  which  Tenant  believes  need to be made and
Landlord  shall  repair any such items  (which  Landlord is obligated to repair)
within a reasonable time thereafter.

     11. REPAIRS BY TENANT.  Tenant shall be solely  responsible for any and all
costs and expenses necessary to repair or restore any damage or injury to all or
any  part of the  Premises  caused  by  Tenant  or  Tenant's  agent,  employees,
invitees,  licenses,  visitors or contractors,  including but not limited to any
repairs or replacements  necessitated by (i) the construction or installation of
improvements  to the  Premises by or on behalf of Tenant,  or (ii) the moving of
any property into or out of the Premises.  Landlord or its contractor shall make
all such repairs and  replacements  and the costs of such repair or replacements
shall be charged to Tenant as  Additional  Rent and shall become due and payable
by Tenant with the monthly installment of Base Rent next due hereunder. Landlord
shall be obligated to make any such repairs  until Tenant  notifies  Landlord in
writing of the need for such  repairs.  Tenant  accepts  the  Premises  in their
present  condition and as suited for the uses intended by Tenant.  Tenant shall,
throughout the initial term of this Lease, and any extension or renewal thereof,
at its expense,  maintain in good order and repair the  Premises,  including the
building,  heating and air conditioning  equipment (including but not limited to
replacement  of parts,  compressors,  air handling  units and heating units) and
other improvements  located thereon,  except those repairs expressly required to
be made by Landlord hereunder.

     12. ALTERATIONS AND IMPROVEMENTS. Tenant shall not make or allow to be made
any  alterations,  physical  additions  or  improvements  in or to the  Premises
without  first  obtaining  in  writing   Landlord's  written  consent  for  such
alterations  or  additions,  which  shall  not  be  unreasonably  withheld.  Any
alterations,  physical  additions  or  improvements  shall  at once  become  the
property of Landlord;  provided,  however,  that  Landlord,  at its option,  may
require  Tenant to remove any  leasehold  improvements,  physical  additions  or
improvements  in the Premises in order to restore the Premises to the  condition
which  existed  prior to Landlord  leasing the Premises to Tenant.  All costs of
alterations, additions or improvements to which Landlord consents shall be borne
by Tenant. Landlord shall, under no circumstances during the Term of this Lease,
be required by to carry any  insurance  on nor shall  Landlord be liable for any
damage  or  loss  to  said  alterations,  additions  or  improvements  or to any
leasehold  improvements made by Landlord for the benefit of Tenant; and provided
further,  that under no circumstances  shall Landlord be required to pay, during
the Term of this Lease and any extensions or renewals thereof, any ad valorem or
Property tax on such  alterations,  additions  or  improvements.  Tenant  hereby
covenants  to pay all  such  taxes  when  they  become  due.  In the  event  any
alterations,   additions  improvements,  or  repairs  are  to  be  performed  by
contractors  or workmen  other than  Landlord's  contractors  or  workmen,  such
contractors or workmen must first be approved in writing by Landlord. During the
construction of any such  alterations,  additions or improvements,  Tenant shall
carry insurance in types and amounts and with carriers reasonably  acceptable to
Landlord.  Tenant shall comply with all reasonable rules and regulations adopted
by Landlord for construction in the Building. Tenant shall keep the Building and
the Property and  Landlord's  interest  therein free from any liens arising from
any work performed,  materials furnished or obligations incurred by or on behalf
of Tenant.  Notice is hereby  given that neither  Landlord nor any  mortgagee or
lessor of  Landlord  shall be liable  for any labor or  materials  furnished  to
Tenant.  If any lien is filed  for  such  work or  materials,  such  lien  shall
encumber  only  Tenant's  interest in leasehold  improvements  in the  Premises.
Within ten (10) days after Tenant learns of the filing of any such lien,  Tenant
shall either  discharge or cancel such lien of record or post a bond  sufficient
under the laws of the State of  Georgia  to cover  double the amount of the lien
claim plus any penalties, interest, attorney's fees, court costs and other legal
expenses in  connection  with such lien. If Tenant fails to so discharge or bond
such lien within ten (10)  calendar  days after  written  demand from  Landlord,
Landlord shall have the right, at Landlord's  option,  to pay the full amount of
such lien  without  inquiry  into the  validity  thereof and  Landlord  shall be
promptly  reimbursed  upon  demand by Tenant for all amounts so paid by Landlord
including expenses, interest and attorney's fees.

     13. COMMON AREA MAINTENANCE COST. (a) Tenant agrees to reimburse  Landlord,
upon taking occupancy of Premises, as Additional Rent hereunder,  throughout the
Term,  including any  extensions  or renewals  thereof,  for Tenant's  Share (as
defined  below) of the  annual  Common  Area  Maintenance  Costs (as  defined in
subparagraph  (b) below which is  estimated  to be .52 cents per square foot for
1995) of the Building and related common and areas, including the parking areas.
The Common  Area  Maintenance  Cost per  square  foot of the  Building  shall be
determined by dividing the total Common Area Maintenance  Costs incurred for the
calendar year in question and dividing it by the total number of rentable square
feet in the  buildings  located on the Property as described in Exhibit "A", but
in no event shall  Landlord be  reimbursed  for more than the total  Common Area
Maintenance  Cost actually  incurred  during the year in question.  Tenant's pro
rata  share  of  the  Common  Area  Maintenance  Cost  shall  be  determined  by
multiplying such amount by the number of rentable square feet contained with- in
the Premises  (hereinafter called "Tenant's Share").  Landlord and Tenant hereby
conclusively  agree that,  for purposes of this  Paragraph  13, the gross square
footage of the  Premises is 7,000 gross square feet and the gross square feet of
the Property is 39,763, square feet and Tenant's Share shall be determined based
on such amounts.  For purposes of  calculation,  the gross area leased to Tenant
shall be 17.60%  of the  entire  Property.  If the size of the  Property  or the
Premises is changed,  the parties  hereby agree to  recalculate  Tenant's  Share
following such change.

                                       (b) Common Area Maintenance Cost shall be
all those expenses of operating,  servicing, managing, repairing and maintaining
the  Property  in  a  first-class  manner  deemed  by  Landlord  reasonable  and
appropriate and in the best interest of the tenants of the Property. Common Area
Maintenance Cost shall include,  without limitation the following: (i) the wages
and salaries of all employees  engaged in the operation and  maintenance  of the
Property;  (ii) materials used in the operations and maintenance of the Property
(iii) the cost of maintenance  and service  agreements on  landscaping,  grounds
maintenance,  trash and snow removal,  and other similar services or agreements;
(iv) management  expense,  including,  without  limitation,  management fees and
expenses  whether  paid to  Landlord,  if Landlord  manages the Property or to a
third party management company;  (v) the costs,  including  interest,  amortized
over its useful life, of any capital  improvement made to the Property to comply
with any  governmental law or regulation that was not applicable to the Property
at the time of its construction, designed to improve the operating efficiency of
any  system  within the  building  or it is made or  acquired  to  maintain  the
first-class nature of the Property; (vi) common area utility cost.

                                       (c) As soon as practicable after December
31 of each year during the Term of this Lease,  Landlord shall furnish to Tenant
an itemized  statement of such Common Area  Maintenance Cost per rentable square
foot within the  Property  for the  calendar  year then  ended.  Tenant may have
access to  Landlord's  records,  during normal  business  hours and at the place
where  Landlord keeps such records,  in order to audit or otherwise  verify such
expenses. (i) On or before January 1 of each calendar year thereafter,  Landlord
shall provide  Tenant a written  estimate of Tenants Share of annual Common Area
Maintenance Cost for the upcoming calendar year.  Beginning with the first month
of each  calendar  year,  Tenant  shall pay to Landlord,  together  with monthly
payment of Base Rent as provided in Paragraph 3 hereinabove  as Additional  Rent
hereunder,  an amount equal to  one-twelfth  (1/12th) of the estimated  Tenant's
Share (as shown in Landlord's statement) of Common Area Maintenance Cost. In the
event

<PAGE>

at the end of any calendar year, Tenant has paid to Landlord an amount in excess
of Tenant's Share of any actual Common Area  Maintenance  Cost for such calendar
year,  Landlord shall apply any such amount to any amount then owing to Landlord
hereunder,  and if none, to the next due installment or installments of Rent due
hereunder  and in tthe event at the end of any calendar  year Tenant has paid to
Landlord less than Tenant's Share of any actual Common Area Maintenance Cost for
such  calendar  year,  Tenant shall pay to Landlord any such  deficiency  within
thirty (30) days after Tenant receives the annual  statement  referred to above.
(ii) For the calendar year in which the Commencement Date occurs, the provisions
of this paragraph shall apply, but Tenant's Share for such year shall be subject
to a pro rata  adjustment  based  upon the number of full and  partial  calendar
months of said  calendar year between the  Commencement  Date and December 31 of
such  calendar  year.  Landlord  shall  deliver  to  Tenant,  on or  before  the
Commencement  Date, the estimated  Tenant's Share for the calendar year in which
the Commencement  Date occurs and Tenant shall pay an equal monthly  installment
of such estimated  amount along with Tenant's  monthly payment of Base Rent. For
the calendar year in which this Lease  expires,  and is not extended or renewed,
the provisions of this paragraph  shall apply,  but Tenant's Share for such year
shall be  subject  to a pro rata  adjustment  based  upon the number of full and
partial  calendar  months of said calendar  year prior to the  expiration of the
Term of this Lease and shall be computed as soon as possible  after  December 31
of the calendar year in which such expiration  occurs.  If the prorated Tenant's
Share for the final  calendar year differs from the estimated  monthly  payments
made by Tenant as required  herein,  Tenant shall pay to  Landlord,  or Landlord
shall  pay to  Tenant,  as the  case  may be,  within  thirty  (30)  days  after
Landlord's delivery of the applicable  Operating Expense statement the amount by
which Tenant's Share (as prorated)  differs from the estimated  payments made by
Tenant.

                                       (d)  TAX  AND   INSURANCE.   Upon  taking
occupancy of Premises,  Tenant shall pay monthly as  Additional  Rent during the
term of this Lease,  and any  extension or renewal  thereof,  Tenant's  Share of
taxes (including;  but not limited to ad valorem taxes,  special assessments and
any other  governmental  charges) on the Premises as calculated in Sub Paragraph
13(a).  Based upon the estimated  taxation payable for 1995 which is $22,600.00,
Tenant shall be liable for a monthly amount of Tenant's Share of taxation in the
amount $331.46. If such taxes for the year in which the Lease terminates are not
ascertainable before payment of the last month's rental, then the amount of such
taxes assessed against the Property for the previous tax year shall be used as a
basis for  determining the pro rata share, if any, to be paid by Tenant for that
portion of the last Lease year.  Tenant  shall  further pay monthly its Tenant's
Share of the cost of fire and extended coverage insurance  including any and all
public liability  insurance on the building during the term of this Lease. Based
upon the estimated insurance payable for 1995 which is approximately  $1,192.89,
Tenant  shall be liable for a monthly  amount of Tenant's  Share of insurance in
the amount of $17.50.

     14. LANDLORD'S FAILURE TO GIVE POSSESSION. Landlord shall not be liable for
damages to Tenant for failure to deliver possession of the Premises to Tenant if
such  failure  is caused by no fault of  Landlord,  by the  failure of Tenant to
complete any  construction  or remodeling of the Premises,  by Tenant's delay in
delivering or commenting on  construction  documents by Tenant's  request to use
non-Property  standard  materials  or by the failure of any  previous  tenant to
vacate the Premises.

     15. ACCEPTANCE AND WAIVER.  Landlord shall not be liable to the Tenant, its
agents or employees, for any damage caused to any of them due to the Property or
any of the buildings located thereon or any part or appurtenances  thereof being
improperly  constructed or being or becoming out of repair,  or arising from the
leaking of gas, water,  sewer or stream pipes, or from electricity,  but Tenant,
by moving into the Premises and taking  possession  thereof,  shall accept,  and
shall be held to have  accepted  the  Premises as suitable  for the purposes for
which the same are leased,  and shall accept and shall be held to have  accepted
the Property and every appurtenances  thereof, and Tenant by said act waives any
and all defects therein except for latent defects that were known to Landlord at
the time of entering  into the Lease;  provided,  however,  that this  paragraph
shall  not  apply to any  damages  or injury  caused  by or  resulting  from the
negligence a willful misconduct of Landlord.

     16.  SIGNS.  Tenant  shall  not  paint or place  signs,  placards  or other
advertisement  of any character upon the windows or inside walls of the Premises
except with the consent of Landlord,  which shall not be unreasonably  withheld,
and Tenant shall place no signs upon the outside walls, common areas or the roof
of the  Premises and shall place no items in the  Premises  which shall  visibly
detract from the Property or the common areas.

     17.  CARDING.  Landlord may card the Premises  "For Rent" or with any other
appropriate  sign at any time within one  hundred  eight (180) days prior to the
expiration,  cancellation or termination of this Lease for any reason and during
such one hundred eighty (180) day period may exhibit the Premises to prospective
tenants.

     18. REMOVAL OF FIXTURE.  If not in default hereunder,  Tenant may, prior to
the expiration of the Term of this Lease, or any extension  thereof,  remove any
fixtures and equipment  which it has placed in the Premises which can be removed
without significant damage to the Premises,  provided Tenant repairs all damages
to the Premises caused by such removal.

     19.  ENTERING  PREMISES.  Landlord may enter the Premises  upon  reasonable
prior oral notice  (except in  emergencies  when no notice shall be required) at
reasonable hours provided that Landlord shall use all reasonable  efforts not to
unreasonably interrupt Tenant's business operations: (1) to make repairs, if any
<PAGE>

which  Landlord  under the terms  hereof  must make to the  Premises or adjacent
premises,  or repairs on the  building;  (b) to inspect the Premises to see that
Tenant is  complying  with all of the terms and  conditions  hereof and with the
rules and  regulations  for the  Property;  (c) to remove from the  Premises any
articles or signs kept or exhibited there in violation of the terms hereof;  and
(d) to exercise any other right or perform any other  obligation  that  Landlord
has under this Lease.  Landlord  shall be allowed to take all material  into and
upon the  Premises  that may be required to make any repairs,  improvements  and
additions, or any alterations, without in any way being deemed or held guilty of
trespass  or any  eviction  of  Tenant.  The Rent  reserved  herein  shall in no
circumstances  be abated while said repairs,  alterations or additions are being
made and Tenant shall not be entitled to maintain a set-off or counterclaim  for
damages against Landlord by reason of loss from  interruption to the business of
Tenant  because  of  the  prosecution  of  any  such  work.  All  such  repairs,
decorations,  additions and improvements  shall be done during ordinary business
hours,  or, if any such work is at the  request of Tenant to be done  during any
other hours, the Tenant shall pay all overtime and other extra costs.

     20. UTILITY BILLS. Tenant shall pay all utility bills,  including,  but not
limited to water,  sewer, gas,  electricity,  fuel, light and heat bills for the
Premises or for Tenant's share of such charges for the Building,  as applicable,
and Tenant  shall pay all  charges  for  garbage  collection  or other  sanitary
services.

     21. GENERAL  LIABILITY OF TENANT.  Tenant shall indemnify and save harmless
Landlord  against all claims for damages to persons or property by reason of the
use or occupancy of the Premises,  and all expenses incurred by Landlord because
of Tenant's use and occupancy, including attorney's fees and court costs. Tenant
shall be liable for and shall hold Landlord  harmless in connection  with damage
or injury to Landlord,  the Premises and the Property and persons of  Landlord's
other  tenants,  or anyone else if due to act or neglect of Tenant,  its agents,
employees, invitees or of anyone in Tenant's control.

     22.  INSURANCE AND WAIVER OF SUBROGATION  (a) Tenant shall keep in force at
Tenant's  expense as long as this Lease  remains in effect and during such other
times as Tenant  occupies the Premises or any part thereof,  commercial  general
liability  insurance  covering the  Premises  and  Tenant's  use  thereof,  such
coverage  to be in  amount  of at  least  $1,000,000.00  per  occurrence,  on an
occurrence basis with aggregate  annual limits  (applicable only to the Premises
and not any other  location) of not less than  $5,000,000.00  and, if necessary,
with a contractual  liability  endorsement  for the indemnity in Paragraph 21 of
this Lease.  Tenant shall also keep in force "all risks"  casualty  coverage and
water damage insurance covering Tenant's personal property,  including,  but not
limited to inventory,  trade fixtures, floor coverings,  furniture and all other
property of Tenant  whether  removable or not at the  termination of this Lease,
including  leasehold  betterments  and  improvements.   All  such  insurance  on
leasehold  betterments and improvements  shall be in amounts sufficient to cover
the full replacement cost of any repair or  reconstruction  from any such hazard
during the entire Term of this Lease. All commercial  general liability policies
shall list  Landlord and any holder of a deed to secure debt,  mortgage or other
security  interest  encumbering  the Property as an additional  insured as their
respective  interests may appear and the "all risks" casualty coverage and water
damage  insurance  policies  shall name  Landlord  and any holder of a to secure
debt,  mortgage or other  security  interest  encumbering  the  Property as loss
payees.  All policies  hereunder  shall  require that the insurer give  Landlord
thirty (30) days prior  written  notice  before any such  policies are canceled.
Tenant shall deliver to Landlord certificates  evidencing that such insurance is
in place  and all  premiums  have  been  paid and  shall  deliver  copies of the
policies to Landlord.

                                       (b)  Tenant  shall not do or suffer to be
done,  or keep or suffer to be kept,  anything  in,  upon or about the  Premises
which will contravene  Landlord's  policies  insuring  against loss or damage by
fire or other hazards, or Landlord's  commercial general liability policies,  or
which will prevent Landlord from securing such policies in companies  acceptable
to Landlord:  If anything  done,  permitted to be done or suffered to be done by
Tenant or kept in upon and about the Premises which shall cause the rate of fire
or other insurance on the Premises to be increased  beyond the minimum rate from
time to time  applicable to the Premises for the permitted use or permitted uses
made thereof, Tenant shall pay, as Additional Rent hereunder,  the amount of any
such increase promptly upon demand by Landlord and shall cease such action until
such  payment is made.  All  insurance  required to be carried by Tenant must be
carried by companies  licensed in Georgia  which are  reasonably  acceptable  to
Landlord

                                       (c)  Tenant  hereby  waives any rights of
action  against  Landlord for loss or damage to its  improvements,  fixtures and
personal  property if such damage is covered by the type of "all risks" casualty
insurance  required to be carried  hereunder.  Tenant  shall cause its policy to
contain a waiver of subrogation provision.

     23. GOVERNMENTAL  REQUIREMENTS.  Tenant shall, at its own expense, promptly
comply with all requirements of any legally  constituted  governmental or public
authority made necessary by reason Of TENANT'S occupancy of the Premises.

     24.  ABANDONMENT  OF PREMISES.  Tenant  agrees not to abandon or vacate the
Premises  during the Term or the Lease and to use said  Premises for the purpose
herein leased and no other Until Expiration Date.

<PAGE>

     25.  ASSIGNMENT AND SUBLETTING.  Tenant may not,  without THe prior written
consent or Landlord,  which consent shall not be  unreasonably  witheld,  assign
this Lease or any interest hereunder, or sublet the Premises or any part thereof
or permit the use of the Premises by any party other than  Tenant.  In the event
that Tenant is a corporation or some other entity other than an individual,  any
transfer of a majority or controlling  interest in Tenant shall he considered an
assignment for purposes of this paragraph. Consent to one assignment or sublease
shall  not  destroy  or waive  this  provision,  and all later  assignments  and
subleases  shall  likewise  be made  only  upon the  prior  written  consent  of
Landlord. In the event of any sublease or assignment to which Landlord consents,
Tenant shall pay to Landlord fifty percent (50%) of all  consideration in excess
of the Rent due hereunder which Tenant receives from such assignee or subleasee.
Such amount  shall be payable  within five (5) days of the date Tenant  receives
each payment from such  assignee or  subleasee.  Subtenants  or assignees  shall
become  liable to Landlord for all  obligations  or Tenant  hereunder but Tenant
shall remain directly liable to Landlord for all Tenant's obligations under this
lease.

     26.  DEFAULT.  If Tenant  shall  default  lot the  payment  of Rent  herein
reserved  when due and fail to cure  such  default  within  five (5) days  after
written notice or such default is given to Tenant by Landlord but Landlord shall
be required to provide only one (1) such written notice in any calendar year and
any late payment or Rent  thereafter  shall be an immediate  default without any
notice or right to cure, or if Tenant shall be in default in  performing  any of
the terms or  provisions of this Lease other than the  provisions  requiring the
payment of Rent,  and fails to cure such default  within fifteen (15) days after
notice of such default is given to Tenant by Landlord;  or if Tenant  vacates or
abandons the Premises; or if Tenant is adjudicated a bankrupt; or if a permanent
receiver is  appointed  for Tenant's  Property and such  receiver is not removed
within sixty (60) days after  written  notice from  Landlord to Tenant to obtain
such  removal;  or  if,  whether  voluntarily  or  involuntarily,  Tenant  takes
advantage  of any debtor  relief  proceedings  under any  present or future law,
whereby  the rent or any part  thereof,  is, or is  proposed  to be,  reduced or
payment  thereof  deferred;  or if  Tenant's  effects  should be levied  upon or
attached under process against Tenant, not satisfied or dissolved within fifteen
(15) days after written  notice from  Landlord to Tenant to obtain  satisfaction
thereof;  or,  if  Tenant  is an  individual,  in the  event of the death of the
individual   and  the   failure  of  the   executor,   adiministrator   personal
representative  of the estate of the  decreased  individual to have assigned the
Lease  within  three  (3)  months  after the death to an  assignee  approved  by
Landlord; then, and in any of said events, Landlord, at its option, may exercise
any or all of the remedies set forth in Paragraph 27 below.

     27. Remedies.  Upon the occurrence of any default set forth in Paragraph 26
above which is not cured by Tenant within the  applicable  cure period,  if any,
provided  therein,  Landlord may exercise all or any of the following  remedies:
(i) terminate this Lease by giving Tenant written notice of the termination,  in
which event this Lease shall  terminate on the date specified in such notice and
all rights of Tenant  under this lease  shall  expire and  terminate  as of such
date,  Tenant shall remain liable for all obligations under this Lease up to the
date of such  termination and Tenant shall surrender the Premises to Landlord on
the date specified in such notice,  and if Tenant fails to so surrender Landlord
shall have the right, without notice, to enter upon and take possession of the


<PAGE>

Premises and to expel and remove Tenant and its effects without being liable for
prosecution  or any claim of  damages  therefor;  (ii)  terminate  this Lease as
provided in the  immediately  proceeding  subsection and recover from Tenant all
damages  Landlord  may incur by reason of Tenant's  default,  including  without
limitation,  the then present  value of (a) the total rent which would have been
payable  hereunder by Tenant for the period beginning with the day following the
date of such  termination  and ending  with the  Expiration  Date of the Term as
originally scheduled hereunder,  minus (b) the aggregate reasonable rental value
of the  Premises  for the same  period,  plus (c) the  costs of  recovering  the
Premises,  and all other expenses  incurred by Landlord due to Tenant's default,
including without  limitation,  reasonable  attorney's fees, plus (d) the unpaid
Rent earned as of the date of termination plus interest,  all of which sum shall
be immediately due and payable by Tenant to landlord;  (iii) without terminating
this lease,  declare  immediately  due and payable  the present  value  (using a
discount  rate of 9%) of all Rent due under this Lease for the entire  remaining
scheduled Term of this Lease, together with the costs of recovering the Premises
and all other expenses incurred by Landlord in connection with Tenant's default,
plus the  unpaid  Rent  earned  as of the  date of  termination,  plus  interest
thereon: Landlord and Tenant acknowledging that such payment shall not be deemed
a penalty  but shall  merely  constitute  payment  of liquid  damages,  it being
acknowledged  by both parties that Landlord's  actual  damages,  in the event of
such default,  would be extremely  difficult,  if not impossible,  to ascertain;
provided,  however, that upon making any such payment,  Tenant shall be entitled
to receive an amount from Landlord  equal to all rents received by Landlord from
other tenants of the Premises during the remaining  scheduled Term of the Lease,
provided  that Tenant  shall in no event be entitled to receive in excess of the
entire  amount  actually  paid by Tenant to Landlord  hereunder  less all costs,
expenses and attorneys' fees of Landlord in connection with any re-letting; (iv)
without  terminating this Lease,  and without notice to Tenant,  Landlord may in
its own name,  but as agent for  Tenant  enter into and take  possession  of the
Premises and re-let the Premises, or a portion thereof, as agent of Tenant, upon
any terms and conditions as Landlord may deem  necessary or desirable  (Landlord
shall have no  obligation to attempt to re-let the Premises or any part thereof.
Upon any such re-letting,  all rentals received by Landlord from such re-letting
shall be applied first to the costs  incurred by Landlord in  accomplishing  any
such  re-letting and  thereafter  shall be applied to the Rent owed by Tenant to
Landlord  during  the  remainder  of the Term of this  Lease.);  (v)  allow  the
Premises to remain  unoccupied and collect Rent from Tenant as it becomes due or
(vi) pursue such other remedies as are available at law or in equity.

     28.  DESTRUCTION  OR DAMAGE.  If the Premises  are  destroyed or damaged by
storm,  fire,  earthquake,  or other  casualty,  Landlord shall notify Tenant in
writing,  within ninety (90) days  following  such  casualty,  whether  Landlord
reasonably deems that restoration can be accomplished  within one (1) year after
the casualty occurs. If Landlord notifies Tenant that such restoration cannot be
accomplished within such period, or if substantial damage occurs during the last
year of the Term, this Lease shall terminate as of the date of such  destruction
or damage and Rent shall be accounted for between Landlord and Tenant as of that
date. If Landlord deems that restoration can be accomplished  within such period
and the  casualty  does not occur  during the last year of the Term,  Rent shall
abate in such proportion as the use of the Premises has been  destroyed,  Tenant
shall pay to Landlord all insurance proceeds covering the Premises, and Landlord
shall, to the extent of available insurance  proceeds,  restore the Property And
Premises to  substantially  the same condition as before the damage  occurred as
soon as  practicable,  whereupon  full Rent  shall  recommence.  Notwithstanding
anything  thereinabove  to the contrary,  if any such casualty  causes  material
damage and is not covered by Landlord's  insurance,  or if Landlord's  mortgagee
does not make the  insurance  proceeds  available to Landlord  for  restoration,
Landlord  shall  have the right to  terminate  this  Lease at the time  Landlord
provides Tenant the notice required above.

     29. EMINENT DOMAIN. If the whole of the Premises, or such portion of either
as will make it economically  unfeasible for Landlord to operate the Property or
will make the Premises  unusable in the reasonable  judgment of Landlord for the
purposes  herein  leased,  is  condemned  or  taken by any  legally  constituted
authority for any public use or purpose, then in either of said events, the Term
hereby  granted shall cease from that time when  possession  thereof is taken by
the condemning authorities,  and Rent shall be accounted for as between Landlord
and Tenant as of that date.  Landlord shall notify Tenant of such  determination
within ninety (90) days of the date title vests in the condemning authority.  If
such taking occurs and Landlord does not terminate this Lease,  this Lease shall
continue  in full force and  effect  and the Rent  shall be reduced  pro rata in
proportion to the amount of the Premises so taken. Tenant shall have no right or
claim  to any  part of any  award  made to or  received  by  Landlord  for  such
condemnation or taking,  and all awards for such condemnation or taking shall be
made solely to Landlord.

     30. SERVICE OF PROCESS.  Except as otherwise provided by law, Tenant hereby
appoints  its agent to receive the  service of all  dispossessory  or  distraint
proceedings  and notices  thereunder,  the person in charge of or occupying  the
Premises at the time of such proceeding or notice; and if no person be in charge
or occupying the Premises,  then such service of notice may be made by attaching
the same to the front entrance of the Premises.

     31. MORTGAGEE'S RIGHTS.  Tenant agrees that this Lease shall be subject and
subordinate (i) to any loan deeds, mortgages,  deeds to secure debt or any other
security  interests  now on the Premises and to all advances  already  made,  or
which may be hereunder made on account of said loan deeds,  mortgages,  deeds to
secure debt or any other security  interests to the full extent of all debts and
charges  secured  thereby and to all renewals or extensions of any part thereof,
and to any loan deed  which now  exists of which any owner of the  Premises  may
hereafter,  at any time, elect to place on the Premises;  (ii) to any Assignment
of Landlord's interest in Lease covering the Lease which now exists or which any
owner of the  premises may  hereafter,  at any time elect to place on the Lease;
and (iii) to any  Uniform  Commercial  Code  Financing  Statement  covering  the
personal  property  rights of  Landlord or any Owner of the  Premises  which now
exists or any owner of the Premises may hereafter,  at any time,  elect to place
on thee foregoing personal property (all of the foregoing  instruments set forth
in (i), (ii),  and (iii) or above being  hereafter  collectively  referred to as
"Security Documents").  Tenant agrees upon request of the holder of any Security
Documents ("Holder") to hereafter execute such paper or papers which the counsel
for Landlord or Holder may deem necessary to evidence the  subordination  of the
Lease to the  Security  Documents,  in default of Tenant so doing,  Landlord  or
Holder is hereby empowered to execute such paper or papers in the name of Tenant
evidencing such  subordination,  as the act and deed of Tenant shall  thereafter
remain bound pursuant to the terms of this Lease as if a new and identical Lease
between such Purchaser,  as landlord,  and Tenant,  as tenant,  had been entered
into  for the  reminder  of the Term  hereof  and  Tenant  shall  attorn  to the
Purchaser upon such  foreclosure  sale and shall recognize such Purchaser as the
Landlord under the Lease. Such attornment shall be effective and  self-operative
without  the  execution  of any  further  instrument  on the  part of any of the
parties hereto.  Tenant agrees,  however, to execute and deliver at any time and
from time to time, upon the request of Landlord or of Holder,  any instrument or
certificate  that may the  necessary  or  appropriate  in any  such  Foreclosure
proceeding or otherwise to evidence such attornment.

<PAGE>

     Tenant hereby  acknowledges  that if the interest of Landlord  hereunder is
covered by an Assignment to Landlord's  Interest in Lease,  Tenant shall pay all
Rent due and payable under the Lease directly to the holder of the Assignment to
Landlord's  Interest in Lease upon  notification  of the  exercise of the rights
thereunder by the Holder thereof.

     32. Tenant's Estoppel: Attornment. Tenant shall from time to time, upon not
less than ten (10) days prior written request by Landlord, execute,  acknowledge
and  deliver  to  Landlord  a written  statement  certifying  that this Lease is
unmodified  and in full force and effect (or, if there have been  modifications,
that  the  same  is in full  force  and  effect  as  modified  and  stating  the
modifications), the dates to which the Rent has been paid, that Tenant is not in
default  hereunder and has no offsets or defenses  against  Landlord  under this
Lease,  whether or not to the best of Tenants  knowledge  Landlord is in default
hereunder  (and if so,  specifying  the  nature  of the  default)  and any other
information  reasonably  requested by Landlord,  it being intended that any such
statement  delivered  pursuant  to  this  paragraph  may  be  relied  upon  by a
prospective  purchaser of  Landlord's  interest or by a mortgagee of  Landlord's
interest  or  assignee  of any  security  deed upon  Landlord's  interest in the
Premises.  In the event of any sale of the  Property by  Landlord,  Tenant shall
attorn  to the  purchaser  as  Landlord  hereunder.  Such  attornment  shall  be
effective and self-operative  without the execution of any further instrument on
the part of any of the parties hereto. Tenant agrees,  however, to executive and
deliver at any time and from time to time,  upon the request of the  Landlord or
of such  purchaser  any  instrument  on  certificate  that may be  necessary  to
appropriate to evidence such attornment.

     33.  Attorney  Fees.  If any Rent owing under this Lease is collected by or
through an Attorney at Law,  Tenant agrees to pay fifteen  percent (15%) thereof
as attorney's fees.

     34.  Parking.  Landlord  hereby  agrees to maintain  parking  spaces on the
Property in a ratio equal to or greater  than three (3) spaces per one  thousand
rentable feet of the  buildings on the Property.  Tenant shall have no rights to
any specific  parking spaces granted under this Lease;  however,  Tenant and its
employees  shall  be  entitled  to use the  parking  facilities  located  on the
Property  in  common  with and on the same  basis as the  other  tenants  of the
Property.  Landlord  reserves the right to relocate,  and to make alterations or
additions   to  such   parking   facilities   at  any  time  or  to  enter  into
cross-easements to allow the use of such parking  facilitated by the occupant of
other  portions of the project of which the buildings on the Property are a part
of by adjoining land owners and their licenses and invites.

     35.  Storage.  If landlord  makes  available  to Tenant any  storage  space
outside the  Premises  anything  stored  therein  shall be wholly at the risk of
Tenant,  and Landlord shall have no  responsibility  of any character in respect
thereto.

     36. Waste. (a) All normal trash and waste (i.e. waste that does not require
special  handling  pursuant  to  subparagraph  (b) below)  shall be  disposed of
through the Tenant's janitorial service.

                                       (b) Tenant shall not bring any  hazardous
waste  or  substances  (as  defined  by  CERCLA,  RCRA or any  other  applicable
government  authority)  into the Premises.  Tenant hereby  indemnifies and holds
harmless  Landlord,  its  successors  and assigns  (including the holders of any
deeds to secure  debt,  mortgages or other  security  interest  encumbering  the
Property) from and against any loss, claims,  demands, damage or injury Landlord
may  suffer  or  sustain  as a result of  Tenant's  failure  to comply  with the
provisions of this subparagraph (b).

     37.  Surrender of  Premises.  Whenever  under the terms hereof  Landlord is
entitled to  possession  of the  Premises,  Tenant at once shall  surrender  the
Premises  and the keys  thereto  to  Landlord  in the same  condition  as on the
Commencement  Date hereof,  natural wear and tear and damage by casualty (unless
caused by Tenant) and condemnation only excepted, Tenant shall remove all of its
property  therefrom  and  Landlord  may  forthwith  re-enter  the  Premises  and
repossess  itself  thereof and remove all persons and effects  therefrom,  using
such force as may be necessary without being guilty of forcible entry, detainer,
trespass or other tort.  Tenant's obligation to observe or perform this covenant
shall survive the expiration or other  termination of the Term of this Lease. If
the last day of the Term of this Lease or any renewal falls on Sunday or a legal
holiday, this Lease shall expire on the business day immediately preceding.


<PAGE>

     38. Cleaning Premises.  Upon vacating the Premises,  Tenant agrees to clean
the Premises thoroughly or to pay Landlord for the cleaning necessary to restore
the Premises to their condition when Tenant's possession commenced, natural wear
and tear and damage by casualty (unless caused by Tenant) and condemnation  only
excepted, regardless of whether any security deposit has been forfeited.

     39. No Estate in Land.  This  contract  shall  create the  relationship  of
landlord and tenant  between  Landlord  and Tenant;  no estate shall pass out of
Landlord;  Tenant has only a  usufruct,  not  subject  to levy or sale,  and not
assignable by Tenant except with Landlord's consent.

     40.  Cumulative  rights.  All  rights,   powers  and  privileges  conferred
hereunder  upon the parties  hereto shall be cumulative  but not  restrictive to
those given by law.

     41. Paragraph  Titles;  Severability.  The paragraph titles used herein are
not to be considered a substantive  part of this Lease,  but merely  descriptive
aids to identify the paragraph to which they refer.  Use of the masculine gender
includes  the  feminine and neuter,  and vice versa,  where  necessary to impart
contextual continuity. If any paragraph or provision herein is held invalid by a
court of competent jurisdiction, all other paragraphs or severable provisions of
this Lease shall not be  affected  thereby,  but shall  remain in full force and
effect.

     42. Damage or Theft of Personal  Property.  All personal  property  brought
into the Premises shall be at the risk of the Tenant only and Landlord shall not
be liable  for theft  thereof or any damage  thereto  occasioned  by any acts of
co-tenants,  or other occupants of the Property or any of the buildings  located
thereon, or any other person, except, with respect to damage to the Premises, as
may be occasioned by the negligent or willful act of the Landlord, its employees
and agents.

     43. Holding Over. In the event Tenant remains in possession of the Premises
after the expiration of the Term hereof, or of any renewal term, with Landlord's
acquiescence  and without any express written  agreement of the parties,  Tenant
shall  be a  tenant  at will  and  such  tenancy  shall  be  subject  to all the
provisions hereof, except that the monthly rental shall be at double the monthly
Base Rent payable  hereunder upon such expiration of the Term hereof,  or of any
renewal  term,  as the same would be  adjusted  pursuant  to the  provisions  of
Paragraph 4 hereof.  There shall be no renewal of this Lease by operation of law
or  otherwise.  Nothing in this  Paragraph  shall be  construed  as a consent by
Landlord after the expiration of the Term hereof, or any renewal term.

     44.  Security  Deposit.  Tenant shall pay Landlord the sum of Five thousand
five hundred Dollars ($5,500.00) (hereinafter referred to as "Security Deposit")
which  shall  be held by the  Landlord  during  the Term of this  Lease,  or any
renewal thereof.  Under no circumstances will Tenant be entitled to any interest
on the Security  Deposit.  The Security Deposit may be used by Landlord,  at its
discretion,  to apply to any amount owing to Landlord  hereunder,  or to pay the
expenses  of  repairing  any damage to the  Premises,  or to cure any default of
Tenant hereunder. If Landlord uses all or any portion of the Security Deposit as
permitted  therein,  Tenant  shall,  within ten (10) days of  written  demand by
Landlord,  pay to Landlord the amount  necessary  to fully  restore the Security
Deposit to its  original  amount.  If there are no  payments to be made from the
Security Deposit as set out in this paragraph, or if there is any balance of the
Security  Deposit  remaining  after all  payments  have been made,  the Security
Deposit,  or such  balance  thereof  remaining,  will be  refunded to the Tenant
within  thirty  (30)  days  after  fulfillment  by  Tenant  of  all  obligations
hereunder. In no event shall Tenant be entitled to apply the Security Deposit to
any Rent due  hereunder.  Upon sale or conveyance of the Property,  Landlord may
transfer or assign the Security  Deposit to any new owner of the  Premises,  and
upon such  transfer all  liability of Landlord  for the Security  Deposit  shall
terminate. Landlord shall be entitled to commingle the Security Deposit with its
other funds.

     45. Leasehold  Improvements.  Landlord hereby agrees to construct leasehold
improvements in the Premises, at a cost not to exceed $25,600.00,  in accordance
with those plans and specifications ("Plans and Specifications") attached hereto
as Exhibit "C" and incorporated herein by reference ("Tenant's Work").  Tenant's
Work shall be constructed  by a contractor  chosen by Landlord and acceptable to
Tenant and shall be constructed in a good and workmanlike  manner.  Tenant shall
accept or reject contractor in a timely manner.  Tenant shall not be entitled to
make any changes to the Plans and


<PAGE>

Specifications without the prior written consent of Landlord,  which consent may
be withheld in  Landlord's  sole and  absolute  discretion  unless  Tenant first
agrees,  in writing,  to pay all  increases  and costs  resulting  from any such
change order and agrees that the determination of substantial  completion of the
Tenant's Work shall be accelerated by the number of days of delay caused by such
change order. Landlord shall provide Tenant with up to $20,000.00 for additional
Leasehold  Improvements  on July 1, 1998.  Said monies  shall be provided  after
Tenant submits to Landlord receipts for all materials, lien wavers signed by all
contractors,   governmental  permits  and  a  certificate  of  occupancy.   This
$20,000.00  shall applied to and be provided for Suite 200 only and shall not be
payable by Landlord if Tenant should purchase the Property on or before June 30,
1998.

     46.  Rules and  Regulations.  The Rules  and  regulations  in regard to the
Property,   annexed  hereto  as  Exhibit  "B",  and  all  reasonable  rules  and
regulations,  which  Landlord  may  hereafter,  from  time to  time,  adopt  and
promulgate for the government and management of said Property, are hereby made a
part of this Lease and shall,  during the said term,  be in all things  observed
and performed by Tenant, his agents, employees and invites.

     47. Quiet Enjoyment.  Tenant, upon payment in full of the required Rent and
full performance of the terms, conditions,  covenants and agreement contained in
this Lease, shall peaceably and quietly have, hold and enjoy the Premises during
the Term hereof.  Landlord shall not be responsible for the acts or omissions of
any  other  tenant or third  party  that may  interfere  with  Tenant's  use and
enjoyment of the Premises.

     48.  Entire  Agreement.  This Lease  contains  the entire  agreement of the
parties and no representations,  inducement,  promises,  or agreements,  oral or
otherwise,  between  the parties not  embodied  herein  shall be of any force or
effect.

     49.  Limitation of Liability.  Landlord's  obligations  and liability  with
respect to this Lease  shall be limited  solely to  Landlord's  interest  in the
Property,  as such  interest  is  constituted  from  time to time,  and  neither
Landlord nor any partner of landlord, or any officer, director,  shareholder, or
partner of any partner of Landlord, shall have any personal liability whatsoever
with respect to this Lease.

     50.  Submission  of  Agreement.  Submission  of this  Lease to  Tenant  for
signature  does not  constitute a reservation of space or an option to acquire a
right of entry.  This Lease is not binding or effective  until  execution by and
delivery to both Landlord and Tenant.

     51.  Corporate  Authority.  If Tenant executes this Lease as a corporation,
each of the  persons  executing  this  Lease on  behalf of  Tenant  does  hereby
personally  represent  and warrant that Tenant is a duly  organized  and validly
existing  corporation,  that Tenant is  qualified to do business in the State of
Georgia,  that Tenant has full  right,  power and  authority  to enter into this
Lease,  and that each person signing on behalf of Tenant is authorized to do so.
In the event any such  representation  and  warranty  is false,  all persons who
execute  this Lease  shall be  individually,  jointly and  severally,  liable as
Tenant.  Upon Landlord's  request.  Tenant shall provide  Landlord with evidence
reasonably  satisfactory to tenant confirming the foregoing  representations and
warranties.

     52.  Notices.   All  notices,   consents   demands,   requests,   or  other
communications  required or permitted  hereunder shall be deemed given,  whether
actually  received or not, when  dispatched for hand delivery or delivery by air
express  courier  (with  signed  receipts) to the other party at the address set
forth below,  or on the second  business day after  deposit in the United States
Mail,  postage prepaid,  certified,  return receipt requested to the address set
forth below,  except for notice of change of address which shall be deemed given
only upon actual  receipt.  Any time period for response to a notice shall begin
to run only when the notice is actually  received,  when  delivery is refused or
when delivery  cannot be  accomplished  because the party to whom the notice has
been sent can no longer be found at the correct notice address. The addresses of
the parties for notices are as follows:


<PAGE>



      Landlord's Address for Notice:      Tenant's Address for Notices:
      
      Rand Realty Co.                     Electronic Claims & Funding, Inc.
      1786 Resurgens Plaza                Suite 200
      945 E. Paces Ferry Rd., N.E.        2865 Amwiler Road
      Atlanta, GA 30326                   Atlanta, GA 30360
      Attn: Mr. Stanley Levitt           

     53.  Special  Stipulations.  Special  Stipulations  numbered 1 though 9 are
attached  hereto  as  Exhibit  "D" and  made a part  hereof  and if the  Special
Stipulations conflict with the above provisions,  the Special Stipulations shall
control.

     IN WITNESS  WHEREOF,  the parties  herein have hereunto set their hands and
seals, the day and year first above written.


LANDORD: Rand Realty Co                TENANT: Electronic Claims & Funding, Inc.

- -----------------------------------    -------------------------------------

BY: /s/ Harriet Rand                   BY: /s/

TITLE: President                       TITLE: President
      (CORPORATE SEAL)                      (CORPORATE SEAL)

    WITNESS: /s/                       ATTESTED TO:

                                       BY: /s/ Barbara B. Hughes
                                       ITS: Vice President
                                       (Corporate Secretary)


                         (CORPORATE RESOLUTION ATTACHED)


<PAGE>

                              CORPORATE RESOLUTION

Name of Corporation: Electronic Claims and Funding, Inc. a Georgia Corporation

I, the  undersigned,  hereby  certify  that I am an officer  of the above  named
Corporation; that the following is a true copy of the resolution duly adopted by
the Board of  Directors of this  Corporation  at a meeting duly held on 5 day of
July, 1995, at which a quorum was present, and that such resolution has not been
rescinded or modified and is now in full force and effect.

Resolved,  that  Thomas W.  Hughes  has the  authority  to enter into this Lease
Agreement for Electronic Claims and Funding, Inc.

In Witness Whereof,  I have hereunto  subscribed my name and affixed the sale of
this Corporation,

this 7 day of July, 1995.

/s/ James E. Hunding

- ----------------
Title: Chairman of Board/Secretary

(Affix Corporate Seal)


<PAGE>



                               AMENDMENT TO LEASE

     THIS AMENDMENT TO LEASE, made this 3rd day of January,  1997, between T & J
Enterprises,  LLC as "Lessor",  as  successors in interest to 2865 Amwiler Road,
and Electronic Claims & Funding, Inc., as "Lessee."

                               W I T N E S S E T H

     WHEREAS,  by Lease Agreement  dated the 1st of August,  1995 (the "Lease"),
Lessor did lease to Lessee a certain  Premises (the  "Demised  Premises") in the
office building known as 2865 Amwiler Road located in Gwinnett County,  Georgia;
and

     WHEREAS, "Lessee" and "Lessor" desire to amend said Lease as follows:

     NOW  THEREFORE,  in  consideration  of the  Premises and the sum of ten and
00/100 dollars ($10.00) and other good and valuable considerations,  the receipt
and  sufficiency  of which are hereby  acknowledged,  it is  mutually  agreed as
follows:

     1. The  Premises is hereby  increased  from 6,400  rentable  square feet to
9,600 rentable square feet.

     2. The monthly rent as  stipulated in Exhibit "D" of the Lease is now based
upon 9,600  rentable  square feet. The  commencement  date for this Amendment is
January 1, 1997.  The monthly rent  beginning  January 1, 1997, is $6,776.00 and
shall  escalate as described in Exhibit "D" which is four percent (4%) per lease
year. The common area  maintenance fee paid monthly is also now based upon 9,600
rentable square feet.

     3. Tenant hereby accepts the premises in "as is" condition  without further
obligation from the Landlord.

     4. All other terms and  conditions  of the Lease shall remain in full force
and effect.

     IN WITNESS WHEREOF,  "Lessor" and "Lessee" have caused this Third Amendment
to be duly authorized, executed and delivered as of the day and year first above
written.ove written.


Lessor:                    Lessee:

T & J ENTERPRISES, LLC     ELECTRONIC CLAIMS & FUNDING, INC.
By: /s/                    By: /s/ Roger L. Primeall

Its: /s/                   Its:



<PAGE>

                                   EXHIBIT E2

                       FIRST RIGHT REFUSAL AREA AMENDMENT

                                     PAGE 1

THIS AMENDMENT TO LEASE  AGREEMENT,  is made into this ____ day of _______ 19__,
by and between RAND REALTY CO.  ("Landlord")  and  ELECTRONIC  CLAIMS & FUNDING,
INC. ("Tenant")

WITHNESSETH

     WHEREAS,  Landlord  and Tenant have  heretofore  entered  into that certain
Lease  Agreement,  attached  hereto and  incorporated  herein by this  reference
regarding  certain real property in Land Lot 250 of the 6th District of Gwinnett
County,  Georgia (the "Lease") covering the lease of Property described as: 2865
Amwiler Road, Atlanta, Georgia.

     WHEREAS, Landlord and Tenant desire to amend the Lease,

     NOW  THEREFORE,  for and in  consideration  of the sum of ONE AND NO/100THS
($1.00)  DOLLAR and other  good and  valuable  consideration,  the  receipt  and
sufficiency of which is acknowledged by Landlord and Tenant, Landlord and Tenant
hereby agree as follows:

1. Tenant  desires to lease the  additional  space by  approximately  6528 gross
square feet which  represents  16.42% of the total gross  square  footage of the
entire  building  for  purposes  of  Tenant's  pro rata  charge of  common  area
maintenance  charge, tax charge and insurance charge,  base rental and any other
charge as set forth in the Lease.

2.  Upon the  execution  of this  amendment,  Tenant  shall pay to  Landlord  as
additional monthly Base Rental pursuant to Special  Stipulation 2 in Exhibit "D"
of the Lease.  Provided,  however,  in no event will the monthly  Base Rental be
less than the rate as  stipulated  on a square  footage bases in Exhibit D 1. In
terms of which the minimum base rental shall be:

     If Right to Exercise in period  8/1/95 to 6/30/95;  $4,428.16  per month or
$53.137.92  per annum which is calculated at $8.14 per square foot per annum for
base rental.  This Right of First Refusal to rent additional space will escalate
at the same rate and at the same time  intervals  as set out in  Paragraph  1 of
Special Stipulations in Exhibit "D".

3. Landlord will spend up to a maximum of $26, 112..00 of Leasehold  improvement
money as provided for in Paragraph 45 of Lease if Tenant executes this Amendment
no later than June 30, 1997.

4. Tenant shall tender an  additional  security  deposit equal to the first full
months Base Rental.

5.  Lease  Guaranty  - The  obligations  of Tenant  under  this  Lease  shall be
unconditionally guaranteed by Video Enterprises Corporation d/b/a Entre Computer
Center, who agrees to execute the Lease Guaranty attached by Exhibit "G" hereto.

6.  Assignment - Provided that Lease  Guaranteed in terms of Paragraph 5 hereof,
Lease can be  assigned  to any  entity in which  effectively  is 100%  owned and
controlled by James Hindy and Thomas Hughes.

     Except as expressly  amended hereby,  the Lease shall  otherwise  remain in
full force and effect as originally executed and previous amendments.

     This Amendment  shall bind and inure to the benefit of the parties  hereto,
their respective heirs, executors, administrators, successors and assigns.

     IN WITNESS  WHEREOF,  the  Landlord  and  Tenant  have  signed,  scaled and
delivered this Agreement on the day, month, and year first above written.

LANDLORD: RAND REALTY CO.                TENANT:    ELECTRONIC CLAIMS &

                                  FUNDING, INC.

By:                                      By:

   -----------------------------------      ------------------------------------

Title:                                   Title:

      --------------------------------         ---------------------------------



<PAGE>

                                   EXHIBIT E3

                       FIRST RIGHT REFUSAL AREA AMENDMENT

                                     PAGE 1

THIS AMENDMENT TO LEASE AGREEMENT, is made and entered into this *_______ day of
_______ 19__, by and between RAND REALTY CO. (Landlord") and ELECTRONIC CLAIMS &
FUNDING, INC. ("Tenant")

WITNESSETH

     WHEREAS,  Landlord  and Tenant have  heretofore  entered  into that certain
Lease  Agreement,  attached  hereto and  incorporated  herein by this  reference
regarding  certain real property in Land Lot 250 of the 6th District of Gwinnett
County,  Georgia (the "Lease") covering the lease of Property described as: 2865
Amwiler Road, Atlanta, Georgia.

     WHEREAS, Landlord and Tenant desire to amend the Lease,

     NOW,  THEREFORE,  for and in  consideration of the sum of ONE AND NO/1OOTHS
($1.00)  DOLLAR and other  good and  valuable  consideration,  the  receipt  and
sufficiency of which is acknowledged by Landlord and Tenant, Landlord and Tenant
hereby agree as follows:

1. Tenant  desires to lease the  additional  space as shown on the floor plan on
page two of this amendment. This additional space will increase Tenants space by
approximately  12,428  gross  square feet which  represents  31.26% of the total
gross  square  footage of the entire  building for purposes of Tenant's pro rata
charge of common area maintenance  charge, tax charge and insurance charge, base
rental and any other charge as set forth in the Lease.

2.  Upon the  execution  of this  amendment,  Tenant  shall pay to  Landlord  as
additional monthly Base Rental pursuant to Special  Stipulation 2 in Exhibit "D"
of the Lease.  Provided,  however,  in no event will the monthly  Base Rental be
less than the rate as stipulated  on a square  footage bases in Exhibit D 1 . In
terms of which the minimum base rental shall be:

     If Right to Exercise in period  8/1/95 to 6/30/96;  $8,430.32  per month or
$101,163.92 per annum which is calculated at $8.14 per square foot per annum for
base rental.  This Right of First Refusal to rent additional space will escalate
at the same rate and at the same time  intervals  as set out in  Paragraph  1 of
Special Stipulations in Exhibit "D".

3. Landlord  will spend up to a maximum of  $49,712.00 of Leasehold  improvement
money as provided for in Paragraph 45 of Lease if Tenant executes this Amendment
no later than June 30, 1997.

4. Tenant shall tender an  additional  security  deposit equal to the first full
months Base Rental.

5.  Lease  Guaranty  - The  obligations  of Tenant  under  this  Lease  shall be
unconditionally guaranteed by Video Enterprises Corporation d/b/a Entre Computer
Center, who agrees to execute the Lease Guaranty attached by Exhibit "G" hereto.

6.  Assignment - Provided that Lease  Guaranteed in terms of Paragraph 5 hereof,
Lease can be  assigned  to any  entity in which  effectively  is 100%  owned and
controlled by James Hindy and Thomas Hughes.

     Except as expressly  amended hereby,  the Lease shall  otherwise  remain in
full force and effect as originally executed and previous amendments.

     This Amendment  shall bind and inure to the benefit of the parties  hereto,
their respective heirs, executors, administrators, successors and assigns.

     IN WITNESS  WHEREOF,  the  Landlord  and  Tenant  have  signed,  sealed and
delivered this Agreement on the day, month, and year first above written.

LANDLORD: RAND REALTY CO. TENANT:           ELECTRONIC CLAIMS & FUNDING, INC.


By:                                      By:
   -----------------------------------      ------------------------------------

Title:                                   Title:
      --------------------------------         ---------------------------------





                                                                    EXHIBIT 10.6

                                                                    CONFIDENTIAL

July 15, 1998



                            MEDE AMERICA CORPORATION
                            ------------------------
                  $15,000,000 SENIOR SECURED CREDIT FACILITIES
                  --------------------------------------------
                                COMMITMENT LETTER
                                -----------------

MedE America Corporation
90 Merrick Avenue, Suite 501
East Meadow, NY 11554

Attention: Mr. Richard Bankosky

Ladies and Gentlemen:

Bank of America  National Trust and Savings  Association  ("Bank of America") is
pleased to advise you that it is  willing,  subject to the terms and  conditions
contained  in this letter and in the  attached  Summary of Terms and  Conditions
(the  "Term  Sheet"),  to commit up to  $15,000,000  of  senior  secured  credit
facilities (the "Senior Facilities").

It is  agreed  that  Bank  of  America  will  act  as  the  sole  and  exclusive
Administrative Agent for the Senior Facilities.  You agree that no other agents,
co-agents or arrangers will be appointed, no other titles will be awarded and no
compensation (other than that expressly  contemplated by the Term Sheet) will be
paid in connection with the Senior Facilities unless you and we shall so agree.

In addition to the conditions to funding or closing set forth in the Term Sheet,
Bank of America's commitment to provide financing hereunder is subject to, among
other  conditions,  (i) the  negotiation  and  execution of a definitive  credit
agreement (the "Credit Agreement") and other related documentation  satisfactory
to the Lenders;  (ii) there being no material  adverse  change in the reasonable
opinion of Bank of America in the  financial  condition,  business,  operations,
properties or prospects of the Borrower and its consolidated  subsidiaries  from
the date of the audited financial statements most recently provided prior to the
date hereof; (iii) there be no competing offering,  placement, or arrangement of
any debt securities or bank financing by or on behalf of the Borrower, until the
closing of the transaction.

Whether  or not  the  transactions  contemplated  hereby  are  consummated,  the
Borrower hereby agrees to indemnify and hold harmless Bank of America, and their
respective directors,  officers, employees and affiliates (each, an "indemnified
person") from and against any and all losses, claims,  damages,  liabilities (or
actions or other  proceedings  commenced or threatened  in respect  thereof) and
expenses that arise out of, result from or in any way relate to this  commitment
letter,  or the  providing  of the  Senior  Facilities,  and to  reimburse  each
indemnified  person, upon its demand, for any legal or other expenses (including
the  allocated   cost  of  in-house   counsel)   incurred  in  connection   with
investigating,  defending  or  participating  in any such loss,  claim,  damage,
liability or action or other proceeding  (whether or not such indemnified person
is a party to any action or proceeding  out of which any such  expenses  arise),
other than any of the foregoing claimed by any indemnified  person to the extent
incurred by reason of the gross negligence or willful misconduct of such person.
Neither Bank of America,  nor any of their  affiliates,  shall be responsible or
liable to the Borrower or any other person for any  consequential  damages which
may be alleged.


<PAGE>

MedE America Corporation
July 15, 1998
Page 2

In addition,  the Borrower  hereby agrees to reimburse Bank of America from time
to time  upon  demand  for their  reasonable  out-of-pocket  costs and  expenses
incurred at any time,  including  (i)  attorneys'  fees and  allocated  costs of
internal  counsel  (without  duplication) in connection with the preparation and
delivery of the Credit Agreement and all related  documents,  and (ii) costs and
expenses in connection  with the  negotiation,  closing,  and enforcement of the
Senior  Facilities,  regardless  of whether  the Senior  Facilities  close.  The
Borrower  shall  also pay all costs and  expenses  of the  Administrative  Agent
associated  with amendments and other changes to the Credit  Agreement,  and all
costs and expenses of the Lenders in the  collection of the  obligations  of the
Borrower (including  reasonable  attorney's fees and allocated costs of internal
counsel).

The terms  contained  in this  letter and the Term Sheet are  confidential  and,
except for  disclosure to your board of directors,  officers and  employees,  to
professional advisors retained by you in connection with this transaction, or as
may be required by law,  may not be  disclosed  in whole or in part to any other
person or entity without our prior written consent.

Upon your  delivery to us of a signed  copy of this  letter,  this letter  shall
become a binding  agreement under New York law as of the date so accepted.  Bank
of America's commitment hereunder shall remain in effect until 5:00 p.m. Chicago
time,  on July 31, 1998 when, if not so accepted,  Bank of America's  commitment
hereunder will  terminate.  This  commitment will expire on September 1, 1998 if
the Senior Facilities have not closed on or before that date.

We are  pleased  to have the  opportunity  to work  with  you on this  important
financing.

Very truly yours,

BANK OF AMERICA NATIONAL TRUST
AND SAVINGS ASSOCIATION

By:
   ---------------------------
Title: Vice President


ACCEPTED AND AGREED TO:

MEDE AMERICA CORPORATION

THIS_____DAY OF JULY, 1998

By:
   ---------------------------

Title:
      ------------------------

<PAGE>


Confidential                                            MEDE AMERICA CORPORATION
- --------------------------------------------------------------------------------

                       SUMMARY OF TERMS AND CONDITIONS1

                            MEDE AMERICA CORPORATION
                 $15,000,000 SENIOR SECURED CREDIT FACILITIES


BORROWER:         MEDE AMERICA CORPORATION ("MedE" or the "Borrower").

GUARANTORS:       All material  operating  subsidiaries and holding companies of
                  the Borrower.

ADMINISTRATIVE
AGENT:            Bank of America  National  Trust and Savings  Association  (in
                  such capacity "Bank of America" or "Administrative Agent")

FACILITIES:       Senior Secured Credit Facilities (the "Senior  Facilities") up
                  to $15,000,000 consist- ing of:

                  (1) $7,500,000  2  --  year  senior   secured   non-amortizing
                      revolving credit facility (the "Revolver").

                  (2) $7,500,000 2 -- year senior  secured term loan ("Term Loan
                      A").

LENDERS:          Bank of America.

PURPOSE:          The  Revolver  will be used for  working  capital  and general
                  corporate purposes.

                  The Term Loan A will be used to  finance  future  acquisitions
                  including related fees and expenses.

AVAILABILITY:     The Revolver will be available on a revolving  basis after the
                  closing of the Senior Facilities ("Closing Date") and prior to
                  the maturity thereof.


- ---------
1    Unless otherwise  defined herein,  capitalized terms used herein shall have
     the respective  meanings set forth in the  Commitment  Letter to which this
     Exhibit A is attached.


<PAGE>


Confidential                                            MEDE AMERICA CORPORATION
- --------------------------------------------------------------------------------

                  Term  Loan A may be drawn at any time up to the  expiry  date,
                  and once repaid may not be reborrowed.  Availability under the
                  Term Loan A will be  subject  to (i) Bank of  America's  prior
                  written  approval of acquisition  target in a parallel line of
                  business,  (ii) proforma  covenant  compliance  and (iii) both
                  MedE and the acquisition target having Y2K compliant systems.

COVENANTS:        The Company shall be at all times compliant with the following
                  covenants. (i) Debt/EBITDA Maximum 2.0x.

                             (ii) Interest Coverage Minimum 3.0x.

MATURITY DATE:    Two year  anniversary  of the Closing Date,  but no later than
                  October 31, 1998.

MANDATORY
PREPAYMENTS/
COMMITMENT
REDUCTIONS:       Mandatory  prepayments  of Term Loan A will be made from:  (1)
                  100%  of the  net  cash  proceeds  of  permitted  asset  sales
                  (subject   to  a  basket   and   reinvestment   rights  to  be
                  negotiated),  (2) 100% of the net cash  proceeds from any debt
                  offering,  (3) 75% of the net cash proceeds  received from the
                  issuance  of  equity  securities  and  capital  contributions,
                  exclusive  of the  August  1998 IPO.  (4) 100% of the net cash
                  proceeds  from  insurance  recovery and  condemnation  events,
                  subject to certain  reinvestment rights to be agreed upon, and
                  (5) 100% of annual excess cash flow (to be defined),  provided
                  that so long as no default or event of  default  exists  under
                  the Senior  Facilities,  such percentage shall be reduced on a
                  basis to be determined  based upon the  achievement of certain
                  Leverage Ratios to be determined.  Each such prepayment of the
                  Term  Loan A  shall  be  applied  pro  rata  to the  remaining
                  scheduled amortization payments of Term Loan A.

                  In  addition,  (x) loans  under the  Revolver  will have to be
                  prepaid or cash collateralized, as appropriate, if at any time
                  the outstanding amount thereof ex- ceeds the total commitments
                  for the  Revolver and (y) all Term Loan A shall be required to
                  be  repaid,   and  the  Revolver  will  terminate,   upon  the
                  occurrence  of a change  of  control  (to be  defined)  of the
                  Borrower.

COLLATERAL:       Substantially  similar to that in existing  credit  agreement,
                  including, but not limited to:

                  (1) A first  lien on all the  assets  of the  Company  and its
                      subsidiaries.

                  (2) Stock of all subsidiaries.


                                     PAGE 2

<PAGE>


Confidential                                            MEDE AMERICA CORPORATION
- --------------------------------------------------------------------------------

BORROWING         At the Borrower's option,  interest on borrowings shall accrue
OPTIONS:          on the following indexes plus the applicable spreads.

                  Eurodollar  Rate: The Interbank  Offered Rate (IBOR) for 1, 2,
                  3, 6 month  dollar  deposits  as offered by Bank of America to
                  prime  international  banks in the off-shore  dollar market at
                  11:00  a.m.  New York time  three  business  days prior to the
                  borrowing date, adjusted for reserve requirements.

                  Base Rate:  The higher of (a) the rate as  publicly  announced
                  from time to time by Bank of America as its  "Reference  Rate"
                  or (b)  Federal  Funds Rate plus  one-half  of one percent per
                  annum.  Any change in the Base Rate  shall take  effect at the
                  opening  of  business  on the  date  specified  in the  public
                  announcement  of such  change in the case of clause (a) above,
                  or on a daily basis in the case of clause (b) above.

BORROWING RATE:   With respect to Eurodollar Loans, the Eurodollar Rate plus the
                  Applicable Euro- dollar Margin  described below.  With respect
                  to Base Rate  Loans,  the Base Rate plus the  Applicable  Base
                  Rate Margin described below.

                  All amounts outstanding under the Senior Facilities shall bear
                  interest, at the Borrower's option, as follows:

                  A. With respect to the Revolver:

                     (i)  at the Base Rate plus 0.25% per ammum; or

                     (ii) at the Eurodollar Rate plus 1.25% annum;

                  B. With respect to Term Loan A:

                     (i) at the Base Rate plus 0.25% per annum; or

                     (ii) at the Eurodollar Rate plus 1.25% per annum

                  Interest on Base Rate  borrowings  are to accrue base on a 365
                  (6)-day year and actual days  elapsed.  Interest on Eurodollar
                  borrowings  and all fees are to accrue based on a 360-day year
                  and actual days elapsed.

INTEREST PAYMENTS:Interest on Base Rate advances  shall be payable  quarterly in
                  arrears.  In the base of Eurodollar  Loans, the earlier of the
                  end  of  each  applicable  interest  period  or  quarterly  in
                  arrears.


                                     PAGE 3

<PAGE>


Confidential                                            MEDE AMERICA CORPORATION
- --------------------------------------------------------------------------------


COMMITMENT FEE:   Commitment Fee equal to 0.50% per annum times the total amount
                  of the  Senior  Facilities.  Commitment  Fees shall be payable
                  quarterly in arrears.

DEFAULT RATE:     2.00%  above  the rate  otherwise  applicable  rate of  Senior
                  Facilities.

REVOLVER
DRAWDOWNS:        Revolver  drawdowns are at the Borrower's  option with one day
                  advance  notice  (by 11:00  a.m.  New York time) for Base Rate
                  Loans and three  business  days advance  notice (by 11:00 a.m.
                  New York time) for Eurodollar  Loans in minimum  amounts to be
                  determined.

VOLUNTARY
PREPAYMENTS:      Base Rate  Loans  may be  prepaid  at any time,  with same day
                  notice (by 11:00 a.m. New York time).  Eurodollar Loans may be
                  prepaid at any time with at least three  business days advance
                  notice (by 11:00 a.m. New York time),  subject to compensating
                  the  Lenders for any  funding  losses and related  expenses in
                  connection  with any  prepayment  made on a day other than the
                  last day of an interest period applicable  thereto.  Voluntary
                  prepayments   shall  be  subject  to  minimum  amounts  to  be
                  determined.  Voluntary  prepayments  of Term  Loan A shall  be
                  applied to the outstanding Term Loan A and shall be applied to
                  reduce  the  scheduled  amortization  payments  of  each  such
                  tranche of Term Loan A.

TERMINATION OR
VOLUNTARY
REDUCTION
OF THE FACILITIES:The Borrower may irrevocably  reduce the commitments under the
                  Revolver  in  amounts  of at least  $1,000,000  at any time on
                  three business days advance notice.

DOCUMENTATION:    The Senior  Facilities  will be subject to the  execution of a
                  credit agreement (the "Credit Agreement")  containing suitable
                  provisions   mutually  acceptable  to  the  Borrower  and  the
                  Administrative   Agent,    including,    without   limitation,
                  representations  and  warranties,   conditions   precedent  to
                  effectiveness,   conditions   precedent  to  making  advances,
                  affirmative and negative  covenants and events of default,  as
                  outlined below.

REPRESENTATIONS
AND WARRANTIES:   Those  customarily  found in  credit  agreements  for  similar
                  financings and such additional  representations and warranties
                  as are appropriate under the circumstances,  including but not
                  limited to  representations  related to  corporate  existence,
                  financial   condition,   litigation,   no  breach,   corporate
                  authority, approvals,


                                     PAGE 4

<PAGE>


Confidential                                            MEDE AMERICA CORPORATION
- --------------------------------------------------------------------------------

                  ERISA,  taxes,  Investment  Company Act, credit agreements and
                  other material agreements,  investments,  compliance with laws
                  and regulations,  disclosure, assets, solvency, labor matters,
                  environmental  matters,  proprietary  rights,  real  property,
                  insurance and Year 2000 compliance.

CONDITIONS TO THE
CLOSING DATE:     Those  customarily  found in  credit  agreements  for  similar
                  financings and such  additional  conditions as are appropriate
                  under the circumstances, including but not limited to:

                      o    MedE's IPO occurs;
                      o    Repayment  and  cancellation  of existing bank credit
                           facilities and other indebtedness;
                      o    All documents and agreements signed and delivered;
                      o    No Event of Default or incipient default;
                      o    All representations and warranties are true as of the
                           date of each advance;
                      o    Satisfactory completion of legal due diligence.
                      o    No material  adverse change in operations,  business,
                           properties,  condition  (financial  or  otherwise) or
                           prospects of the Borrower or any of its  subsidiaries
                           taken as a whole ("Material Adverse Change");
                      o    No  material  adverse  effect in the  ability  of the
                           Borrower  to  perform  their  obligations  under  the
                           Senior Facilities;
                      o    No material adverse litigation

CONDITIONS TO EACH
 ADVANCE (INCLUDING
INITIAL ADVANCE)

                  o  No default of event of default under the Senior Facilities.

                  o  Continued   accuracy  in   all  material  respects  of  the
                     representations and warranties.

                  o  Advances    under the Term Loan A will be  subject  to: (i)
                     Bank  of  America's  prior written  approval of acquisition
                     target  in  a  parallel  line of  business,  (ii)  proforma
                     covenant   compliance    and  (iii)   both   MedE  and  the
                     acquisition target having Y2K compliant systems.

AFFIRMATIVE
COVENANTS:        Standard for the Administrative  Agent's similar financing and
                  such others as the  Administrative  Agent deems appropriate in
                  the  context  of  the  proposed  Transaction,   including  the
                  obtaining  of interest  rate  protection  in amounts,  and for
                  periods, to be determined.


                                     PAGE 5

<PAGE>



Confidential                                            MEDE AMERICA CORPORATION
- --------------------------------------------------------------------------------

FINANCIAL
 COVENANTS:       Usual and customary for  transactions  of this type  including
                  but not limited to:

                  1. Maximum Leverage Ratio of 2.0x

                  2. Minimum Interest Coverage Ratio of 3.0x

NEGATIVE
COVENANTS:        Standard for the Administrative  Agent's similar financing and
                  such others as the  Administrative  Agent deems appropriate in
                  the context of the proposed  Transaction,  including,  but not
                  limited to:

                  o   Year 2000 Compliance required by 8/1/99

                  o   Change of control (i.e.  Facilities must be reconfirmed in
                      the  event  that  an  entity   other  than  WCAS  and  its
                      affiliates assumes a controlling interest in the Company.)

                  o   Restrictions on lines of business.

                  o   Limitations   on  additional   indebtedness   and  leasing
                      obligations.

                  o   Restrictions on liens.

                  o   Limitations on investments.

                  o   Limitations  on dividends  and  repayment of certain other
                      indebtedness.

                  o   Restrictions  on  consolidations,  mergers,  acquisitions,
                      dissolutions, etc.

                  o   Restrictions on assets dispositions.

                  o   Restrictions on sale-leaseback transactions.

                  o   Loan proceeds not to be used in violation of Regulation U.

                  o   Restrictions on transactions with affiliates.

                  o   Restrictions on the payment of management fees.

EVENTS OF
DEFAULT:          Standard for the Administrative  Agent's similar financing and
                  such others as the Agent deems  appropriate  in the context of
                  the proposed Transaction.

INCREASED COSTS/
CHANGE OF
CIRCUMSTANCE/
CAPITAL ADEQUACY/
INDEMNITIES:      The  Credit  Agreement  shall  contain  customary   provisions
                  protecting  and  indemnifying  the  Lenders  in the  event  of
                  unavailability  of  funding,   illegality,   increased  costs,
                  capital adequacy charges and funding losses, and shall provide
                  for a withholding tax gross-up, and general indemnification of
                  the Administrative Agent, by the Borrower.


                                     PAGE 6

<PAGE>



Confidential                                            MEDE AMERICA CORPORATION
- --------------------------------------------------------------------------------


EXPENSES:         The Borrower  will pay all costs and expenses  incurred at any
                  time  by  the   Administrative   Agent   (including,   without
                  duplication, reasonable attorney's fees and allocated costs of
                  internal  counsel)  in  connection  with the  preparation  and
                  delivery of the Credit  Agreement  and all related  documents,
                  and  in  the  negotiation,  closing,  and  enforcement  of the
                  Facilities,  regardless of whether the Facilities  close.  The
                  Borrower  shall  also  pay  all  costs  and  expenses  of  the
                  Administrative  Agent  associated  with  amendments  and other
                  changes to the Credit Agreement, and all costs and expenses of
                  the  Lenders  in  the  collection  of the  obligations  of the
                  Borrower (including  reasonable  attorneys' fees and allocated
                  costs of internal counsel).

DOCUMENTATION:    Closing is subject to (among other  conditions  precedent) the
                  receipt by the  Administrative  Agent and the  Lenders of loan
                  documentation in form and substance satisfactory to them.

GOVERNING LAW:    State of New York.

This  Summary of Terms and  Conditions  (the "Term  Sheet")  does not attempt to
describe all of the terms and conditions  that would pertain to the  Facilities,
nor do its  terms  suggest  the  specific  phrasing  of  documentation  clauses.
Instead,  it is intended  to outline  certain  points of business  understanding
around which the  Facilities  will be  structured.  The closing of any financial
transaction  relating  to the  Facilities  would be subject to  definitive  loan
documentation  mutually acceptable to the Borrower and the Administrative  Agent
and would include various conditions  precedent,  including without  limitations
the conditions set forth above.



                                     PAGE 7





                                                                    EXHIBIT 10.7

                        NON-COMPETITION, NON-SOLICITATION
                          AND CONFIDENTIALITY AGREEMENT

                 THIS  AGREEMENT is made this ____ day of  __________,  1998, by
and between MEDE  AMERICA  CORPORATION  (the  "Company")  and  _________________
("Employee").

                 In  consideration  of the  employment  of the  Employee and the
salary and other  remuneration  and benefits paid by the Company to the Employee
while employed by the Company,  and other good and valuable  consideration,  the
receipt and  sufficiency  of which is hereby  acknowledged  by the parties,  the
parties agree:

                               1. NON-COMPETITION

                 (a) The  Employee  agrees  that the  Company  is engaged in the
highly-competitive  business of providing Healthcare Electronic Data Interchange
("EDI") services. The Employee agrees that due to the Employee's unique position
with the Company,  which encompasses,  among other things,  strategic  planning,
business  development,   promotion  of  shareholder  interests,  maintenance  of
positive investor  relations,  and the supervision of personnel related to these
functions,  engaging in any business which is directly or indirectly competitive
with the Company will cause the Company great and irreparable harm.

                 (b) The  Employee  agrees  that  the  Employee's  work  for the
Company has brought and will  continue to bring the Employee  into close contact
with  many of the  Company's  customers,  trade  secrets  and  confidential  and
proprietary  information.   The  Employee  further  agrees  that  the  covenants
contained in paragraph  1(d) of this  Agreement are  reasonable and necessary to
protect  the   Company's   legitimate   business   interests   in  its  customer
relationships, trade secrets and proprietary and confidential information

                 (c) The Employee agrees that while employed by the Company, the
Employee will  faithfully  devote the Employee's best efforts and entire time to
advance the interests of the Company and will not directly or indirectly, on the
Employee's own behalf or another's behalf,  engage in any manner in any business
relating to the provision of Healthcare EDI services,  other than as an employee
of the Company.

                                        1


<PAGE>



                 (d) The  Employee  agrees that for twelve (12) months after the
cessation of the Employee's employment with the Company, the Employee shall not,
directly or indirectly, on the Employee's own behalf or another's behalf, engage
in  or  perform,   strategic  planning,   business  development,   promotion  of
shareholder  interests,  maintenance  of positive  investor  relations,  and the
supervision  of  personnel  related  to  these  functions  in a  Healthcare  EDI
organization,  anywhere  within  the  United  States.  The  provisions  of  this
subparagraph   apply,   but  are  not  limited  to,  the   performance   of  the
above-described services for Envoy/NEIC, Inc. as an employee, officer, director,
partner or consultant.

                        2. NON-S0LICITATION OF CUSTOMERS

                 (a) The Employee agrees that while employed by the Company, the
Employee has had and will  continue to have contact with and become aware of the
Company's customers and the representatives of those customers,  their names and
addresses, specific customer needs and requirements, and leads and references to
prospective  customers.  The Employee further agrees that loss of such customers
will cause the Company great and irreparable harm.

                 (b) The Employee  agrees that, for twelve (12) months after the
cessation of employment,  the Employee will not directly or indirectly  solicit,
contact,  call  upon,  communicate  with or  attempt  to  communicate  with  any
customer, former customer or prospective customer of the Company for the purpose
of providing  Healthcare EDI services.  This restriction shall apply only to any
customer,  former customer or prospective  customer of the Company with whom the
Employee had contact during the Employee's  employment with the Company. For the
purposes of this paragraph, "contact" means interaction between the Employee and
the  customer,  former  customer or  prospective  customer  which takes place to
initiate,  develop or further the business relationship,  or performing services
for the  customer,  former  customer  or  prospective  customer on behalf of the
Company.

                        3. NON-SOLICITATION OF EMPLOYEES

                 The  Employee  agrees  that,  for as  long as the  Employee  is
employed by the Company and for twelve (12) months  after the  cessation  of the
Employee's employment, the Employee will not recruit, hire or attempt to recruit
or hire, directly or by assisting others, any other employee of the 


                                        2
<PAGE>


Company with whom the Employee had contact during the Employee's employment with
the Company. For the purposes of this paragraph, "contact" means any interaction
whatsoever between the Employee and the other employee.

                  4. TRADE SECRETS AND CONFIDENTIAL INFORMATION

                 (a) The Company's involvement in the business of Healthcare EDI
services has required and continues to require the  expenditure  of  substantial
amounts of money and the use of skills  developed over a long period of time. As
a result  of these  investments  of  money,  skill and  time,  the  Company  has
developed  and will  continue  to develop  certain  valuable  trade  secrets and
confidential  information  that are  peculiar  to the  Company's  business,  the
disclosure of which would cause the Company great and irreparable  harm. 

                 (b) The term "Trade  Secrets" means any scientific or technical
information, design, process, procedure, formula or improvement that is valuable
and not generally  known to the  Company's  competitors.  To the fullest  extent
consistent with the foregoing and otherwise lawful, Trade Secrets shall include,
without  limitation,  information  and  documentation  pertaining to the design,
specifications, capacity, testing, installation,  implementation and customizing
techniques and procedures  concerning the Company's  present and future products
and services.

                 (c) The  term  "Confidential  Information"  means  any  data or
information and  documentation,  other than Trade Secrets,  which is valuable to
the Company and not generally  known to the public,  including,  but not limited
to: 

                      i. Financial information, earnings, assets, debts, prices,
fee structures,  volumes of purchases or sales, or other financial data, whether
relating  to  the  Company  generally  or  to  particular  products,   services,
geographic areas or time periods;

                      ii.  Supply and service  information,  including,  but not
limited to, information  concerning the goods and services utilized or purchased
by the Company, the names and addresses of suppliers,  terms of supplier service
contracts or of particular transactions,  or related information about potential
suppliers,  to the extent that such  information  is not generally  known to the
public, and to the extent that the combination of suppliers or use of particular
suppliers, though 


                                        3
<PAGE>

generally  known or available,  yields  advantages to the Company the details of
which are not generally known;

                      iii. Marketing information, including, but not limited to,
details  about  ongoing or proposed  marketing  programs or  agreements by or on
behalf of the Company,  marketing  forecasts,  results of  marketing  efforts or
information about impending transactions;

                      iv. Personnel information,  including, but not limited to,
employees'  compensation  or  other  terms of  employment,  actual  or  proposed
promotions, hiring, resignations,  disciplinary actions, terminations or reasons
therefor, training methods, performance or other employee information; and,

                      v. Customer  information,  including,  but not limited to,
any  compilations  of  past,  existing  or  prospective  customers  or  customer
representatives,  customer  proposals or  agreements  between  customers and the
Company,  status of customer accounts or credit, customer preferences or related
information about actual or prospective customers.

                           5. NON-DISCLOSURE OF TRADE SECRETS

                              AND CONFIDENTIAL INFORMATION

                  The Employee  agrees,  except as specifically  required in the
performance  of the  Employee's  duties for the Company,  that the Employee will
not,  during the course of employment by the Company and for so long  thereafter
as the pertinent information or documentation remain Trade Secrets,  directly or
indirectly  use,  disclose or disseminate to any other person,  organization  or
entity or  otherwise  employ any Trade  Secrets.  The Employee  further  agrees,
except as specifically  required in the performance of the Employee's duties for
the Company,  that the Employee will not, during the course of employment by the
Company and for twelve  (12)  months  after the  cessation  of that  employment,
disclose or disseminate to any other person, organization or entity or otherwise
employ any Confidential Information.  The obligations set forth herein shall not
apply to any Trade Secrets or Confidential  Information  which shall have become
generally  known to competitors of the Company through no act or omission of the
Employee.

                                        4


<PAGE>


                              6. RETURN OF PROPERTY

                  The  Employee  agrees  to  deliver  to the  Company  upon  the
cessation of employment,  and at any other time upon the Company's request,  (i)
all memoranda,  notes,  records,  computer  programs,  computer files,  computer
equipment,  drawings  or other  documentation,  whether  made or compiled by the
Employee  alone or with others or made  available to the Employee while employed
by the Company, pertaining to Trade Secrets,  Confidential Information, and (ii)
all Trade  Secrets,  Confidential  Information  of the Company in the Employee's
possession.

                               9. WAIVER OF BREACH

                  The  Company's  waiver  of a breach of any  provision  of this
Agreement by the Employee does not waive any subsequent  breach by the Employee,
nor does the  Company's  failure to take action  against any other  employee for
similar breaches operate as a waiver by the Company of a breach.

                                11. SEVERABILITY

                  If any  provision  in this  Agreement is  determined  to be in
violation  of any  law,  rule  or  regulation  or  otherwise  enforceable,  such
determination  shall not  affect the  validity  of any other  provision  of this
Agreement, but such other provisions shall remain in full force and effect. Each
provision,  paragraph and subparagraph of this Agreement is severable from every
other  provision,  paragraph  and  subparagraph  and  constitutes a separate and
distinct covenant.

                                 12. SUCCESSORS

                  This Agreement  shall be binding upon and inure to the benefit
of the Company and its successors and assigns, and the Employee,  the Employee's
heirs, executors and administrators.

                              13. INJUNCTIVE RELIEF

                  The Employee understands,  acknowledges and agrees that in the
event of a breach or  threatened  breach of any of the  covenants  and  promises
contained  in this  Agreement,  the Company will suffer  irreparable  injury for
which there is no adequate  remedy at law,  and the Company  will  therefore  be
entitled  to  injunctive  relief  from  the  courts  enjoining  said  breach  or
threatened  breach  


                                        5
<PAGE>


pending arbitration, as provided in paragraph 14 of this Agreement. The Employee
further acknowledges that the Company also shall have the right to seek a remedy
at law as well as or in  lieu of  equitable  relief  in the  event  of any  such
breach.

                      16. ENTIRE AGREEMENT AND MODIFICATION

                 This Agreement  supersedes any and all prior understandings and
agreements   between  the  parties   concerning   restrictions  on  competition,
solicitation of customers and employees and confidentiality.  This Agreement may
not be altered or amended except in conformity with Paragraphs 10 and 11, above,
or in writing,  signed by the Employee and a representative  of the Company with
actual authority to effect such alteration or amendment.

                                17. CHOICE OF LAW

                  The parties agree that this Agreement is to be governed by and
construed  under New York law,  without regard to the conflicts or choice of law
provisions of New York.

                  IN WITNESS WHEREOF, the parties hereto have duly executed this
Agreement on the date first above mentioned.

MEDE AMERICA CORPORATION



By:
   -----------------------------               ---------------------------------
         [MedE Representative]                      Employee


                                               ---------------------------------
                                                    Witness



                                        6




                                                                    EXHIBIT 10.8


                  MEDE AMERICA CORPORATION AND ITS SUBSIDIARIES
              1998 STOCK OPTION AND RESTRICTED STOCK PURCHASE PLAN

                  Section  1.   Purpose.   The  purpose  of  the  MEDE   AMERICA
Corporation and its Subsidiaries 1998 Stock Option and Restricted Stock Purchase
Plan (the "Plan") is to promote the  interests of MEDE  AMERICA  Corporation,  a
Delaware  corporation  (the  "Company"),  and  any  Subsidiary  thereof  and the
interests of the Company's  stockholders by providing an opportunity to selected
Employees,  Consultants  and  Non-Employee  Directors of the Company to purchase
Common Stock of the Company, thereby enhancing the Company's ability to attract,
retain,  motivate and encourage such persons to devote their best efforts to the
business and financial success of the Company.  It is intended that this purpose
will be effected  by awards of  Non-Qualified  Stock  Options,  Incentive  Stock
Options, Restricted Stock and/or Unrestricted Stock.

                  Section  2.  Definitions.   For  purposes  of  the  Plan,  the
following  terms used herein  have the  following  meanings,  unless a different
meaning is clearly required by the context:

                  2.1.  "Administrator"  means  the  Board of  Directors  or any
Committees  that shall be  administering  the Plan in accordance  with Section 4
hereof.

                  2.2.  "Annual  Option"  means  a  Non-Qualified  Stock  Option
granted to a Non-  Employee  Director on the next  business day  following  each
annual meeting of stockholders at which such Non-Employee Director is elected as
a  Director,  other  than the  annual  meeting  of  stockholders  at which  such
Non-Employee Director is initially elected a Director.

                  2.3.  "Applicable Laws" means the legal requirements  relating
to the  administration of stock option plans under state corporate laws, federal
and state securities laws and the Code.

                  2.4.  "Award"  means any award of an Option or Stock under the
Plan.

                  2.5.  "Board of Directors" means the Board of Directors of the
Company.

                  2.6.  "Code"  means  the  Internal  Revenue  Code of 1986,  as
amended from time to time.

                  2.7.  "Committee" means any committee appointed by  the  Board
of Directors in accordance with Section 4 of the Plan.



<PAGE>



                  2.8.  "Common Stock" means the  Common Stock, $.01 par  value,
of the Company.

                  2.9.  "Consultant"  means any  person,  including  an advisor,
engaged  by the  Company  or a Parent or  Subsidiary  of the  Company  to render
services  and who is  compensated  for  such  services;  provided  that the term
"Consultant"  shall not include  Directors who are paid only a director's fee by
the Company or who are not  compensated  by the  Company  for their  services as
Directors.

                  2.10.  "Designated   Beneficiary"   means    the   beneficiary
designated by a Participant,  in a manner  determined by the  Administrator,  to
receive  amounts due or exercise  rights of the  Participant in the event of the
Participant's   death.  In  the  absence  of  an  effective   designation  by  a
Participant, Designated Beneficiary shall mean the Participant's estate.

                  2.11.  "Director  Option" means an Initial Option or an Annual
Option..

                  2.12.  "Director" means any member of the Board of Directors.

                  2.13.  "Employee"   means  any   person,   including   without
limitation,  an officer of the  Company,  who, is employed by the Company or any
Parent or Subsidiary of the Company.  Neither  service as a Director nor payment
of a director's fee by the Company shall constitute "employment" by the Company.

                  2.14.  "Fair Market Value" means, as of any date, the value of
Common Stock determined as follows:

                         (i) If the  Common  Stock is listed on any  established
stock exchange or a national  market system,  including  without  limitation the
National Market System of the National  Association of Securities Dealers,  Inc.
Automated  Quotation  ("NASDAQ")  System,  the Fair  Market  Value of a share of
Common  Stock  shall be the  closing  sales price for such stock (or the closing
bid, if no sales were  reported)  as quoted on such  system or exchange  (or the
exchange with the greatest volume of trading in Common Stock) on the last market
trading  day prior to the day of  determination,  as reported in the Wall Street
Journal or such other source as the Administrator deems reliable;

                         (ii) If the Common Stock is quoted on the NASDAQ System
(but not on the National  Market  System  thereof) or is  regularly  quoted by a
recognized  securities  dealer but  selling  prices are not  reported,  the Fair
Market  Value of a share of Common  Stock shall be the average  between the high
bid and low asked  prices for the Common  Stock on the last  market  trading day
prior to the day of  determination,  as reported  in the Wall Street  Journal or
such other source as the Administrator deems reliable; or


                                        2

<PAGE>



                         (iii) In the absence of an  established  market for the
Common  Stock,  the Fair Market Value shall be  determined  in good faith by the
Administrator.

                  2.15.  "Incentive  Stock Option" means an Option  granted to a
Participant  pursuant  to Section 6  (including  Section 6.7  thereof)  which is
intended to meet the  requirements  of Section 422 of the Code or any  successor
provision.

                  2.16.  "Initial  Option"  means a  Non-Qualified  Stock Option
granted pursuant to Section 6.8 to a Non-Employee Director on the first business
day following his or her initial election to the Board of Directors.

                  2.17.  "Non-Employee Director"  means a Director who is not an
employee of the Company or any Parent,  Subsidiary  or  affiliate of the Company
and is not (and is not affiliated  with) a beneficial owner of 5% or more of the
voting stock of the Company.

                  2.18.  "Non-Qualified Stock Option" means an Option granted to
a  Participant  pursuant to Section 6 that is not  intended  to be an  Incentive
Stock Option.

                  2.19.   "Option"   means  any   Incentive   Stock   Option  or
Non-Qualified Stock Option.

                  2.20. "Parent" of the Company shall have the meaning set forth
in Section 424(e) of the Code.

                  2.21.   "Participant"   means  any  Employee,   Consultant  or
Non-Employee Director to whom an Award is granted under the Plan.

                  2.22. "Restricted Period" means the period of time selected by
the  Administrator  during which shares subject to an Award of Restricted  Stock
may be repurchased by or forfeited to the Company.

                  2.23.  "Reporting  Person" means a Participant that is subject
to  Section  16(a) of the  Securities  Exchange  Act of 1934,  as  amended  (the
"Exchange Act").

                  2.24.  "Restricted Stock" means shares of Common Stock awarded
to a Participant under Section 7.

                  2.25. "Stock" means shares of Restricted Stock or Unrestricted
Stock.

                  2.26.  "Subsidiary"  of the Company shall have the meaning set
forth in Section 424(f) of the Code.

                  2.27.  "Unrestricted  Stock"  means  shares  of  Common  Stock
awarded to a  Participant  under  Section 7 free of any  restrictions  under the
Plan.

                                        3




<PAGE>



                  Section 3.  Common Stock Subject to the Plan.

                  3.1.  Number of Shares.  The total  number of shares of Common
Stock for which  Awards  may be  granted  under the Plan shall not exceed in the
aggregate  [1,500,000  (###)]  shares of Common Stock  (subject to adjustment as
provided in Section 3.3 hereof). The Company, during the term of this Plan, will
at all times reserve and keep available such number of shares of Common Stock as
shall be sufficient to satisfy the requirements of the Plan.

                  3.2.  Reissuance.  The  shares  of  Common  Stock  that may be
subject to Awards under the Plan may be either authorized and unissued shares or
shares reacquired at any time and now or hereafter held as treasury stock as the
Administrator may determine.  In the event that any outstanding  Option expires,
is terminated,  forfeited or becomes unexercisable for any reason without having
been exercised in full, the shares allocable to the unexercised  portion of such
Option may again be subject to an Award under the Plan,  subject, in the case of
Incentive Stock Options,  to any limitation  required by the Code. If any shares
of Common Stock  issued or sold  pursuant to a Stock award or the exercise of an
Option shall have been  repurchased  by the Company,  then such shares shall not
again be available for future grant or award under the Plan.

                  3.3.   Stock   Dividends,   Etc..   In  the  event   that  the
Administrator,  in its sole  discretion,  determines  that any  stock  dividend,
extraordinary   cash   dividend,   recapitalization,   reorganization,   merger,
consolidation,  split-up,  spin-off,  combination  or other similar  transaction
affects  the  Common  Stock  such that an  adjustment  is  required  in order to
preserve or prevent  enlargement of the benefits or potential  benefits intended
to be made available under the Plan,  then the  Administrator,  subject,  in the
case of Incentive Stock Options,  to any limitation required under the Code, may
equitably  adjust  any or all of (i) the number and kind of shares in respect of
which  Awards  may be made  under the Plan,  (ii) the  number and kind of shares
subject to outstanding Awards and (iii) the award,  exercise or conversion price
with  respect  to any of the  foregoing,  and  if  considered  appropriate,  the
Administrator may cause the number of shares subject to any Award always to be a
whole number.

                  The   Administrator   may  make  Awards   under  the  Plan  in
substitution  for stock and stock  based  awards  held by  employees  of another
corporation who  concurrently  become  employees of the Company as a result of a
merger or consolidation of the employing company with the Company or a Parent or
Subsidiary  of the  Company  or the  acquisition  by the  Company or a Parent or
Subsidiary of the Company of property or stock of the employing corporation. The
substitute  Awards  shall  be  granted  on  such  terms  and  conditions  as the
Administrator deems appropriate under the circumstances.





                                        4

<PAGE>



                  Section 4.  Administration of the Plan.

                  4.1.     Procedure.

                  (a)      Multiple  Administrative  Bodies.  The  Plan  may  be
         administered by different  Committees with respect to different  groups
         of Participants.

                  (b)      Section 162(m).  To the extent that the Administrator
         determines it to be desirable to qualify Options  granted  hereunder as
         "performance-based  compensation"  within the meaning of Section 162(m)
         of the Code, the Plan shall be administered  by a Committee  consisting
         of two or more Non-Employee Directors.

                  (c)      Rule  16b-3.  To the  extent  that the  Administrator
         determines  it to be  desirable  to qualify  transactions  hereunder as
         exempt  under  Rule  16b-3  of  the  Exchange  Act,  the   transactions
         contemplated  hereunder shall be structured to satisfy the requirements
         for exemption under Rule 16b-3.

                  (d)      Other  Administration.  Other than as provided above,
         the Plan shall be  administered by (i) the Board of Directors or (ii) a
         Committee,  which committee shall be constituted to satisfy  Applicable
         Laws.

                  4.2.     Powers   of  the   Administrator.   Subject   to  the
provisions of the Plan, and in the case of a Committee,  subject to the specific
powers delegated by the Board of Directors to such Committee,  the Administrator
shall have the authority, in its discretion:

                  (a)      to  determine  the Fair  Market  Value of the  Common
         Stock, in accordance with Section 2.14 of the Plan;

                  (b)      to  select  the  Employees  and  Consultants  to whom
         Awards may be granted hereunder;

                  (c)      to  determine  whether and to what  extent  awards of
         Options and Stock, or any combination thereof, are granted hereunder;

                  (d)      to determine  the number of shares of Common Stock to
         be covered by each Award made hereunder;

                  (e)      to determine  the amount (not less than par value per
         share) and the form of the  consideration  that may be used to purchase
         shares of Common Stock  pursuant to any Stock award or upon exercise of
         any Option  (including,  without  limitation,  the circumstances  under
         which  issued  and  outstanding  shares  of  Common  Stock  owned  by a
         Participant may be used by the Participant to exercise an Option);

                                        5




<PAGE>



                  (f)      to  approve  forms of  agreements  for use  under the
         Plan;

                  (g)      to   determine   the   terms  and   conditions,   not
         inconsistent  with  the  terms  of  the  Plan,  of  any  Award  granted
         hereunder,  including without limitation,  the exercise price, the time
         or  times  when  Options  may  be  exercised  (which  may be  based  on
         performance   criteria),   any  vesting,   acceleration  or  waiver  of
         forfeiture restrictions and any restriction or limitation regarding any
         Award or the shares of Common  Stock  relating  thereto,  based in each
         case on such  factors  as the  Administrator,  in its sole  discretion,
         shall determine;

                  (h)      to reduce  the  exercise  price of any  Option to the
         then  current  Fair Market Value if the Fair Market Value of the Common
         Stock  covered by such Option  shall have  declined  since the date the
         Option was granted;

                  (i)      to construe and interpret the terms of the Plan:

                  (j)      to prescribe, amend and rescind rules and regulations
         relating to the Plan;

                  (k)      to modify or amend the terms of any Award;

                  (l)      to  accelerate   vesting   periods  with  respect  to
         outstanding  Options and the end of Restricted  Periods with respect to
         Stock Awards;  provided,  however, that any Incentive Stock Options may
         only be"accelerated" in accordance with Section 424(h) of the Code;

                  (m)      to  authorize  any person to execute on behalf of the
         Company  any  instrument  required  to effect any Award  granted by the
         Administrator; and

                  (n)      to  exercise   all  other   powers   granted  to  the
         Administrator under the Plan and make all other  determinations  deemed
         necessary or advisable for administering the Plan.

                  4.3.     Effect    of    Administrator's     Decision.     The
         Administrator's decisions,  determinations and interpretations shall be
         final and binding on all  Participants and any other holders of Options
         or Stock awarded under the Plan .

                  4.4.     Expenses,  Etc. All expenses and liabilities incurred
         by the  Administrator in the  administration of the Plan shall be borne
         by the Company.  The Administrator  may employ attorneys,  consultants,
         accountants or other persons in connection with the  administration  of
         the  Plan.  The  Company,  and its  officers  and  directors,  shall be
         entitled to rely upon the advice,  opinions or  valuations  of any such
         persons. No member of the Administrator shall be liable for any action,
         determination  or  interpretation  taken  or made in  good  faith  with
         respect to the Plan or any Award granted thereunder.



                                        6


<PAGE>



                  Section 5. Eligibility. Awards may be granted to any Employee,
Consultant  or  Non-Employee  Director.  The  Administrator  shall have the sole
authority to select the Employees and Consultants to whom  discretionary  Awards
are to be granted hereunder,  and to determine whether a person is to be granted
a Non-Qualified  Stock Option,  an Incentive Stock Option,  Restricted  Stock or
Unrestricted  Stock, or any combination  thereof.  Non-Employee  Directors shall
only be eligible to receive grants of  Non-Qualified  Stock Options  pursuant to
Section  6.8 of the Plan.  No  person  other  than an  Employee,  Consultant  or
Non-Employee  Director  shall  have any right to  participate  in the Plan.  Any
person selected by the  Administrator  for  participation  during any one period
will not by virtue of such  participation  have the  right to be  selected  as a
Participant  for any other period.  The maximum number of shares of Common Stock
which may be the subject of Awards  granted to any one  employee  under the Plan
during any calendar year shall be 300,000 shares. For this purpose, the grant of
a new Award in substitution for outstanding Awards shall be deemed to constitute
a new grant, separate from the original grant that is to be canceled.  Incentive
Stock Options may be granted only to persons eligible to receive Incentive Stock
Options under the Code.

                  Section 6.  Options.

                  6.1. Subject to the provisions of the Plan, the  Administrator
may award Incentive Stock Options and Non-Qualified Stock Options, and determine
the number of shares to be covered by each Option, the option price therefor and
the conditions  and  limitations  applicable to the exercise of the Option.  The
terms and  conditions of Incentive  Stock Options shall be subject to and comply
with Section 422 of the Code, or any successor  provision,  and any  regulations
thereunder.

                  6.2.  Exercise Price.  The  Administrator  shall establish the
exercise  price of each Option at the time such  Option is  awarded.  Such price
shall not be less than 85% of the Fair Market  Value of the Common  Stock on the
date of grant;  provided that (i) in the case of an Incentive Stock Option,  the
exercise  price  shall  not be less than  100% of the Fair  Market  Value of the
Common Stock at the time of grant and (ii) in the case of a Non-Qualified  Stock
Option  intended  to  qualify  as  "performance-based  compensation"  within the
meaning of Section 162(m) of the Code, the exercise price shall not be less than
100% of the Fair Market Value at the time of grant.

                  6.3.  Vesting.  Each Option shall be exercisable at such times
and subject to such terms and conditions as the Administrator may specify in the
applicable  Option agreement or thereafter.  The  Administrator  may impose such
conditions  with  respect  to the  exercise  of  Options,  including  conditions
relating  to  applicable  federal  or state  securities  laws,  as it  considers
necessary or advisable.

                  6.4.  Payment.  Options granted under the Plan may provide for
the  payment of the  exercise  price by  delivery  of cash or check in an amount
equal to the exercise  price of such Options or, to the extent  permitted by the
Administrator at or after the award of the Option, by



                                        7


<PAGE>



(a)  delivery of shares of Common Stock owned by the  optionee,  valued at their
Fair  Market  Value on the  date of such  option  exercise,  (b)  delivery  of a
promissory  note of the  optionee  to the  Company  on terms  determined  by the
Administrator, (c) delivery of an irrevocable undertaking by a broker to deliver
promptly to the Company  sufficient  funds to pay the exercise price or delivery
of irrevocable  instructions to a broker to deliver promptly to the Company cash
or a check  sufficient  to pay the  exercise  price,  (d)  payment of such other
lawful  consideration as the  Administrator may determine or (e) any combination
of the  foregoing.  In the event an  optionee  pays some or all of the  exercise
price of an Option by delivery of shares of Common  Stock  pursuant to clause(a)
above, the Administrator may provide for the automatic award of an Option for up
to the number of shares so delivered.

                  6.5. Transferability. Each Option granted under the Plan shall
provide that neither it nor any interest  therein may be transferred,  assigned,
pledged or  hypothecated,  by the optionee or by operation of law otherwise than
by will, the laws of descent and distribution or a "qualified domestic relations
order" (as defined in the Code),  and shall be exercised  during the lifetime of
the optionee only by the optionee or a transferree pursuant to such a "qualified
domestic  relations  order".  No Option or  interest  therein  may be or be made
subject to execution, attachment or similar process.

                  6.6.  Cancellation  and New  Grant of  Options.  The  Board of
Directors shall have the authority to effect, at any time and from time to time,
with the consent of the affected  optionees,  (i) the cancellation of any or all
outstanding options under the Plan and the grant in substitution therefor of new
Options  under the Plan  covering  the same or  different  numbers  of shares of
Common Stock and having an option exercise price per share which may be lower or
higher than the  exercise  price per share of the  canceled  Options or (ii) the
amendment  of the  terms of any and all  outstanding  Options  under the Plan to
provide  an option  exercise  price per share  which is higher or lower than the
then current exercise price per share of such outstanding Options.

                  6.7.  Incentive Stock Options.  Options granted under the Plan
which are  intended  to be  Incentive  Stock  Options  shall be  subject  to the
following additional terms and conditions:

                        (a) All Incentive  Stock Options  granted under the Plan
shall, at the time of grant,  be  specifically  designated as such in the option
agreement  covering such Incentive Stock Options.  The exercise period shall not
exceed ten years from the date of grant.

                        (b) If any Employee to whom an Incentive Stock Option is
to be granted  under the Plan is, at the time of the grant of such  option,  the
owner of stock  possessing  more than 10% of the total combined  voting power of
all classes of stock of the Company  (after taking into account the  attribution
of stock  ownership  rule of  Section  424(d) of the Code),  then the  following
special  provisions shall be applicable to the Incentive Stock Option granted to
such individual:



                                        8


<PAGE>




                           (i) The purchase  price per share of the Common Stock
         subject to such  Incentive  Stock Option shall not be less than 110% of
         the Fair  Market  Value of one  share  of  Common  Stock at the time of
         grant; and

                           (ii) The Option exercise period shall not exceed five
         years from the date of grant.

                           (c) For so long as the Code shall so provide, options
granted to any  Employee  under the Plan (and any other  incentive  stock option
plans of the  Company or its  Subsidiaries)  which are  intended  to  constitute
Incentive  Stock Options  shall not  constitute  Incentive  Stock Options to the
extent that such Options,  in the aggregate,  become  exercisable  for the first
time in any one calendar year for shares of Common Stock with an aggregate  Fair
Market Value  (determined as of the  respective  date or dates of grant) of more
than $100,000.

                           (d)  No  Incentive  Stock  Option  may  be  exercised
unless,  at the  time  of such  exercise,  the  Participant  is,  and  has  been
continuously  since  the  date of grant of his or her  Option,  employed  by the
Company, except that:

                            (i) an Incentive  Stock Option may be exercised  (to
         the  extent  exercisable  on the date the  Participant  ceased to be an
         Employee of the Company or a Parent or Subsidiary) within the period of
         three months after the date the Participant ceases to be an employee of
         the Company or such Parent or Subsidiary  (or within such lesser period
         as may be specified in the applicable option agreement); provided, that
         the  agreement  with  respect  to such  Option may  designate  a longer
         exercise  period and that the exercise  after such  three-month  period
         shall be treated as the exercise of a Non-Qualified  Stock Option under
         the Plan;

                           (ii) if the  Participant  dies while in the employ of
         the Company,  or within three months after the Participant ceases to be
         an  Employee,  the  Incentive  Stock  Option (to the  extent  otherwise
         exercisable on the date of death) may be exercised by the Participant's
         Designated  Beneficiary within the period of one year after the date of
         death  (or  within  such  lesser  period  as  may be  specified  in the
         applicable Option agreement); and

                           (iii) if the Participant becomes disabled (within the
         meaning  of Section  22(e)(3)  of the Code or any  successor  provision
         thereto) while in the employ of the Company, the Incentive Stock Option
         may be exercised (to the extent  otherwise  exercisable  on the date of
         death) within the period of one year after the date of such  disability
         (or  within  such  lesser  period  as may be  specified  in the  Option
         agreement).  In  the  event  of the  Participant's  death  during  this
         one-year  period,  the  Incentive  Stock Option may be exercised by the
         Participant's Designated Beneficiary within the period of one year from
         the date the  Participant  became disabled or within such lesser period
         as may be specified in the applicable Option agreement.



                                        9

<PAGE>



For all purposes of the Plan and any Option granted hereunder,  (i) "employment"
shall be defined in accordance with the provisions of Section  1.421-7(h) of the
Treasury Regulations under the Code (or any successor  regulations) and (ii) any
Option  may  provide  that if such  Option  shall  be  assumed  or a new  Option
substituted  therefor  in a  transaction  to which  Section  424(a)  of the Code
applies,  employment  by such  assuming  or  substituting  corporation  shall be
considered  for all  purposes of such Option to be  employment  by the  Company.
Notwithstanding  the  foregoing  provisions,  no  Incentive  Stock Option may be
exercised after its expiration date.

                  6.8. Non-Employee Director Options.  Director Options shall be
automatic and subject to the following additional terms and conditions:

                       (a) All Director  Options  shall be  Non-Qualified  Stock
Options.

                       (b)  Each  Non-Employee  Director  shall  be  granted  an
Initial  Option to purchase  1,000  shares of Common Stock on the date of his or
her initial election to the Board of Directors, and an Annual Option to purchase
1,000 shares of Common  Stock on the next  business  day  following  each annual
meeting of stockholders.

                       (c) The exercise  price of each  Director  Option will be
100% of the Fair Market Value at the time of grant.

                       (d) Director Options shall become  exercisable six months
after the time of grant. The exercise period shall not exceed ten years from the
date of grant,  provided that subject to the  provisions of Section  6.8(e),  no
Director  Option may be exercised more than 90 days after the optionee ceases to
serve as a director of the Company.

                       (e) if a Non-Employee  Director dies or becomes  disabled
becomes  disabled  (within  the  meaning of Section  22(e)(3) of the Code or any
successor provision thereto) while a director of the Company,  the Option may be
exercised  (to the extent  otherwise  exercisable  on the date of  disability or
death),  by such disabled  director or, in the case of death,  by the director's
Designated  Beneficiary,  in each case  within  the period of one year after the
date of disability or death (or within such lesser period as may be specified in
the applicable Option agreement).

                  Section 7. Restricted And Unrestricted Stock.

                  7.1.  General.   The  Board  of  Directors  may  grant  Awards
entitling  recipients to acquire shares of Common Stock, subject to the right of
the Company to repurchase all or part of such shares at their purchase price (or
to require forfeiture of such shares if purchased at no cost) from the recipient
in the event that conditions  specified by the  Administrator  in the applicable
Award are not satisfied prior to the end of the applicable  Restricted Period or
Restricted Periods  established by the Administrator for such Award.  Conditions
for repurchase (or forfeiture) may be

                                       10




<PAGE>



based on continuing  employment  or service or  achievement  of  pre-established
performance or other goals and objectives.

                  7.2.  Restricted Stock.  Shares of Restricted Stock may not be
sold,  assigned,  transferred,   pledged  or  otherwise  encumbered,  except  as
permitted by the Administrator,  during the applicable Restricted Period. Shares
of Restricted  Stock shall be evidenced in such manner as the Board of Directors
may determine.  Any certificates issued in respect of shares of Restricted Stock
shall  be  registered  in the  name of the  Participant  and,  unless  otherwise
determined by the Board of  Directors,  deposited by the  Participant,  together
with a stock power endorsed in blank, with the Company (or its designee). At the
expiration  of the  Restricted  Period,  the  Company (or such  designee)  shall
deliver such certificates to the Participant or, if the Participant has died, to
the Participant's Designated Beneficiary.

                  7.3.  Unrestricted  Stock. The Administrator  may, in its sole
discretion,  grant  (or sell at a  purchase  price  determined  by the  Board of
Directors, which shall not be lower than 85% of Fair Market Value on the date of
sale) Unrestricted Stock to Participants.

                  7.4. Payment.  The purchase price for each share of Restricted
Stock and Unrestricted  Stock shall be determined by the  Administrator  and may
not be less than the par value of the Common Stock.  Such purchase  price may be
paid in the form of past  services  or such  other  lawful  consideration  as is
determined by the Board of Directors.

                  7.5. Certificates.  Stock certificates  representing Shares of
Restricted  Stock or  Unrestricted  Stock shall bear a legend  referring  to any
restrictions  imposed  thereon and such other matters as the  Administrator  may
determine.

                  7.6.   Acceleration.   The   Administrator  may  at  any  time
accelerate  the expiration of the  Restricted  Period  applicable to all, or any
particular, outstanding shares of Restricted Stock.

                  Section 8.        General Provisions Applicable to Awards.

                  8.1. Applicability of Rule 16b-3. Those provisions of the Plan
which make an express reference to Rule 16b-3 shall apply to the Company only at
such time as the Company's Common Stock is registered under the Exchange Act, or
any successor provision, and then only with respect to Reporting Persons.

                  8.2.  Documentation.  Each  Award  under  the  Plan  shall  be
evidenced by an instrument delivered to the Participant specifying the terms and
conditions   thereof  and  containing   such  other  terms  and  conditions  not
inconsistent  with the  provisions  of the Plan as the  Administrator  considers
necessary or advisable.  Such instruments may be in the form of agreements to be
executed by both the Company and the Participant, or certificates, letters or



                                       11


<PAGE>



similar  documents,  acceptance  of which will  evidence  agreement to the terms
thereof and of this Plan.

                  8.3. Administrator Discretion.  Each type of Award may be made
alone,  in addition  to or in relation to any other type of Award.  The terms of
each type of Award need not be identical,  and the Administrator  need not treat
Participants uniformly.

                  8.4.  Termination  of  Status.  Subject to the  provisions  of
Section  6, the  Administrator  shall  determine  the  effect on an Award of the
disability, death, retirement,  authorized leave of absence or other termination
of employment or other status of a Participant and the extent to which,  and the
period  during  which,  the  Participant's  legal  representative,  guardian  or
Designated Beneficiary may exercise rights under such Award.

                  8.5.  Mergers,  Etc. In the event of a consolidation or merger
or sale of all or  substantially  all of the  assets  of the  Company  in  which
outstanding  shares of Common Stock are exchanged for securities,  cash or other
property of any other  corporation or business  entity (an  "Acquisition"),  the
Board of Directors or the board of  directors  of any  corporation  assuming the
obligations of the Company, may, in its discretion,  take any one or more of the
following actions as to outstanding  Awards:  (i) provide that such Awards shall
be assumed,  or  substantially  equivalent  Awards shall be substituted,  by the
acquiring or succeeding  corporation (or an affiliate  thereof) on such terms as
the Board of Directors determines to be appropriate; (ii) upon written notice to
Participants,  provide that all unexercised  Options will terminate  immediately
prior  to  the  consummation  of  such  transaction   unless  exercised  by  the
Participant  within a specified period following the date of such notice;  (iii)
in the event of an  Acquisition  under the terms of which  holders of the Common
Stock of the Company will receive upon  consummation  thereof a cash payment for
each share  surrendered in the Acquisition (the  "Acquisition  Price"),  make or
provide for a cash payment to Participants  equal to the difference  between (A)
the  Acquisition  Price  times the number of shares of Common  Stock  subject to
outstanding  Options (to the extent then  exercisable at prices not in excess of
the  Acquisition  Price)  and (B)  the  aggregate  exercise  price  of all  such
outstanding  Options in exchange for the  termination of such Options;  and (iv)
provide  that  all  or  any  outstanding  Awards  shall  become  exercisable  or
realizable in full prior to the effective date of such Acquisition.

                  8.6. Dissolution or Liquidation.  In the event of the proposed
dissolution or liquidation of the Company,  to the extent that an Option has not
been  previously   exercised,   it  will  terminate  immediately  prior  to  the
consummation  of such  proposed  action.  The  Board of  Directors  may,  in the
exercise of its sole discretion in such instances,  declare that any Award shall
terminate as of a date fixed by the Board of Directors and give each Participant
the right to exercise  his or her Option as to all or any of the shares  subject
thereto,  including  shares  as to which  the  Option  would  not  otherwise  be
exercisable,  or may accelerate the termination of the Restricted  Period of any
Stock Award.



                                       12


<PAGE>



                  8.7. Withholding. The Participant shall pay to the Company, or
make  provision  satisfactory  to the  Administrator  for  payment of, any taxes
required by law to be withheld in respect of Awards under the Plan no later than
the  date of the  event  creating  the  tax  liability.  In the  Administrator's
discretion,  and subject to such conditions as the  Administrator may establish,
such tax  obligations may be paid in whole or in part in shares of Common Stock,
including shares retained from the Award creating the tax obligation,  valued at
their Fair Market Value. The Company may, to the extent permitted by law, deduct
any such tax  obligations  from any  payment  of any kind  otherwise  due to the
Participant.

                  8.8. Foreign Nationals. Awards may be made to Participants who
are foreign  nationals or employed  outside the United  States on such terms and
conditions  different  from  those  specified  in the Plan as the  Administrator
considers  necessary  or advisable to achieve the purposes of the Plan or comply
with applicable laws.

                  8.9.  Amendment of Award.  The Board of  Directors  may amend,
modify or terminate  any  outstanding  Award,  including  substituting  therefor
another Award of the same or a different type,  changing the date of exercise or
realization and converting an Incentive  Stock Option to a  Non-Qualified  Stock
Option; provided that the Participant's consent to such action shall be required
unless the Board of Directors  determines  that the action,  taking into account
any related action, would not materially and adversely affect the Participant.

                  8.10. Conditions on Delivery of Common Stock. The Company will
not be obligated  to deliver any shares of Common Stock  pursuant to the Plan or
to remove restrictions from shares previously delivered under the Plan (i) until
all conditions of the Award have been satisfied or removed;  (ii) until,  in the
opinion of the  Company's  counsel,  all  applicable  federal and state laws and
regulations have been complied with; (iii) if the outstanding Common Stock is at
the time listed on any stock  exchange or admitted  for trading on an  automatic
quotation  system,  until  the  shares  to be  delivered  have  been  listed  or
authorized  to be listed or quoted on such  exchange  or  quotation  system upon
official notice of notice of issuance; and (iv) until all other legal matters in
connection  with the issuance and delivery of such shares have been  approved by
the Company's counsel. If the sale of Common Stock has not been registered under
the Securities Act of 1933, as amended,  the Company may require, as a condition
to exercise of the Award, such  representations or agreements as the Company may
consider  appropriate  to avoid  violation  of such act and may require that the
certificates evidencing such Common Stock bear an appropriate legend restricting
transfer.

                  Section 9.        Miscellaneous

                  9.1. No Right To Employment  or Other Status.  The grant of an
Award shall not be  construed  as giving a  Participant  the right to  continued
employment or service for the Company.  The Company expressly reserves the right
at any time to dismiss a Participant  free from any liability or claim under the
Plan, except as expressly provided in the applicable Award.



                                       13


<PAGE>



                  9.2. No Rights As  Stockholder.  Subject to the  provisions of
the applicable  Award, no Participant or Designated  Beneficiary  shall have any
rights as a  stockholder  with  respect  to any  shares  of  Common  Stock to be
distributed under the Plan until he or she becomes the record holder thereof.

                  9.3. Exclusion from Benefit  Computations.  No amounts payable
upon exercise of Awards granted under the Plan shall be considered salary, wages
or compensation to Participants for purposes of determining the amount or nature
of benefits that Participants are entitled to under any insurance, retirement or
other benefit plans or programs of the Company.

                  9.4. Inability  to Obtain  Authority.  The  inability  of  the
Company to obtain authority from any regulatory body having jurisdiction,  which
authority  is deemed by the  Company's  counsel  to be  necessary  to the lawful
issuance  and sale of any shares  hereunder,  shall  relieve  the Company of any
liability  in  respect of the  failure to issue or sell such  shares as to which
such requisite authority shall not have been obtained.

                  9.5. Grants Exceeding Allotted Shares. If the shares of Common
Stock covered by an Award exceeds, as of the date of grant, the number of Shares
which may be issued under the Plan without additional shareholder approval, such
Award shall be void with respect to such excess  stock,  unless such  additional
shareholder approval is obtained in a timely manner.

                  9.6. Effective Date and Term.

                       (i) Effective  Date.  The Plan shall become  effective on
July ,  1998,  the  date of its  adoption  by the  Board  of  Directors,  but no
Incentive  Stock Option granted under the Plan shall become  exercisable  unless
and until the Plan shall have been  approved by the Company's  stockholders.  If
such stockholder approval is not obtained within twelve months after the date of
the Board of  Director's  adoption of the Plan,  no Options  previously  granted
under the Plan shall be deemed to be  Incentive  Stock  Options and no Incentive
Stock Options shall be granted thereafter under the Plan. Amendments to the Plan
not requiring  stockholder  approval shall become  effective when adopted by the
Board of  Directors;  amendments  requiring  stockholder  approval  shall become
effective when adopted by the Board of Directors,  but no Incentive Stock Option
granted after the date of such amendment shall become exercisable (to the extent
that such amendment to the Plan was required to enable the Company to grant such
Incentive Stock Option to a particular optionee) unless and until such amendment
shall have been  approved by the  Company's  stockholders.  If such  stockholder
approval  is not  obtained  within  twelve  months  of the  Board of  Director's
adoption of such amendment,  any Incentive Stock Options granted on or after the
date of such amendment  shall terminate to the extent that such amendment to the
Plan was  required to enable the  Company to grant such  Option to a  particular
optionee.  Subject to the limitations set forth in this Section 9(d), Awards may
be made under the Plan at any time after the effective  date and before the date
fixed for termination of the Plan.



                                       14


<PAGE>


                       (ii)  Termination.  The  Plan  shall  terminate  upon the
earlier  of (i) the  close of  business  on the day  next  preceding  the  tenth
anniversary of the date of its adoption by the Board of Directors, (ii) the date
on which all shares available for issuance under the Plan shall have been issued
pursuant to Awards under the Plan, or (iii) by action of the Board of Directors.
No Award may be granted hereunder after termination of the Plan. The termination
or  amendment  of the Plan shall not alter or impair  any rights or  obligations
under theretofore granted under the Plan.

                  9.7. Amendment  of Plan.  The Board of  Directors  may  amend,
suspend or terminate the Plan or any portion thereof at any time;  provided that
no amendment  shall be made  without  stockholder  approval if such  approval is
necessary to comply with any applicable tax or regulatory requirement.  Prior to
any such approval,  Awards may be made under the Plan expressly  subject to such
approval.

                  9.8. Governing  Law.  The  provisions  of the  Plan  shall  be
governed  by and  interpreted  in  accordance  with  the  laws of the  State  of
Delaware.

                          *****************************





                                       15


                                                                    EXHIBIT 23.1

             INDEPENDENT AUDITORS' CONSENT AND REPORT ON SCHEDULE

MEDE America Corporation
East Meadow, New York

   

We consent to the use in Amendment No. 1 to Registration Statement No. 333-55977
of MEDE  America  Corporation  on Form S-1 of our report dated May 8, 1998 (June
17, 1998 as to Note 13) relating to the  consolidated  financial  statements  of
MEDE America Corporation as of June 30, 1996 and 1997 and March 31, 1998 and for
each of the three  years in the period  ended June 30,  1997 and the nine months
ended  March  31,  1998  appearing  in the  Prospectus,  which is a part of this
Registration  Statement,  and to the reference to us under the heading "Experts"
in such Prospectus.     

Our audits of the consolidated  financial statements of MEDE America Corporation
referred to in our aforementioned  report also included the financial  statement
schedule  of MEDE  America  Corporation  listed in Part II at Item  16(b).  This
financial statement schedule is the responsibility of the Company's  management.
Our  responsibility is to express an opinion based on our audits. In our opinion
such  financial  statement  schedule,  when  considered in relation to the basic
financial  statements  taken  as a  whole,  presents  fairly,  in  all  material
respects, the information set forth therein.

Jericho, New York

   
July 17, 1998

    

                                                                    EXHIBIT 23.2

                         INDEPENDENT AUDITORS' CONSENT

MEDE America Corporation
East Meadow, New York

   

We  consent  to  the  use  in  Amendment  No.  1  to  Registration Statement No.
333-55977  of  MEDE  America Corporation on Form S-1 of our report dated October
7,  1997 relating to the statement of income of The Stockton Group, Inc. for the
year  ended  June 30, 1997, appearing in the Prospectus, which is a part of this
Registration  Statement,  and to the reference to us under the heading "Experts"
in such Prospectus.
    

DELOITTE & TOUCHE LLP

Charlotte, North Carolina

   
July 17, 1998

    


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