MED E AMERICA CORP
S-1/A, 1998-12-23
COMPUTER PROCESSING & DATA PREPARATION
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   AS FILED WITH THE SECURITIES AND EXCHANGE COMMISSION ON DECEMBER 23, 1998
                                                      REGISTRATION NO. 333-55977
================================================================================
                      SECURITIES AND EXCHANGE COMMISSION
                            WASHINGTON, D.C. 20549
                               -----------------
                                AMENDMENT NO. 5

    
                                      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 DECEMBER 23, 1998

PROSPECTUS

                                4,166,667 SHARES
    

                               [GRAPHIC OMITTED]
                           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
$11.00 and $13.00 per share. See "Underwriting" for information  relating to the
factors to be considered in determining the initial public  offering price.  The
Company's  Common  Stock has been  approved  for listing on the Nasdaq  National
Market under the symbol "MEDE."
    

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

SEE "RISK FACTORS" BEGINNING ON PAGE 10 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 SECURITIES AND
EXCHANGE  COMMISSION  OR  ANY  OTHER  STATE  SECURITIES  COMMISSION  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 $1,700,000, payable by the Company.
(3)  The Company has granted to the  Underwriters a 30-day option to purchase up
     to 625,000 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 Salomon  Smith  Barney Inc.,  333 West
34th Street, New York, New York 10001, on or about , 1999.

    
                              ------------------
   
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>

   

                     [DIAGRAM OF MEDE AMERICA CORPORATION'S
                       TECHNOLOGY, PRODUCTS AND SERVICES]

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.  As of November 30,  1998,  the Company
processed 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 six 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 provide entry into new markets or expand 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 1998 over 4.4 billion  electronic  and paper claims will be
paid  in all  sectors  of the  healthcare  services  market.  From  1994 to 1998
(estimated),  the proportion of total healthcare claims that were electronically
processed increased from 47% to approximately 62%. During such period the number
of claims processed electronically increased at an average rate of 14% 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.   Health  Data  Directory
estimates that in 1998 electronic  processing will account for approximately 16%
of total dental claims,  40% of total  physician  medical  claims,  84% of total
hospital  medical  claims and 88% of total pharmacy  claims.  In addition to the
remaining  opportunity to convert  paper-based claims to electronic  processing,
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.

                                       3

<PAGE>

     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 what the Company regards as "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. 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, 1,100 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.  Through  its  various
processing  platforms,  MEDE AMERICA can provide  Internet access to its clients
for the transmission and receipt of EDI transactions. 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;  provide  multiple  communications
technologies for healthcare  providers,  including direct lines,  common carrier
dial-ups,  commercial  data  networks  and the  Internet;  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..   4,166,667 shares

COMMON STOCK TO BE OUTSTANDING AFTER THE
 OFFERING............................   12,596,374 shares (1)(2)
    

   

USE OF PROCEEDS..................       To retire all  outstanding  subordinated
                                        indebtedness    and   accrued   interest
                                        thereon,  and a portion  of  outstanding
                                        bank indebtedness.

    

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

- ----------
(1)  Reflects the proposed Recapitalization (as defined herein).

   

(2)  Excludes  (i)  1,250,000  shares of Common Stock  issuable  pursuant to the
     Medic  Warrant (as defined  herein),  (ii)  84,050  shares of Common  Stock
     issuable  pursuant to the 1998  Guaranty  Warrants (as defined  herein) and
     (iii)  482,823  shares of Common Stock  issuable upon the exercise of stock
     options  outstanding  as of  November  30,  1998  under  the  MEDE  AMERICA
     Corporation and Its Subsidiaries Stock Option and Restricted Stock Purchase
     Plan (the "Stock  Plan"),  of which 228,917 were  exercisable at such date.
     The weighted  average  exercise price of all  outstanding  stock options is
     $4.84 per  share.  See  "Recent  Developments"  and  "Management  -Employee
     Benefit Plans."

    

                               RECENT DEVELOPMENTS

     On July  17,  1998,  the  Company  entered  into a  Transaction  Processing
Agreement  (the  "Processing  Agreement")  with  Medic  Computer  Systems,  Inc.
("Medic"),  a subsidiary  of Misys plc that  develops and licenses  software for
healthcare  providers,  principally  physicians,  medical service  organizations
("MSOs")  and  physician  practice  management  companies  ("PPMs").  Under  the
Processing  Agreement,  the Company will undertake certain software  development
obligations,  and from  July 1,  1999 it will  become  the  exclusive  processor
(subject  to certain  exceptions)  of medical  reimbursement  claims for Medic's
subscribers submitted to payors with whom MedE has or establishes  connectivity.
Under the Processing  Agreement,  the Company will be entitled to revenues to be
paid by payors (in respect of which a commission is payable to Medic) as well as
fees to be paid by Medic.

   

     Contemporaneously,  to  ensure a close  working  relationship  between  the
parties,  on July 17,  1998 the Company  granted to Medic a warrant  (the "Medic
Warrant") to acquire  1,250,000  shares of the Company's  Common Stock, at a per
share  exercise  price  equal to the price of the  Common  Stock  offered to the
public in the Offering or, in the event that an initial  public  offering is not
completed by March 31, 1999, at an exercise price equal to $8.00 per share.  The
difference between the two alternative  prices reflects,  in the Company's view,
the incremental value of a share of Common Stock resulting from the Offering and
the concurrent Recapitalization.  The Medic Warrant vests over a two year period
and may be exercised up to five years after the date of grant. The Medic Warrant
contains customary  weighted average  antidilution  provisions.  The Company and
certain of its principal stockholders have agreed that, following the completion
of the  Offering  and until the  earlier of the  termination  of the  Processing
Agreement or the  disposition by Medic and its affiliates of at least 25% of the
shares of Common Stock issuable  under the Medic  Warrant,  Medic shall have the
right to designate one director to the Company's  Board of Directors.  As of the
date of this Prospectus, Medic has not named a designee.

     On October 30, 1998,  the Company  acquired all the  outstanding  shares of
capital stock of Healthcare  Interchange,  Inc. ("HII"),  a St. Louis,  Missouri
based provider of EDI transaction processing services to hospitals and physician
groups in Missouri,  Kansas and Illinois.  Prior to the  acquisition,  HII was a
subsidiary  of  RightCHOICE  Managed  Care,  Inc.  ("RightCHOICE")  and  General
American Life Insurance Company ("General  American").  The Company acquired HII
for a total cash payment of approximately $11.7 million,  including  transaction
expenses.     

                                       5

<PAGE>

   

     The HII acquisition was financed  pursuant to an amendment to the Company's
Credit  Agreement,  dated as of  December  18,  1995,  as amended  (the  "Credit
Facility")  increasing the facility to $36,000,000.  To induce  investment funds
affiliated  with Welsh,  Carson,  Anderson & Stowe,  a private  investment  firm
("WCAS"),  and William Blair Capital Partners L.L.C.  ("WBCP") to guarantee this
increases,  on  October  7, 1998 the  Company  granted  to such  funds  warrants
(the"1998  Guaranty  Warrants")  to purchase an aggregate  84,050  shares of the
Company's  Common Stock,  at a per share exercise  price  determined in the same
manner as the Medic Warrant.  The 1998 Warrants are immediately  exercisable and
may be exercised up to five years after the date of grant.

    

                                  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."

                                       6

<PAGE>

                       SUMMARY CONSOLIDATED FINANCIAL DATA

   
<TABLE>
<CAPTION>
                                                                   YEAR ENDED JUNE 30,
                                            -----------------------------------------------------------------
                                                                         ACTUAL
                                            -----------------------------------------------------------------
                                                  1995             1996          1997(3)         1998(3)
                                            ---------------- ---------------- ------------- -----------------
                                                          (IN THOUSANDS, EXCEPT PER SHARE DATA)

<S>                                         <C>              <C>              <C>           <C>
STATEMENT OF OPERATIONS DATA:

 Revenues(4) ..............................    $ 16,246         $ 31,768        $  35,279       $ 42,290
 Operating expenses:
  Operations ..............................       9,753           19,174           16,817         16,958
  Sales, marketing and client services            3,615            7,064            8,769         10,765
  Research and development ................       2,051            2,132            3,278          3,941
  General and administrative ..............       3,119            6,059            5,263          4,865
  Depreciation and amortization ...........       2,995            5,176            5,460          7,143
  Write-down of intangible assets .........       8,191 (5)        9,965 (6)           --             --
  Acquired in-process research and
    development(7) ........................          --               --            1,556             --
  Other charges(8) ........................       2,864              538            2,301             --
                                               ---------        ---------       ---------       --------
 Total operating expenses .................      32,588           50,108           43,444         43,672
                                               ---------        ---------       ---------       --------
 Income (loss) from operations ............     (16,342)         (18,340)          (8,165)        (1,382)
 Other (income) expense ...................          --              313             (893)           (12)
 Interest expense (income), net ...........         189              584            1,504          3,623
                                               ---------        ---------       ---------       --------
 Loss before provision for income
  taxes ...................................     (16,531)         (19,237)          (8,776)        (4,993)
 Provision for income taxes ...............          70               93               57             42
                                               ---------        ---------       ---------       --------
 Net loss .................................     (16,601)         (19,330)          (8,833)        (5,035)
 Preferred stock dividends ................         (27)          (2,400)          (2,400)        (2,400)
                                               ---------        ---------       ---------       --------
 Net loss applicable to common
  stockholders ............................    $(16,628)        $(21,730)       $ (11,233)      $ (7,435)
                                               =========        =========       =========       ========
 Basic and diluted net loss per com-
  mon share ...............................    $  (3.17)        $  (4.14)       $   (2.07)      $  (1.31)(9)
 Weighted average common shares
  outstanding - Basic and diluted .........       5,238            5,245            5,425          5,679


<CAPTION>
                                                                              THREE MONTHS
                                            YEAR ENDED JUNE 30,            ENDED SEPTEMBER 30,
                                            -------------- -------------------------------------------
                                             PRO FORMA(1)             ACTUAL              PRO FORMA(2)
                                            -------------- ----------------------------- -------------
                                                1998(3)      1997(3)          1998            1998
                                            -------------- ----------- ----------------- -------------
                                                      (IN THOUSANDS, EXCEPT PER SHARE DATA)

<S>                                         <C>            <C>         <C>               <C>
STATEMENT OF OPERATIONS DATA:
 Revenues(4) ..............................    $ 48,880     $  9,241       $ 12,006         $13,318
 Operating expenses:
  Operations ..............................      18,882        4,285          4,793           5,272
  Sales, marketing and client services           12,376        2,385          2,930           3,208
  Research and development ................       3,984          806          1,106           1,106
  General and administrative ..............       6,027        1,061          1,263           1,511
  Depreciation and amortization ...........       8,645        1,698          1,894           2,177
  Write-down of intangible assets .........          --           --             --              --
  Acquired in-process research and
    development(7) ........................          --           --             --              --
  Other charges(8) ........................          --           --             --              --
                                               --------     --------       --------         -------
 Total operating expenses .................      49,914       10,235         11,986          13,274
                                               --------     --------       --------         -------
 Income (loss) from operations ............      (1,034)        (994)            20              44
 Other (income) expense ...................         (12)          --             --              --
 Interest expense (income), net ...........         639          655          1,089             214
                                               --------     --------       --------         -------
 Loss before provision for income
  taxes ...................................      (1,661)      (1,649)        (1,069)           (170)
 Provision for income taxes ...............          42           12             16              16
                                               --------     --------       --------         -------
 Net loss .................................      (1,703)      (1,661)        (1,085)           (186)
 Preferred stock dividends ................          --         (600)          (600)             --
                                               --------     --------       --------         -------
 Net loss applicable to common
  stockholders ............................    $ (1,703)    $ (2,261)      $ (1,685)        $  (186)
                                               ========     ========       ========         =======
 Basic and diluted net loss per com-
  mon share ...............................    $  (0.14)    $  (0.40)      $  (0.30)(9)     $ (0.02)
 Weighted average common shares
  outstanding - Basic and diluted .........      12,308        5,674          5,685          12,314

</TABLE>
    

   
<TABLE>
<CAPTION>

                                                          AS OF SEPTEMBER 30, 1998
                                                       -------------------------------
                                                                         PRO FORMA,
                                                          ACTUAL       AS ADJUSTED(10)
                                                       ------------   ----------------
<S>                                                    <C>            <C>
BALANCE SHEET DATA:
 Working capital ...................................    $   2,232          $ 3,295
 Total assets ......................................       64,726           76,392
 Long-term debt, including current portion .........       42,627           11,715
 Redeemable cumulative preferred stock .............       31,823               --
 Stockholders' equity (deficit) ....................      (23,750)          51,328

</TABLE>
    

   
<TABLE>
<CAPTION>

                                                            YEAR ENDED JUNE 30,
                                            ----------------------------------------------------
                                                                   ACTUAL
                                            ----------------------------------------------------
                                                 1995          1996       1997(3)      1998(3)
                                            ------------- ------------- ----------- ------------
                                                (IN THOUSANDS, EXCEPT PER TRANSACTION DATA)

<S>                                         <C>           <C>           <C>         <C>
OTHER DATA:

 EBITDA(11) ...............................   $ (13,347)    $ (13,164)   $  (2,705)  $    5,761
 Adjusted EBITDA(11) ......................      (2,292)       (2,052)       2,211        5,761
 Cash flows from operating activities            (3,561)       (1,653)      (4,020)      (2,500)
 Cash flows from investing activities.          (22,074)       (4,919)     (12,221)     (12,104)
 Cash flows from financing activities.           33,434           657       15,521       15,635
 Transactions processed(12)
  Pharmacy ................................          --       107,032      126,211      188,114
  Medical .................................          --        15,687       23,075       31,564
  Dental ..................................          --         6,021       12,188       14,681
                                              ---------     ---------    ---------   ----------
    Total transactions processed ..........          --       128,740      161,474      234,359
 Transactions per FTE(12)(13) .............          --           321          415          642
 Revenue per FTE(13) ......................   $      48     $      79    $      91   $      116
 Operating expenses per transac-
  tion(12) ................................          --          0.39         0.27         0.19



<CAPTION>

                                                                            THREE MONTHS
                                          YEAR ENDED JUNE 30,         ENDED SEPTEMBER 30, 1998
                                          -------------------    ------------------------------------
                                             PRO FORMA(1)          ACTUAL             PRO FORMA(2)
                                          ------------------- ---------------------- -------------
                                                1998(3)        1997       1998           1998
                                            -------------- ----------- ---------- -------------
                                                (IN THOUSANDS, EXCEPT PER TRANSACTION DATA)

<S>                                         <C>            <C>         <C>        <C>
OTHER DATA:
 EBITDA(11) ...............................   $    7,611    $     704   $ 1,914     $  2,221
 Adjusted EBITDA(11) ......................        7,611          704     1,914        2,221
 Cash flows from operating activities                 --       (1,616)      447           --
 Cash flows from investing activities.                --         (519)     (869)          --
 Cash flows from financing activities.                --        2,781     1,023           --
 Transactions processed(12)
  Pharmacy ................................      191,663       38,513    53,608       53,608
  Medical .................................       46,821        7,762     8,348       12,601
  Dental ..................................       14,681        3,546     4,135        4,135
                                              ----------    ---------   -------     --------
    Total transactions processed ..........      253,165       49,821    66,091       70,344
 Transactions per FTE(12)(13) .............          633          137       174          170
 Revenue per FTE(13) ......................   $      122    $      25   $    32     $     32
 Operating expenses per transac-
  tion(12) ................................         0.20         0.21      0.18         0.19
</TABLE>
    
   
                                                   (Footnotes on following page)

    

                                        7

<PAGE>

   

(1)  Gives effect to (i) the  acquisition of Stockton in November 1997, (ii) the
     acquisition of HII in October 1998, (iii) the Recapitalization and (iv) the
     Offering, as if they had occurred on July 1, 1997.
(2)  Gives  effect  to (i) the  acquisition  of HII in  October  1998,  (ii) the
     Recapitalization and (iii) the Offering, as if they had occurred on July 1,
     1997.
(3)  As restated,  to adjust the write-off of acquired  in-process  research and
     development and the amortization of goodwill resulting from the acquisition
     of  Time-Share  Computer  Systems,  Inc.("TCS").  See  Note 13 to  Notes to
     Consolidated Financial Statements.
(4)  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  $1,709,000,  $3,617,000,  $2,252,000,  $241,000 and
     $190,000 in the fiscal years ended June 30, 1995,  1996,  1997 and 1998 and
     the three months ended September 30, 1997, respectively.
(5)  Reflects the write-off of goodwill  related to the  acquisitions of Medical
     Processing Center, Inc. ("MPC") and Wellmark, Inc. ("Wellmark").
(6)  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").
(7)  Reflects the  write-off  of acquired  in-process  research and  development
     costs upon the consummation of the TCS acquisition.
(8)  Reflects (i) 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 (ii) expenses  recorded  relating to contingent  consideration
     paid to former owners of acquired  businesses of $538,000 and $2,301,000 in
     the fiscal years ended June 30, 1996 and 1997, respectively.
(9)  Supplemental  net loss per share,  giving  effect to the  Recapitalization,
     would be $(0.62)  and  $(0.13)  for the fiscal year ended June 30, 1998 and
     the three months ended September 30, 1998, respectively.
(10) Gives  effect  to (i) the  acquisition  of HII in  October  1998,  (ii) the
     Recapitalization  and  (iii)  the  Offering,  as if they  had  occurred  on
     September 30, 1998.
(11) 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
                                                ---------------------------------------------------
                                                     1995           1996          1997       1998
                                                -------------- -------------- ------------ --------
                                                                  (IN THOUSANDS)

<S>                                             <C>            <C>            <C>          <C>
  EBITDA ......................................   $  (13,347)    $  (13,164)    $ (2,705)   $5,761
  Contingent consideration paid to former
    owners of acquired businesses .............           --            538        2,301        --
  Write-down of intangible assets .............        8,191          9,965           --        --
  Acquired in-process research and
    development ...............................           --             --        1,556        --
  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    $5,761
                                                  ==========     ==========     ========    ======



<CAPTION>

                                                YEAR ENDED          THREE MONTHS
                                                  JUNE 30,       ENDED SEPTEMBER 30,
                                                ----------- ------------------------------
                                                 PRO FORMA        ACTUAL         PRO FORMA
                                                ----------- ------------------- ----------
                                                    1998      1997      1998       1998
                                                ----------- -------- ---------- ----------
                                                              (IN THOUSANDS)

<S>                                             <C>         <C>      <C>        <C>
  EBITDA ......................................    $7,611    $ 704    $ 1,914    $ 2,221
  Contingent consideration paid to former
    owners of acquired businesses .............        --       --         --         --
  Write-down of intangible assets .............        --       --         --         --
  Acquired in-process research and
    development ...............................        --       --         --         --
  Expenses related to the CES spin-off ........        --       --         --         --
  Contract and legal settlement provisions             --       --         --         --
                                                   ------    -----    -------    -------
  Adjusted EBITDA .............................    $7,611    $ 704    $ 1,914    $ 2,221
                                                   ======    =====    =======    =======
    
</TABLE>


   

(12) Transaction  volumes are not  available  for the fiscal year ended June 30,
     1995.
(13) 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.
    

                                        8

<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(1)   6/30/97(1)
                               ----------- ---------- ------------ ------------
                                                (IN THOUSANDS)
<S>                            <C>         <C>        <C>          <C>
STATEMENT OF OPERATIONS
 DATA:
 Revenues ....................  $  8,179    $  7,831   $   8,954    $  10,315
 Income (loss) from oper-
  ations .....................    (1,301)     (1,108)     (2,784)      (2,972)
 Net loss ....................    (1,465)     (1,324)     (2,341)      (3,703)

OTHER DATA:
 EBITDA(2) ...................  $   (199)   $    (64)  $  (1,361)   $  (1,081)
 Contingent consideration
  paid to former
  owners of acquired
  businesses .................       330         330         330        1,311
 Acquired in-process re-
  search and
  development ................        --          --       1,556           --
 Contract and legal settle-
  ment provisions ............        --          --          --        1,059
                                --------    --------   ---------    ---------
 Adjusted EBITDA(1) ..........  $    131    $    266   $     525    $   1,289
                                ========    ========   =========    =========



<CAPTION>

                                                     THREE MONTHS ENDED
                               ---------------------------------------------------------------
                                9/30/97(1)   12/31/97(1)   3/31/98(1)   6/30/98(1)    9/30/98
                               ------------ ------------- ------------ ------------ ----------
                                                       (IN THOUSANDS)

<S>                            <C>          <C>           <C>          <C>          <C>
STATEMENT OF OPERATIONS
 DATA:
 Revenues ....................   $  9,241     $  9,849      $ 11,099     $ 12,101    $ 12,006
 Income (loss) from oper-
  ations .....................       (994)        (389)         (123)         124          20
 Net loss ....................     (1,661)      (1,316)       (1,049)      (1,009)     (1,085)

OTHER DATA:
 EBITDA(2) ...................   $    704     $  1,309      $  1,729     $  2,019    $  1,914
 Contingent consideration
  paid to former
  owners of acquired
  businesses .................         --           --            --           --          --
 Acquired in-process re-
  search and
  development ................         --           --            --           --          --
 Contract and legal settle-
  ment provisions ............         --           --            --           --          --
                                 --------     --------      --------     --------    --------
 Adjusted EBITDA(1) ..........   $    704     $  1,309      $  1,729     $  2,019    $  1,914
                                 ========     ========      ========     ========    ========
</TABLE>
    

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

   

- -----------
(1)  As restated,  to adjust the write-off of acquired  in-process  research and
     development  and  the  amortization  of  goodwill  resulting  from  the TCS
     acquisition. See Note 13 to Notes to Consolidated Financial Statements.
(2)  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, (ii) assumes no
exercise of the Medic Warrant or the 1998  Guaranty  Warrants and (iii) 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 on the
Preferred  Stock and the remainder of such accrued  dividends would 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 $12.00.  Based on an aggregate  liquidation
preference  of the  Preferred  Stock of  $32,219,847  (including  $8,224,247  of
accrued  dividends)  as of November 30, 1998,  2,684,933  shares of Common Stock
would  be so  issuable  as of such  date.  In  addition,  concurrently  with the
consummation of the Offering,  an additional  59,926 shares of Common Stock will
be issued  upon the  exercise  of  certain  outstanding  Common  Stock  purchase
warrants.  The Medic  Warrant  and the 1998  Guaranty  Warrants,  all  having an
exercise  price  equal to the price to the public in the  Offering,  will remain
outstanding  after the Offering.  Such  conversion of the Preferred  Stock,  and
exercise  of  warrants  to  purchase  59,926  shares of Common  Stock (on a "net
exercise"  basis),  are  referred  to  herein  as  the  "Recapitalization."  See
"Capitalization,"  "Description of Common Stock,"  "Principal  Stockholders" and
"Underwriting."
    

                                       9

<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,  $8.8 million,  $5.0 million and $1.1 million for
the fiscal years ended June 30, 1995,  1996,  1997 and 1998 and the three months
ended September 30, 1998,  respectively.  The Company had an accumulated deficit
of approximately  $51.3 million as of September 30, 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.  The Company believes its new credit facility,  which is expected to
be in place after the Offering, will provide a line of credit sufficient for the
Company's  foreseeable  working capital needs,  but any significant  acquisition
that is to be financed with indebtedness  would require  additional  borrowings.
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.     

                                       10

<PAGE>

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
attention  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.

                                       11

<PAGE>

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 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.

                                       12

<PAGE>


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  (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,  the Company has identified certain products and services which it
believes  are not Year 2000  compliant.  While the  Company has plans to address
such  problems,  there  can be no  assurance  that the costs of  bringing  these
systems into compliance will not be  significantly  greater than expected,  that
compliance  will be achieved in a timely  manner,  or that  providers and payors
will bring their  systems  into Year 2000  compliance  in a timely  manner.  The
failure to achieve Year 2000 compliance in a timely manner could have a material
adverse  effect on the Company's  business,  financial  condition and results of
operations. See "Management's Discussion and Analysis of Financial Condition and
Results of Operations-- Year 2000 Compliance."

     In October 1998 the Company  acquired HII.  HII's EDI products and services
fall  into  three  categories:  physician  claims  processing,  hospital  claims
processing and claims data  transmission  (extraction and  transmission of claim
data to a third  party  data  analyst).  Based on its  review at the time of the
acquisition,  the Company  determined  that none of these  products is Year 2000
compliant.

     Prior to the HII  acquisition,  certain  employees and officers of HII made
express and implied  representations to a number of HII's clients as to the time
at which HII's systems would be Year 2000 compliant. The Company does not expect
to be able to meet the  deadlines set forth in such  representations.  While the
Company does not believe that a material  number of these clients will terminate
their relationships with HII and the Company based on the Company's inability to
meet such  deadlines,  there can be no  assurance  that  such  clients  will not
attempt to do so or that such  terminations  would not have a  material  adverse
effect on the Company's business, financial condition and results of operations.

    

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,
Linda K. Ryan 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 P. 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 ser-

                                       13

<PAGE>

vices,   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  providers  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,  48.2% of the Common Stock will be owned by investment
funds affiliated with WCAS and 7.7% will be owned by investment funds affiliated
with WBCP. See "Principal  Shareholders"  and  "Description  of Capital Stock --
Recapitalization." As a result of this concentration of owner-     

                                       14

<PAGE>

ship,  these shareholders may be able to exercise control over matters requiring
shareholder  approval,  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

                                       15

<PAGE>

   
Company will have  12,596,374  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 4,166,667 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  8,429,707 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 Salomon  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
$25.0  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  $19.8  million of the net
proceeds  will  be used  to  repay  all but  $13.0  million  of the  outstanding
indebtedness and accrued  interest under the Company's  current Credit Facility.
If the Underwriters' overallotment option is exercised, the cash realized by the
Company  therefrom  will be applied to the payment of accrued  dividends  on the
Preferred  Stock (which  amounted to $8,224,247 as of November 30, 1998) and the
remainder of such accrued  dividends would convert into Common Stock. 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
$12.00 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 $72.4 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 $11.09 per share,  at an assumed  initial public offering price of
$12.00 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.  The Credit  Facility  prohibits  the payment of dividends on the Common
Stock.  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."     

                                       16

<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.

                                       17

<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.
As of November 30, 1998, the Company processed 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. Healthcare Interchange, Inc.
("HII"),  a  provider  of  transaction  processing  services  to  hospitals  and
physician groups, was acquired in October 1998.     

     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.

                                       18

<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 $12.00 per share,
are  estimated  to  be  $44.8  million  ($51.8  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  $25.0 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") and (ii)  approximately  $19.8  million to repay all but $13.0 million of
the outstanding  indebtedness  and accrued  interest under the Credit  Facility.
Cash   realized  by  the  Company  upon  any   exercise  of  the   Underwriters'
overallotment option would be applied to the payment of accrued dividends on the
Preferred  Stock and the remainder of such accrued  dividends would convert into
Common  Stock.  As  of  November  30,  1998,  such  accrued   dividends  totaled
$8,224,247.  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  bear  interest  at a
weighted  average  rate of 6.41%  per annum (as of  November  30,  1998) and are
guaranteed by WCAS and WBCP.  The Credit  Facility  matures on October 31, 1999.
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 (the "Amended Credit Facility").  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. The Company is currently
negotiating  with the lender to increase  such total  available  credit to $20.0
million.  Borrowings under the Amended Credit Facility will not be guaranteed by
any third  party,  but will be secured  by  substantially  all of the  Company's
assets including the stock of the Company's  subsidiary.  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. The
Credit  Facility  prohibits  the  payment  of  dividends  on the  Common  Stock.
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."     

                                       19

<PAGE>

                                 CAPITALIZATION

   
     The  following  table sets forth the  capitalization  of the  Company as of
September 30, 1998 on an actual basis and pro forma,  as adjusted to reflect (i)
the acquisition of HII in October 1998, (ii) the  Recapitalization and (iii) the
issuance  and sale by the Company of 4,166,667  shares of Common  Stock  offered
hereby,  assuming an initial public  offering  price of $12.00 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 SEPTEMBER 30, 1998
                                                  -----------------------------
                                                                   PRO FORMA,
                                                     ACTUAL      AS ADJUSTED(1)
                                                  -----------   ---------------
                                                         (IN THOUSANDS)
<S>                                               <C>           <C>
Long-term debt (including current portion)
 Senior Subordinated Note .....................    $  23,455       $      --
 Credit Facility ..............................       17,950              --
 Other debt ...................................        1,222          11,715
                                                   ---------       ---------
   Total long-term debt .......................       42,627          11,715
                                                   ---------       ---------
Redeemable cumulative preferred stock .........       31,823              --
                                                   ---------       ---------
Stockholders' (deficit) equity
 Common Stock(2) ..............................           57             127
 Additional paid-in capital ...................       27,521         104,074
 Accumulated deficit ..........................      (51,328)        (52,873)
                                                   ---------       ---------
 Total stockholders' (deficit) equity .........      (23,750)         51,328
                                                   ---------       ---------
 Total capitalization .........................    $  50,700       $  63,043
                                                   =========       =========
</TABLE>
    

- ----------
   
(1)  As adjusted to reflect (i) the acquisition of HII in October 1998, (ii) the
     Recapitalization  and (iii) the sale of  4,166,667  shares of Common  Stock
     offered by the Company hereby at an assumed  initial public  offering price
     of $12.00 per share and the  anticipated  application  of the estimated net
     proceeds  therefrom. 
(2)  Excludes  (i)  1,250,000  shares of Common Stock  issuable  pursuant to the
     Medic Warrant,  (ii) 84,050 shares of Common Stock issuable pursuant to the
     1998 Guaranty  Warrants and (iii) 482,823  shares of Common Stock  reserved
     for issuance  upon exercise of stock  options  outstanding  under the Stock
     Plan as of November 30, 1998, at a weighted average exercise price of $4.84
     per share, of which 228,917 were  exercisable at such date. See "Prospectus
     Summary -- Recent  Developments" and  "Management-Employee  Benefit Plans."
     Includes  59,926  shares of Common Stock  issuable  upon exercise of Common
     Stock  purchase  warrants  as  contemplated  by the  Recapitalization.  See
     "Description of Capital Stock."
    

                                       20

<PAGE>

                                   DILUTION

   
     The pro forma  deficit  in net  tangible  book  value of the  Company as of
September  30,  1998,   after  giving  effect  to  the   Recapitalization,   was
approximately  $(31.8)  million or $(3.79) 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  September 30, 1998,  other than to give effect to (i)
the sale of 4,166,667  shares of Common Stock by the Company in this Offering at
an assumed initial public offering price of $12.00 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  September  30,  1998 would have been
approximately  $11.5  million or $0.91 per share.  This  represents an immediate
increase  in pro forma net  tangible  book value of $4.70 per share to  existing
stockholders  and an immediate  dilution in pro forma net tangible book value of
$11.09 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 ......................               $ 12.00
     Pro forma net tangible book value per share before this Offering(1).  $(3.79)
     Increase per share attributable to new investors ...................    4.70
                                                                           ------
   Pro forma net tangible book value per share after this Offering ......                  0.91
                                                                                        -------
   Dilution per share to new investors(2) ...............................               $ 11.09
                                                                                        =======
</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
     September 30, 1998 of $(31.8) 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 September 30,
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 $12.00 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 .........    8,396,299      66.8%      $28,349,000       36.2%        $ 3.38
New investors .................    4,166,667      33.2        50,000,004       63.8          12.00
                                   ---------     -----       -----------      -----
Total .........................   12,562,966     100.0%      $78,349,004      100.0%
                                  ==========     =====       ===========      =====
</TABLE>
    

   

     The foregoing tables assume no exercise of any outstanding stock options to
purchase Common Stock. At September 30, 1998 there were 482,823 shares of Common
Stock  issuable  upon  the  exercise  of stock  options  outstanding  under  the
Company's Stock Plans, of which 221,890 were currently exercisable. Such options
have a weighted  average  exercise price of $4.84 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."     

                                       21

<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, 1998 and the three months ended  September  30, 1998
include  adjustments  that give  effect to (i) the  acquisition  of  Stockton in
November  1997,  (ii)  the  acquisition  of  HII  in  October  1998,  (iii)  the
Recapitalization  and (iv) the  Offering,  as if they had occurred as of July 1,
1997.  The  unaudited pro forma  consolidated  balance sheet as of September 30,
1998  gives  effect to (i) the  acquisition  of HII in  October  1998,  (ii) the
Recapitalization and (iii) 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,  Stockton
and HII 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
Stockton and HII, the  Recapitalization  and the Offering been  completed on the
dates indicated or which may be expected to occur in the future.

                                       22

    
<PAGE>

   
            UNAUDITED PRO FORMA CONSOLIDATED STATEMENTS OF OPERATIONS

                        FOR THE YEAR ENDED JUNE 30, 1998
                      (IN THOUSANDS, EXCEPT PER SHARE DATA)
    

   
<TABLE>
<CAPTION>
                                                      ACTUAL                    ADJUSTMENTS
                                        ------------------------------------- RELATING TO THE
                                        COMPANY(1)   STOCKTON(2)    HII(3)      ACQUISITIONS
                                       ------------ ------------- ---------- -----------------
<S>                                    <C>          <C>           <C>        <C>
Revenues .............................  $  42,290       $1,646      $4,944      $     --
Operating expenses:
 Operations ..........................     16,958          216       1,679            29 (4)
 Sales, marketing and client ser-
  vices ..............................     10,765          298       1,313            --
 Research and development ............      3,941           43          --            --
 General and administrative ..........      4,865          161       1,001            --
 Depreciation and amortization........      7,143           54         200         1,270 (5)
                                                                                     (22)(6)
                                                                                --------
Total operating expenses .............     43,672          772       4,193         1,277
                                        ---------       ------      ------      --------
Income (loss) from operations ........     (1,382)         874         751        (1,277)
Other (income) expense ...............        (12)          --          --            --
Interest expense (income), net .......      3,623           27         190           791 (7)
                                        ---------       ------      ------      --------
Income (loss) before provision for
 income taxes ........................     (4,993)         847         561        (2,068)
Provision for income taxes ...........         42           --          --            --
                                        ---------       ------      ------      --------
Net income (loss) ....................     (5,035)         847         561        (2,068)
Preferred stock dividends ............     (2,400)          --         (94)           94 (10)
                                        ---------       ------      ------      --------
Net income (loss) applicable to
 common stockholders .................  $  (7,435)      $  847      $  467      $ (1,974)
                                        =========       ======      ======      ========
Basic and diluted net loss per
 common share ........................  $   (1.31)
Weighted average common shares
 outstanding - Basic and diluted            5,679           --

<CAPTION>

                                           ADJUSTMENTS
                                         RELATING TO THE                     OFFERING      PRO FORMA,
                                        RECAPITALIZATION    PRO FORMA      ADJUSTMENTS     AS ADJUSTED
                                       ------------------ ------------- ----------------- ------------
<S>                                    <C>                <C>           <C>               <C>
Revenues .............................    $       --        $  48,880     $       --       $  48,880
Operating expenses:
 Operations ..........................            --           18,882             --          18,882
 Sales, marketing and client ser-
  vices ..............................            --           12,376             --          12,376
 Research and development ............            --            3,984             --           3,984
 General and administrative ..........            --            6,027             --           6,027
 Depreciation and amortization........            --            8,645             --           8,645
                                                  --
                                          ----------
Total operating expenses .............            --           49,914             --          49,914
                                          ----------        ---------     ----------       ---------
Income (loss) from operations ........            --           (1,034)            --          (1,034)
Other (income) expense ...............            --              (12)            --             (12)
Interest expense (income), net .......            --            4,631         (3,992)(8)         639
                                          ----------        ---------     ----------       ---------
Income (loss) before provision for
 income taxes ........................            --           (5,653)         3,992          (1,661)
Provision for income taxes ...........            --               42             --              42
                                          ----------        ---------     ----------       ---------
Net income (loss) ....................            --           (5,695)         3,992 (9)      (1,703)
Preferred stock dividends ............         2,400 (11)          --             --              --
                                          ----------        ---------     ----------       ---------
Net income (loss) applicable to
 common stockholders .................    $    2,400        $  (5,695)    $    3,992       $  (1,703)
                                          ==========        =========     ==========       =========
Basic and diluted net loss per
 common share ........................                                                     $   (0.14)
Weighted average common shares
 outstanding - Basic and diluted               2,462 (12)       8,141          4,167 (13)     12,308
</TABLE>
    


<PAGE>


   
                  FOR THE THREE MONTHS ENDED SEPTEMBER 30, 1998
                      (IN THOUSANDS, EXCEPT PER SHARE DATA)
    

   
<TABLE>
<CAPTION>
                                               ACTUAL             ADJUSTMENTS
                                       -----------------------  RELATING TO THE
                                          COMPANY     HII(14)   HII ACQUISITION
                                       ------------- --------- -----------------
<S>                                    <C>           <C>       <C>
Revenues .............................   $  12,006    $1,312       $   --
Operating expenses:
 Operations ..........................       4,793       479           --
 Sales, marketing and client ser-
  vices ..............................       2,930       278           --
 Research and development ............       1,106        --           --
 General and administrative ..........       1,263       248           --
 Depreciation and amortization........       1,894        44          239 (5)
                                         ---------    ------       ------
Total operating expenses .............      11,986     1,049          239
                                         ---------    ------       ------
Income (loss) from operations ........          20       263         (239)
Other (income) expense ...............          --        --           --
Interest expense (income), net .......       1,089        64          120
                                         ---------    ------       ------
Income (loss) before provision for
 income taxes ........................      (1,069)      199         (359)
Provision for income taxes ...........          16        --           --
                                         ---------    ------       ------
Net income (loss) ....................      (1,085)      199         (359)
Preferred stock dividends ............        (600)      (23)          23 (10)
                                         ---------    ------       ------
Net income (loss) applicable to
 common stockholders .................   $  (1,685)   $  176       $ (336)
                                         =========    ======       ======
Basic and diluted net loss per
 common share ........................   $   (0.30)
Weighted average common shares
 outstanding - Basic and diluted.            5,685        --

<CAPTION>

                                           ADJUSTMENTS
                                         RELATING TO THE                     OFFERING      PRO FORMA,
                                        RECAPITALIZATION    PRO FORMA      ADJUSTMENTS     AS ADJUSTED
                                       ------------------ ------------- ----------------- ------------
<S>                                    <C>                <C>           <C>               <C>
Revenues .............................    $       --        $  13,318     $       --        $ 13,318
Operating expenses:
 Operations ..........................            --            5,272             --           5,272
 Sales, marketing and client ser-
  vices ..............................            --            3,208             --           3,208
 Research and development ............            --            1,106             --           1,106
 General and administrative ..........            --            1,511             --           1,511
 Depreciation and amortization........            --            2,177             --           2,177
                                          ----------        ---------     ----------        --------
Total operating expenses .............            --           13,274             --          13,274
                                          ----------        ---------     ----------        --------
Income (loss) from operations ........            --               44             --              44
Other (income) expense ...............            --               --             --              --
Interest expense (income), net .......            --            1,273         (1,059)(8)         214
                                          ----------        ---------     ----------        --------
Income (loss) before provision for
 income taxes ........................            --           (1,229)         1,059            (170)
Provision for income taxes ...........            --               16             --              16
                                          ----------        ---------     ----------        --------
Net income (loss) ....................            --           (1,245)         1,059 (9)        (186)
Preferred stock dividends ............           600 (11)          --             --              --
                                          ----------        ---------     ----------        --------
Net income (loss) applicable to
 common stockholders .................    $      600        $  (1,245)    $    1,059        $   (186)
                                          ==========        =========     ==========        ========
Basic and diluted net loss per
 common share ........................                                                     $   (0.02)
Weighted average common shares
 outstanding - Basic and diluted.              2,462 (12)       8,147          4,167 (13)     12,314
</TABLE>
    


                                       23

<PAGE>

   
DESCRIPTION OF ACQUISITIONS

STOCKTON
    

          The  acquisition  of Stockton  was  accounted  for using the  purchase
     method of accounting  and,  accordingly,  the net assets acquired have been
     recorded  at  estimated  fair  value  on the  date of  acquisition  and the
     historical statement of operations data of the Company reflects the results
     of operations of Stockton from its date of acquisition.  The purchase price
     and the  allocation  of the purchase  price to the  acquired  assets are as
     follows (in thousands):

<TABLE>
<S>                                                  <C>
       Cash purchase price .......................    $10,674
                                                      =======
       Computer equipment ........................    $   260
       Purchased client lists ....................        903
       Purchased software and technology .........      1,230
       Goodwill ..................................      8,281
                                                      -------
                                                      $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.  Based on revenues recorded through September 30, 1998
     by Stockton, the Company has accrued additional contingent consideration of
     $2,022,000  as of  September  30,  1998  which was  treated  as  additional
     purchase  price  and  was,  therefore,  included  in  goodwill  (but is not
     reflected in the chart above).

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

HII

          The acquisition of HII will be accounted for using the purchase method
     of accounting and, accordingly, the net assets acquired will be recorded at
     estimated fair value on the date of acquisition. The allocation of purchase
     price is  preliminary  and subject to change upon review by  management  of
     additional  evidence  relating  to the fair  value of assets  acquired  and
     liabilities assumed at the closing date.  Adjustments to the purchase price
     allocation,  if any, would likely relate to amounts  assigned to intangible
     assets.  The purchase price and the allocation of the purchase price to the
     acquired net assets are as follows (in thousands):

    

   
<TABLE>

<S>                                                                           <C>
         Cash purchase price ..............................................    $11,600
         Acquisition related costs ........................................        118
                                                                               -------
           Total estimated purchase price .................................    $11,718
                                                                               =======
         Historical adjusted net book value at September 30, 1998 .........    $   856
         Write-off of inventory ...........................................        (13)
         Goodwill .........................................................      8,250
         Purchased client lists ...........................................      2,713
         Estimated liability for severence payments .......................        (88)
                                                                               -------
           Net assets acquired ............................................    $11,718
                                                                               =======

</TABLE>

          The purchased client lists will be amortized on a straight-line  basis
     over five years and goodwill  will be amortized  on a  straight-line  basis
     over 20 years.

    

                                       24

<PAGE>

   

- ----------
(1)  As restated,  to adjust the write-off of acquired  in-process  research and
     development  and  the  amortization  of  goodwill  resulting  from  the TCS
     acquisition. See Note 13 to Notes to Consolidated Financial Statements.
(2)  Represents  the  historical  results of operations of Stockton from July 1,
     1997 through the date of acquisition by the Company in November 1997.
(3)  Represents  the historical  continuing  operations of HII for the 12 months
     ended June 30, 1998.
(4)  Represents rent expense  relating to a new operating lease for the Stockton
     facility.
(5)  Represents adjustments for amortization expense related to the acquisitions
     of Stockton and HII as if they had occurred July 1, 1997, as follows:

    
   
<TABLE>
<CAPTION>
                                                                                THREE MONTHS
                                                        YEAR ENDED                 ENDED
                                                      JUNE 30, 1998          SEPTEMBER 30, 1998
                                               ---------------------------- -------------------
                                                STOCKTON    HII     TOTAL           HII
                                               ---------- ------- --------- -------------------
                                                                (IN THOUSANDS)

<S>                                            <C>        <C>     <C>       <C>
   Purchased client lists ....................    $  67    $543    $  610           $136
   Purchased software and technology .........       92      --        92             --
   Goodwill ..................................      156     412       568            103
                                                  -----    ----    ------           ----
                                                  $ 315    $955    $1,270           $239
                                                  =====    ====    ======           ====
</TABLE>
    
   
(6)  Represents  the  elimination  of  depreciation  and  amortization  expenses
     relating to assets of Stockton that were not acquired.
(7)  The  interest  expense   adjustment   relating  to  the  Stockton  and  HII
     acquisitions is as follows:

    
   
<TABLE>
<CAPTION>
                                                                                                    THREE MONTHS
                                                                                   YEAR ENDED          ENDED
                                                                                 JUNE 30, 1998   SEPTEMBER 30, 1998
                                                                                --------------- -------------------
                                                                                          (IN THOUSANDS)
<S>                                                                             <C>             <C>
   Elimination of historical interest expense of Stockton .....................     $  (38)            $  --
   Elimination of historical interest expense of HII ..........................       (190)              (64)
   Interest  expense  on  borrowings  under  the  Credit  Facility  used to fund
    Stockton  acquisition at a composite interest rate of 6.93% (The effect of a
    .125% variance in the interest rate on the pro forma adjustment for the
    year ended June 30, 1998 would be $5) .....................................        290                --
   Interest  expense on  borrowings  under the Credit  Facility used to fund HII
    acquisition  at a  composite  interest  rate of 6.22% (The effect of a .125%
    variance in the interest rate on the pro forma adjustment for the year ended
    June 30, 1998 and the three months ended September 30, 1998
    would be $15 and $4, respectively).........................................        729               184
                                                                                    ------             -----
                                                                                    $  791             $ 120
                                                                                    ======             =====
</TABLE>
    

   

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

   
<TABLE>
<CAPTION>

                                                                                              THREE MONTHS
                                                                             YEAR ENDED          ENDED
                                                                           JUNE 30, 1998   SEPTEMBER 30, 1998
                                                                          --------------- -------------------
                                                                                    (IN THOUSANDS)

<S>                                                                       <C>             <C>

   Interest expense on Senior Subordinated Note including amortization of
    discount ............................................................    $ (2,859)         $   (721)
   Interest expense on borrowings under the Credit Facility .............      (1,133)             (338)
                                                                             --------          --------
                                                                             $ (3,992)         $ (1,059)
                                                                             ========          ========
</TABLE>
    

   
(9)  In  connection  with the  repayment of the Senior  Subordinated  Note,  the
     Company will record an  extraordinary  charge  relating to the write-off of
     the remaining  discount on the Senior  Subordinated Note. Such charge would
     have  approximated  $2,025,000  as of July 1,  1997.  Such  charge has been
     excluded from the pro forma statements of operations.
(10) Represents  the  elimination  of the dividends  accrued on HII's  preferred
     stock.
(11) Represents the elimination of the dividends  accrued on the Preferred Stock
     due to the Recapitalization.
(12) Represents  the  conversion  of the Preferred  Stock and accrued  dividends
     thereon into Common Stock due to the Recapitalization.
(13) Represents  the sale by the Company of 4,166,667  shares of Common Stock in
     the Offering.
(14) Represents the historical continuing operations of HII for the three months
     ended September 30, 1998.

    

                                       25

<PAGE>

   

                 UNAUDITED PRO FORMA CONSOLIDATED BALANCE SHEET

    

   
<TABLE>
<CAPTION>
   
                                                        AS OF SEPTEMBER 30, 1998
                                            --------------------------------------------
                                                     ACTUAL
                                            ------------------------     ADJUSTMENTS
                                                                       RELATING TO THE
                                               COMPANY      HII(1)     HII ACQUISITION
                                            ------------ ----------- -------------------
                                                             (IN THOUSANDS)
             ASSETS
<S>                                         <C>          <C>         <C>
Current Assets:
 Cash and cash equivalents ................  $    3,551   $      38     $       --
 Accounts receivable, less allowance for
  doubtful accounts .......................       8,579         661             --
 Formulary receivables ....................       3,283          --             --
 Inventory ................................         250          13            (13)(2)
 Prepaid expenses and other current as-
  sets ....................................         668         260           (169)(3)
                                             ----------   ---------     ----------
  Total current assets ....................      16,331         972           (182)
Property and equipment-Net ................       4,885         577             --
Goodwill-Net ..............................      34,735          --          8,250 (4)
Other intangible assets-Net ...............       5,143          --          2,713 (5)
Other assets ..............................       3,632         202            (11)(3)
                                             ----------   ---------     ----------
Total .....................................  $   64,726   $   1,751     $   10,770
                                             ==========   =========     ==========
LIABILITIES AND STOCKHOLDERS' EQUITY (DEFICIT)
Current Liabilities:
 Accounts payable .........................  $    3,096   $   1,140     $   (1,131)(3)
 Accrued expenses and other current li-
  abilities ...............................      10,741         706             88 (7)
 Current portion of long-term debt ........         262       2,325         (2,325)(3)
                                             ----------   ---------     ----------
  Total current liabilities ...............      14,099       4,171         (3,368)
Long-term debt ............................      42,365          --         11,718 (10)
                                                                                --
Other long-term liabilities ...............         189          --             --
Redeemable cumulative preferred stock......      31,823          --             --
Stockholders' equity (deficit):
 Preferred Stock ..........................          --          63            (63)(12)
 Common Stock .............................          57          90            (90)(12)
 Additional paid-in capital ...............      27,521       2,993         (2,993)(12)
 Accumulated deficit ......................     (51,328)     (5,566)         5,566 (12)
                                             ----------   ---------     ----------
  Total stockholders' equity (deficit) .        (23,750)     (2,420)         2,420
                                             ----------   ---------     ----------
Total .....................................  $   64,726   $   1,751     $   10,770
                                             ==========   =========     ==========



<CAPTION>

                                                                 AS OF SEPTEMBER 30, 1998
                                            ------------------------------------------------------------------
                                                 ADJUSTMENTS                      ADJUSTMENTS
                                               RELATING TO THE                    RELATING TO      PRO FORMA,
                                              RECAPITALIZATION    PRO FORMA      THE OFFERING      AS ADJUSTED
                                            -------------------- ----------- -------------------- ------------
                                                                      (IN THOUSANDS)

                   ASSETS

<S>                                         <C>                  <C>         <C>                  <C>
Current Assets:
 Cash and cash equivalents ................    $         --       $   3,589     $         --       $   3,589
 Accounts receivable, less allowance for
  doubtful accounts .......................              --           9,240               --           9,240
 Formulary receivables ....................              --           3,283               --           3,283
 Inventory ................................              --             250               --             250
 Prepaid expenses and other current as-
  sets ....................................              --             759               --             759
                                               ------------       ---------     ------------       ---------
  Total current assets ....................              --          17,121               --          17,121
Property and equipment-Net ................              --           5,462               --           5,462
Goodwill-Net ..............................              --          42,985               --          42,985
Other intangible assets-Net ...............              --           7,856               --           7,856
Other assets ..............................              --           3,823             (855)(6)       2,968
                                               ------------       ---------     ------------       ---------
Total .....................................    $         --       $  77,247     $       (855)      $  76,392
                                               ============       =========     ============       =========
LIABILITIES AND STOCKHOLDERS' EQUITY (DEFICIT)
Current Liabilities:
 Accounts payable .........................    $         --       $   3,105     $       (280)(6)   $   2,825
 Accrued expenses and other current li-
  abilities ...............................              --          11,535             (625)(8)      10,335
                                                                                        (575)(6)
 Current portion of long-term debt ........              --             262              404 (9)         666
                                               ------------       ---------     ------------       ---------
  Total current liabilities ...............              --          14,902           (1,076)         13,826
Long-term debt ............................              --          54,083          (44,175) (8)     11,049
                                                                                       1,141  (9)

Other long-term liabilities ...............              --             189               --             189
Redeemable cumulative preferred stock......         (31,823)(11)         --               --              --
Stockholders' equity (deficit):
 Preferred Stock ..........................              --              --               --              --
 Common Stock .............................              27 (11)         85               42 (8)         127
                                                          1 (13)
 Additional paid-in capital ...............          31,796 (11)     59,316           44,758 (8)     104,074
                                                         (1)(13)
 Accumulated deficit ......................              --         (51,328)          (1,558)(10)    (52,874)
                                               ------------       ---------     ------------       ---------
  Total stockholders' equity (deficit) .             31,823           8,073           43,255          51,328
                                               ------------       ---------     ------------       ---------
Total .....................................    $         --       $  77,247     $       (855)      $  76,392
                                               ============       =========     ============       =========
</TABLE>
    


                                       26


<PAGE>

   

- ----------
(1) Represents the historical balance sheet of HII as of September 30, 1998.
(2) Represents the write-off of inventory.
(3) The following  adjustments to HII's  historical  balance sheet reflect those
    assets and  liabilities  excluded  from the entity being  acquired  prior to
    consummation of the acquisition (in thousands).

    
<TABLE>

<S>                                                                <C>
       Net assets of discontinued operations retained ..........    $    169
       Other assets retained ...................................          11
       Current portion of long-term debt retained ..............      (2,325)
       Accounts payable retained(*) ............................      (1,131)
                                                                    --------
                                                                    $ (3,276)
                                                                    ========
</TABLE>


   

  * The closing agreement  requires working capital to be at least one dollar at
    closing.
 (4) Represents goodwill resulting from the HII acquisition.
 (5) Represents  the amount  allocated to purchased  client lists,  which is the
     estimated fair value of the asset acquired.
 (6) Represents the payment of accounts  payable and accrued  Offering  expenses
     and the reclassification of these costs to additional paid-in capital.
 (7) Represents an accrual for severence payments.
 (8) Represents  the sale by the Company of 4,166,667  shares of Common Stock at
     an assumed public offering price of $12.00 per share and the application of
     the net proceeds to the Company as follows (in thousands):

    
<TABLE>

<S>                                                                    <C>

       PROCEEDS
        Gross proceeds from Offering ...............................     $  50,000
        Underwriting discount and commissions ......................        (3,500)
        Estimated Offering expenses ................................        (1,700)
                                                                         ---------
         Net proceeds ..............................................     $  44,800
                                                                         =========
       USES
        Repay Senior Subordinated Note .............................     $ (25,000)
        Repay borrowings under the Credit Facility .................       (19,175)
        Repay accrued interest on Senior Subordinated Note .........          (625)
                                                                         ---------
         Total uses ................................................     $ (44,800)
                                                                         =========

</TABLE>


   

 (9) Represents   the  write-off  of  the  remaining   discount  on  the  Senior
     Subordinated  Note of $1,545,000 which will be recorded as an extraordinary
     item upon the consummation of the Offering.
(10) Represents  borrowings  under the Credit  Facility used to finance the HII
     acquisition.
(11) Represents the conversion of outstanding  Preferred Stock and $7,827,000 of
     accrued  dividends on the  Preferred  Stock into Common Stock in connection
     with the Recapitalization.
(12) Represents the elimination of HII's historical stockholders' deficit.
(13) Represents the exercise of all Common Stock purchase warrants in connection
     with the Recapitalization.

    

                                       27

<PAGE>

                      SELECTED CONSOLIDATED FINANCIAL DATA

   

     The statement of operations  data presented  below for the years ended June
30, 1996,  1997 and 1998 and the balance sheet data as of June 30, 1997 and 1998
are derived  from,  and  qualified  by  reference  to, the audited  consolidated
financial  statements of the Company included elsewhere herein. The statement of
operations  data for the year ended June 30, 1995 and the balance  sheet data as
of June 30, 1995 and 1996 are derived  from,  and qualified by reference to, the
audited  consolidated  financial  statements of the Company not included herein.
The statement of operations  data for the three months ended  September 30, 1997
and  1998 and the  balance  sheet  data as of  September  30,  1997 and 1998 are
derived  from,  and  qualified  by  reference  to,  the  unaudited  consolidated
financial statements of the Company. 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
periods.  The results for the interim period are not  necessarily  indicative of
the results for the 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(1)         1998(1)
                                                       ---------------- ---------------- ------------- -----------------
                                                                     (IN THOUSANDS, EXCEPT PER SHARE DATA)

<S>                                                    <C>              <C>              <C>           <C>
STATEMENT OF OPERATIONS DATA:
 Revenues(2) .........................................    $ 16,246         $ 31,768        $  35,279       $ 42,290
 Operating expenses:
  Operations .........................................       9,753           19,174           16,817         16,958
  Sales, marketing and client services ...............       3,615            7,064            8,769         10,765
  Research and development ...........................       2,051            2,132            3,278          3,941
  General and administrative .........................       3,119            6,059            5,263          4,865
  Depreciation and amortization ......................       2,995            5,176            5,460          7,143
  Write-down of intangible assets ....................       8,191 (3)        9,965 (4)           --             --
  Acquired in-process research and development
   (5) ...............................................          --               --            1,556             --
  Other charges (6) ..................................       2,864              538            2,301             --
                                                          ---------        ---------       ---------       --------
 Total operating expenses ............................      32,588           50,108           43,444         43,672
                                                          ---------        ---------       ---------       --------
 Loss from operations ................................     (16,342)         (18,340)          (8,165)        (1,382)
 Other (income) expense ..............................          --              313             (893)           (12)
 Interest expense, net ...............................         189              584            1,504          3,623
                                                          ---------        ---------       ---------       --------
 Loss before provision for income taxes ..............     (16,531)         (19,237)          (8,776)        (4,993)
 Provision for income taxes ..........................          70               93               57             42
                                                          ---------        ---------       ---------       --------
 Net loss ............................................     (16,601)         (19,330)          (8,833)        (5,035)
 Preferred stock dividends ...........................         (27)          (2,400)          (2,400)        (2,400)
                                                          ---------        ---------       ---------       --------
 Net loss applicable to common stockholders ..........    $(16,628)        $(21,730)       $ (11,233)      $ (7,435)
                                                          =========        =========       =========       ========
 Basic and diluted net loss per common share .........    $  (3.17)        $  (4.14)       $   (2.07)      $  (1.31)(7)
 Weighted average common shares outstanding-
  Basic and diluted ..................................       5,238            5,245            5,425          5,679




<CAPTION>

                                                               THREE MONTHS
                                                            ENDED SEPTEMBER 30,
                                                       -----------------------------
                                                         1997(1)          1998
                                                       ----------- -----------------
                                                         (IN THOUSANDS, EXCEPT PER
                                                                SHARE DATA)

<S>                                                    <C>         <C>
STATEMENT OF OPERATIONS DATA:
 Revenues(2) .........................................  $  9,241       $ 12,006
 Operating expenses:
  Operations .........................................     4,285          4,793
  Sales, marketing and client services ...............     2,385          2,930
  Research and development ...........................       806          1,106
  General and administrative .........................     1,061          1,263
  Depreciation and amortization ......................     1,698          1,894
  Write-down of intangible assets ....................        --             --
  Acquired in-process research and development
   (5) ...............................................        --             --
  Other charges (6) ..................................        --             --
                                                        --------       --------
 Total operating expenses ............................    10,235         11,986
                                                        --------       --------
 Loss from operations ................................      (994)            20
 Other (income) expense ..............................        --             --
 Interest expense, net ...............................       655          1,089
                                                        --------       --------
 Loss before provision for income taxes ..............    (1,649)        (1,069)
 Provision for income taxes ..........................        12             16
                                                        --------       --------
 Net loss ............................................    (1,661)        (1,085)
 Preferred stock dividends ...........................      (600)          (600)
                                                        --------       --------
 Net loss applicable to common stockholders ..........  $ (2,261)      $ (1,685)
                                                        ========       ========
 Basic and diluted net loss per common share .........  $  (0.40)      $  (0.30)(7)
 Weighted average common shares outstanding-
  Basic and diluted ..................................     5,674          5,685

</TABLE>
    

   
<TABLE>
<CAPTION>

                                                                       AS OF JUNE 30,                      AS OF SEPTEMBER 30,
                                                     -------------------------------------------------- -------------------------
                                                        1995        1996        1997(1)       1998(1)      1997(1)       1998
                                                     --------- ------------- ------------- ------------ ------------ ------------
                                                                                    (IN THOUSANDS)

<S>                                                  <C>       <C>           <C>           <C>          <C>          <C>
BALANCE SHEET DATA:
 Working capital ...................................  $   504    $  (4,207)    $  (2,567)   $   2,345         (378)   $   2,232
 Total assets ......................................   59,511       43,031        48,090       59,394       48,041       64,726
 Long-term debt, including current portion .........    5,805       11,601        25,161       41,324       27,995       42,627
 Redeemable cumulative preferred stock .............   24,023       26,423        28,823       31,223       29,423       31,823
 Stockholders' equity (deficit) ....................   12,942       (8,472)      (17,438)     (24,692)     (19,666)     (23,750)

</TABLE>
    


                                                   (Footnotes on following page)

                                       28
<PAGE>

   
<TABLE>
<CAPTION>

                                                                                                         THREE MONTHS
                                                               YEAR ENDED JUNE 30,                   ENDED SEPTEMBER 30,
                                              ----------------------------------------------------- ----------------------
                                                   1995          1996        1997(1)      1998(1)     1997(1)      1998
                                              ------------- ------------- ------------- ----------- ----------- ----------
                                                              (IN THOUSANDS, EXCEPT PER TRANSACTION DATA)

<S>                                           <C>           <C>           <C>           <C>         <C>         <C>
OTHER DATA:
 EBITDA (8) .................................   $ (13,347)    $ (13,164)    $  (2,705)   $   5,761   $    704    $ 1,914
 Adjusted EBITDA (8) ........................      (2,292)       (2,052)        2,211        5,761   $    704    $ 1,914
 Cash flows from operating activities .......      (3,561)       (1,653)       (4,020)      (2,500)    (1,616)       447
 Cash flows from investing activities .......     (22,074)       (4,919)      (12,221)     (12,104)      (519)      (869)
 Cash flows from financing activities .......      33,434           657        15,521       15,635      2,781      1,023
 Transactions processed (9)
  Pharmacy ..................................          --       107,032       126,211      188,114     38,513     53,608
  Medical ...................................          --        15,687        23,075       31,564      7,762      8,348
  Dental ....................................          --         6,021        12,188       14,681      3,546      4,135
                                                ---------     ---------     ---------    ---------   --------    -------
   Total transactions processed .............          --       128,740       161,474      234,359     49,821     66,091
 Transactions per FTE (9)(10) ...............          --           321           415          642        137        174
 Revenue per FTE (10) .......................   $      48     $      79     $      91    $     116   $     25    $    32
 Operating expenses per transaction (9) .....          --          0.39          0.27         0.19       0.21       0.18

</TABLE>

- ----------

(1)  As restated,  to adjust the write-off of acquired  in-process  research and
     development  and  the  amortization  of  goodwill  resulting  from  the TCS
     acquisition. See Note 13 to Notes to Consolidated Financial Statements.
(2)  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  $1,709,000,  $3,617,000,  $2,252,000,  $241,000 and
     $190,000 in the fiscal years ended June 30, 1995,  1996,  1997 and 1998 and
     the three months ended September 30, 1997, respectively.
(3)  Reflects the write-off of goodwill  related to the  acquisitions of MPC and
     Wellmark.
(4)  Reflects  the  write-down  of costs  relating  to client  lists and related
     allocable goodwill obtained in the acquisition of MEDE OHIO.
(5)  Reflects the  write-off  of acquired  in-process  research and  development
     costs upon the consummation of the TCS acquisition.
(6)  Reflects (i) expenses of $2,864,000 relating to the spin-off of the Company
     by CES in the fiscal  year ended June 30, 1995 and (ii)  expenses  recorded
     relating  to  contingent  consideration  paid to former  owners of acquired
     businesses  of $538,000 and  $2,301,000  in the fiscal years ended June 30,
     1996 and 1997, respectively.
(7)  Supplemental  net loss per share,  giving  effect to the  Recapitalization,
     would be $(0.62)  and  $(0.13)  for the fiscal year ended June 30, 1998 and
     the three months ended September 30, 1998, respectively.
(8)  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:

<TABLE>
<CAPTION>
                                                                                                                THREE MONTHS

                                                                        YEAR ENDED JUNE 30,                  ENDED SEPTEMBER 30,
                                                        ---------------------------------------------------- -------------------
                                                             1995           1996          1997        1998     1997      1998
                                                        -------------- -------------- ------------ --------- -------- ----------
                                                                                     (IN THOUSANDS)

<S>                                                     <C>            <C>            <C>          <C>       <C>      <C>
  EBITDA ..............................................   $  (13,347)    $  (13,164)    $ (2,705)   $5,761    $ 704    $ 1,914
  Contingent consideration paid to former owners of
   acquired businesses ................................           --            538        2,301        --       --         --
  Write-down of intangible assets .....................        8,191          9,965           --        --       --         --
  Acquired in-process research and development ........           --             --        1,556        --       --         --
  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    $5,761    $ 704    $ 1,914
                                                          ==========     ==========     ========    ======    =====    =======
</TABLE>
    

   

(9)  Transaction  volumes are not  available  for the fiscal year ended June 30,
     1995.
(10) 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 were 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 six 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
provide  entry into new  markets  or expand 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, 1997 and 1998 and are ongoing.     

                                       30

<PAGE>

     The following  table  summarizes  the Company's  acquisitions  and divested
products and operations:

   
<TABLE>
<CAPTION>

<S>                     <C>           <C>         <C>                         <C>                   <C>
                                                     PRIMARY PRODUCTS        DIVESTED PRODUCTS
                          DATE                         OF FOUNDING/             OF FOUNDING/      DATE
FOUNDING COMPANIES      ACQUIRED         MARKET      ACQUIRED COMPANY        ACQUIRED COMPANY    DIVESTED

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

Stockton              11/97           Pharmacy   PBM                         --                        --

HII                   10/98           Medical    Hospital Claims             --                        --
                                                 Physician Claims

</TABLE>
    

(1)  Represents date acquired by CES.

     In March 1995, the largest  stockholder of the Company  acquired all of the
outstanding shares of MEDE OHIO (formerly known as General Computer Corporation)
for a cash purchase price of approximately  $22,593,000,  including  transaction
expenses.  The  largest  stockholder  subsequently  merged  MEDE  OHIO  into the
Company.  The  purchase  price paid by the  Company for MEDE OHIO to its largest
stockholder  was equal to the  purchase  price paid by the largest  stockholder.
MEDE OHIO develops EDI systems for the pharmacy market and provides  transaction
switching/routing  services. At the time of its acquisition,  MEDE OHIO had been
incurring  significant  losses for over two years and was in very poor financial
condition.  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  (which  was  completed  and  not  in-process  at the  time  of the
acquisition),  $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
process-

                                       31

<PAGE>

ing 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.

     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 earn-out
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 $1,556,000 of in-process  research and  development,
$2,984,000  of  software  and  $6,525,000  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 product for workers compensation;  (2) a medical
claims processing system to meet the HCFA 1500 EDI industry 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>

   
     Prior to the consummation of the acquisition,  TCS had incurred development
costs  of  $67,000,  $125,000  and  $56,000,   respectively,   for  the  workers
compensation  eligibility  product,  HCFA 1500 and the internet  pharmacy claims
product, the three in-process research and development projects shown above.
    

                                       32

<PAGE>

   
     The Company determined the value of the purchased  in-process  technologies
by estimating  the  projected  net cash flows related to each of the  in-process
products.  The resulting net cash flows were then  discounted  back to their net
present  values.  The  amount  of  the  write-off  of  in-process  research  and
development costs was then limited to the portion  allocable to  pre-acquisition
development costs incurred by TCS versus  post-acquisition costs incurred by the
Company.  The net cash flows were based on  management's  estimates of the costs
necessary to complete the  development of the products,  the revenues that would
be earned after  commercial  availability and the estimated  operating  expenses
associated  therewith.  The  projections  were based on the following  principal
assumptions:

     For the workers  compensation  eligibility product, the projections assumed
commercial  availability  in January  1998 and revenue  growth from  $431,000 in
fiscal  1998 to $1.3  million  in  fiscal  2002,  an  annual  rate  increase  of
approximately   25%.  For  HCFA  1500,  the   projections   assumed   commercial
availability  in March 1998. It was assumed that revenues from the product would
grow from $1.4 million in fiscal 1998 to $5.5 million in fiscal 2002, increasing
at an annual rate of 50% in the first year of  commercial  availability,  35% in
the  second  year and at a rate of 25% per  year  thereafter.  For the  internet
pharmacy claims  product,  the projections  assumed  commercial  availability in
December  1997.  It was assumed that  revenues  from the product would grow from
$41,000 in fiscal 1997 to approximately $3.2 million in fiscal 2002,  increasing
at an  annual  rate  of  approximately  35%  in the  first  year  of  commercial
availability, 30% in the second year and at a rate of 25% per year thereafter.
    

     In all three cases,  post-development operating expenses,  including sales,
advertising and promotion and general and  administrative  costs, were projected
to  grow  at the  rate of 10%  per  annum  between  fiscal  1999  and  2002.  No
significant  synergies were projected for any of the three  in-process  products
because the Company had no comparable  products in the market or in  development
and no penetration in the products' prospective user bases.

   
     The projected net cash flows for the in-process products were discounted to
their  present  values  using a discount  rate of 18%.  Such  discount  rate was
composed of two  factors:  the  Company's  estimated  weighted  average  cost of
capital (the "WACC") (the rate of return an investment would have to generate in
order to  provide  the  required  rate of return  to the  Company's  equity  and
long-term debt capital),  which was calculated to be approximately 13%, and a 5%
risk factor  reflecting  the  uncertainty  of successful  completion  and market
acceptance of the in-process products.  Together, the WACC and risk factor yield
a discount  factor of 18%. A 13% discount rate factor was used by the Company to
value fully developed software,  as it faces substantially the same risks as the
business as a whole.  The 5% risk factor  reflected the fact that the in-process
products  did not involve  complex or  innovative  technologies,  and  primarily
reflected  the risk of  market  acceptance  once  the  developed  products  were
released to customers.

     Since  the  TCS  acquisition,  all  three  in-process  products  have  been
completed and two are in the early stages of commercialization.  As of September
30, 1998, none of these products had generated significant revenues,  and, given
the results of the Company's  marketing  efforts to date,  management  currently
believes that the revenues  derived from these three products will be lower than
projected.

     The market for the workers  compensation  eligibility product has been less
receptive  than had been  anticipated  and this  product  did not  generate  any
revenues as of September 30, 1998. However, the Company believes that, over time
and with  increased  marketing  effort,  this product  will  achieve  commercial
viability.

     The HCFA 1500  product  experienced  roll out delays and is  expected to be
commercially  introduced in the Spring of 1999.  The Company  believes  that, in
time, this product will achieve commercial viability.

     The  internet  pharmacy  product  is the only  one of the  three-in-process
products  acquired  from TCS that had  generated  revenues  by the end of fiscal
1998.  However,  the revenues  produced were  approximately  22% of the revenues
projected for it at the time of the acquisition.  The commercial introduction of
this product was adversely affected by recent revisions in regulatory  standards
which limit the use of the internet to process pharmacy  claims.  The Company is
currently  processing  transactions  with  this  product  for a small  number of
pharmacy clients.
    

     Although any or all of these  projects  could fail to generate  significant
returns for the Company and such failure could render the TCS  acquisition  less
valuable to the Company than had been anticipated,

                                       33

<PAGE>

such failure  would not affect the  Company's  current  suite of products or, in
management's  opinion,  have a  material  impact  on the  Company's  results  of
operations or overall financial condition.

   
     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. Based on
revenues  recorded  through  September  30,  1998 by  Stockton,  the Company has
accrued  additional  contingent  consideration of $2,022,000 as of September 30,
1998 which was treated as additional purchase price and was, therefore, added to
goodwill.  The  acquisition  was accounted for under the purchase method and the
Company  recorded  total  intangible   assets  of  $10,414,000,   consisting  of
$2,133,000 of software and client lists and $8,281,000 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.

     In October 1998,  the Company  acquired HII, a provider of EDI  transaction
processing  services to hospitals and physician  groups in Missouri,  Kansas and
Illinois. Prior to the purchase of HII, Intercare and Telemedical, two unrelated
healthcare services divisions,  were divested from HII in separate transactions.
HII was  purchased  for a  total  cash  payment  of  approximately  $11,718,000,
including  transaction  expenses.  The  acquisition  was accounted for under the
purchase method and the Company recorded total intangible assets of $10,963,000,
consisting of $2,713,000 of client lists and $8,250,000 of goodwill. The Company
is amortizing the client lists over five years and goodwill over 20 years.
    

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 fiscal year
ended June 30, 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 fiscal year ended June 30,
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.

                                       34

<PAGE>

   
     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 the fiscal year ended June 30, 1998 and the
three months ended  September  30, 1998,  the Company  capitalized  $462,000 and
$238,000,  respectively,  of software  development  costs for projects for which
technological  feasibility  has been  established but were 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 $3,708,000  and  $5,064,000  during the fiscal years ended
June 30, 1997 and 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>
                                                                            THREE MONTHS ENDED
                                                YEAR ENDED JUNE 30,            SEPTEMBER 30,
                                           ------------------------------   ------------------
                                             1996       1997       1998       1997       1998
                                             ----       ----       ----       ----       ----
<S>                                        <C>        <C>        <C>        <C>        <C>
Revenues ...............................      100%       100%       100%       100%      100%
Operating Expenses:
 Operations ............................       60         48         40         46        40
 Sales, marketing and client services.         22         25         25         26        24
 Research and development ..............        7          9          9          9         9
 General and administrative ............       19         15         12         11        11
 Depreciation and amortization .........       16         15         17         18        16
</TABLE>
    

                                       35

<PAGE>

   
     Subsequent  to  the  issuance  of  the  Company's   consolidated  financial
statements  for the fiscal year ended June 30, 1998,  the  Company's  management
determined  that it was  necessary to revise the  valuation of the  write-off of
in-process  research  and  development  incurred  in  connection  with  the  TCS
acquisition in February 1997. As a result,  the Company's  financial  statements
for the fiscal  years  ended June 30, 1997 and 1998 and the three  months  ended
September 30, 1997 have been restated  from the amounts  previously  reported in
order to reflect the effects of the  adjustment  to the  write-off of in-process
research development. See Note 13 to Notes to Consolidated Financial Statements.

THREE  MONTHS  ENDED SEPTEMBER 30, 1998 COMPARED TO THREE MONTHS ENDED SEPTEMBER
30, 1997

Revenues

     Revenues for the three months ended  September  30, 1998 were $12.0 million
compared  to  $9.2  million  in  the   corresponding   period  of  fiscal  1998,
representing  an increase of 30%.  The increase was  primarily  attributable  to
growth of the existing business and to incremental  revenue from the acquisition
of Stockton  in November  1997,  partially  offset by the loss of revenues  from
operations that were divested.

     The Company  processed  66 million  transactions  in the three months ended
September  30,  1998,  compared  to 50  million  transactions  processed  in the
corresponding  period of fiscal  1998,  representing  an  increase  of 33%.  The
increase resulted from the addition of new clients, increased transaction volume
from existing  clients and to a lesser extent the  acquisition of Stockton.  The
average  price per  transaction  received by the Company  declined by 8% between
such  periods,  as a result of a relatively  higher  proportion  of lower priced
Pharmacy division switching transactions compared to the other divisions' higher
priced  transactions,  and a greater portion of transactions that were processed
under contracts with volume-based pricing terms.

Operating Expenses

     Operations  expense was $4.8 million for the three  months ended  September
30, 1998,  compared to $4.3 million in the corresponding  period of fiscal 1998,
representing an increase of 12%. As a percentage of revenues, operations expense
decreased  from 46% for the first  three  months  of  fiscal  1998 to 40% in the
corresponding  period of fiscal  1999.  The increase in  operations  expense was
primarily due to the acquisition of Stockton in November of 1997, the results of
which were included in the current  quarter but not in the prior year's quarter,
and to a lesser extent the higher volume of transactions processed. The decrease
in  operations  expense  as a  percentage  of  revenues  was  primarily  due  to
operations  leverage from systems  consolidation  for recent  acquisitions,  the
effects of  ongoing  cost  reduction  programs,  and the impact of the  divested
operations,  which  results  were  included  in the 1998 period but not the 1999
period.

     Sales, marketing and client services expense was $2.9 million for the three
months ended September 30, 1998,  compared to $2.4 million in the  corresponding
period of fiscal  1998,  representing  an increase of 23%.  As a  percentage  of
revenues,  sales,  marketing and client services expense  decreased from 26% for
the first  three  months of fiscal  1998 to 24% in the  corresponding  period of
fiscal 1999. The increase in sales,  marketing and client  services  expense was
primarily  due to the inclusion of the Stockton  acquisition,  the hiring of new
employees in sales and marketing to support expansion of the Company's  business
into new markets,  as well as client  support and help desk services to serve an
expanded customer base.

     Research  and  development  expense was $1.1  million for the three  months
ended September 30, 1998,  compared to $806,000 in the  corresponding  period of
fiscal  1998,  representing  an increase of 37%. As a  percentage  of  revenues,
research and  development  expense was 9% for each such period.  The increase in
research and development costs in the period was primarily due to development of
new and enhanced EDI transaction products and services,  development  associated
with major customer  contracts  currently  expected to roll out in calendar 1999
and the establishment of additional direct payor connections.  In addition, Year
2000  compliance  expenditures  amounted to $132,000  for the three months ended
September 30, 1998; there were no such expenditures in the corresponding  period
of fiscal 1998. The Company capitalized  $238,000 of software  development costs
in  the  first  three  months  of  fiscal  1999,  compared  to  $93,000  in  the
corresponding period of fiscal 1998.     

                                       36

<PAGE>

   
     General and  administrative  expense was $1.3  million for the three months
ended September 30, 1998,  compared to $1.1 million in the corresponding  period
of fiscal 1998,  representing  an increase of 19%. As a percentage  of revenues,
general and administrative expense was 11% for each such period.

     Depreciation and amortization expense was $1.9 million for the three months
ended September 30, 1998,  compared to $1.7 million in the corresponding  period
of fiscal 1998,  representing  an increase of 12%. As a percentage  of revenues,
depreciation  and  amortization  expense  decreased from 18% for the first three
months of fiscal 1998 to 16% in the corresponding period of fiscal 1999.
    

YEAR ENDED JUNE 30, 1998 COMPARED TO YEAR ENDED JUNE 30, 1997

Revenues

   
     Revenues  for the  fiscal  year  ended  June 30,  1998 were  $42.3  million
compared to $35.3 million in fiscal 1997,  representing  an increase of 20%. The
increase was primarily attributable to incremental revenue from the acquisitions
of TCS and Stockton in February 1997 and November 1997, respectively, and to the
growth of the existing  business,  partially offset by the loss of revenues from
operations that were divested.
    

     The Company  processed  234 million  transactions  in the fiscal year ended
June 30, 1998,  compared to 161 million  transactions  processed in fiscal 1997,
representing an increase of 45%. 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
in fiscal 1998 declined by 13% from 1997, 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.

Operating Expenses

     Operations  expense  was $17.0  million  for the fiscal year ended June 30,
1998 compared to $16.8 million in fiscal 1997,  representing  an increase of 1%.
As a percentage of revenues,  operations  expense  decreased  from 48% in fiscal
1997 to 40% in fiscal 1998. The containment of operations expense in fiscal 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 fiscal 1997 but not in fiscal 1998.

   
     Sales,  marketing  and client  services  expense was $10.8  million for the
fiscal  year ended  June 30,  1998  compared  to $8.8  million  in fiscal  1997,
representing an increase of 23%. As a percentage of revenues,  sales,  marketing
and client  services  expense was 25% for each such fiscal year. The increase in
such  expenses  was  primarily  due to the  inclusion of TCS and Stockton in the
results of  operations  for the fiscal year ended June 30, 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 $3.9 million for the fiscal year ended
June 30, 1998 compared to $3.3 million in fiscal 1997,  representing an increase
of 20%. As a percentage of revenues, research and development expense was 9% for
each such fiscal year. The Company capitalized  $462,000 of software development
costs in fiscal 1998; however, no software development costs were capitalized in
fiscal  1997.  Prior to July 1,  1997,  the  Company  did not have any  software
development  projects for which significant  development costs had been incurred
between the  establishment  of  technological  feasibility  and  general  client
release of the product.

   
     General and  administrative  expense  was $4.9  million for the fiscal year
ended June 30, 1998  compared to $5.3  million in fiscal  1997,  representing  a
decrease of 8%. As a percentage of revenues,  general and administrative expense
decreased  from 15% in fiscal  1997 to 12% in fiscal  1998.  This  decrease  was
primarily  a result  of cost  controls  and the  consolidation  and  integration
activities related to the Company's recent acquisitions.
    

                                       37

<PAGE>

   
     Depreciation and amortization  expense was $7.1 million for the fiscal year
ended June 30, 1998  compared to $5.5  million in fiscal 1997,  representing  an
increase of 31%. As a percentage  of  revenues,  depreciation  and  amortization
expense increased from 15% in fiscal 1997 to 17% in fiscal 1998. These increases
reflect 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 fiscal year ended June
30, 1998, as compared to $3.9 million of such expenses in fiscal 1997.  Included
in the amount for fiscal 1997 was a $1.6 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 fiscal 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 YEAR ENDED 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.

     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% in fiscal
1996 to 48% in fiscal 1997. 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.  These  increases  reflect the  inclusion  of the TCS  acquisition  in the
results for five months and, to a lesser extent,  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.  These  increases  were 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.  These  decreases were
primarily a result of consolidation and integration activities.

   
     Depreciation  and  amortization  expense  was $5.5  million for fiscal year
ended June 30, 1997  compared to $5.2  million in fiscal 1996,  representing  an
increase of 5%. As a  percentage  of  revenues,  depreciation  and  amortization
expense decreased from 16% in fiscal 1996 to 15% in fiscal 1997.
    

                                       38

<PAGE>

   
     Acquisition-related  expenses  for the  fiscal  year  ended  June 30,  1997
included a $1.6 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 fiscal 1997, the Company recorded a gain of $885,000 from a sale
of securities. See Note 12 of "Notes to Consolidated Financial Statements."     

     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.

                                       39

<PAGE>

QUARTERLY OPERATING RESULTS

   
<TABLE>
<CAPTION>

                                                           THREE MONTHS ENDED
                                           --------------------------------------------------
                                             9/30/96     12/31/96     3/31/97      6/30/97
                                           ----------- ------------ ----------- -------------
                                                             (IN THOUSANDS)

<S>                                        <C>         <C>          <C>         <C>
Revenues .................................  $  8,179     $  7,831    $  8,954     $10,315
Operating Expenses:
 Operations ..............................     4,298        3,683       4,123       4,713
 Sales, marketing and client services ....     1,925        1,957       2,261       2,626
 Research and development ................       783          754         918         823
 General and administrative ..............     1,042        1,171       1,127       1,923
 Depreciation and amortization ...........     1,102        1,044       1,423       1,891
 Acquired in-process research and
  development ............................        --           --       1,556          --
 Payment to former owners of
  acquired businesses ....................       330          330         330       1,311
                                            --------     --------    --------     -------
Total operating expenses .................     9,480        8,939      11,738      13,287
                                            --------     --------    --------     -------
Income (loss) from operations ............    (1,301)      (1,108)     (2,784)     (2,972)
Other (income) expense ...................        --           --        (885)           (8)
Interest expense, net ....................       150          202         427         725
                                            --------     --------    --------     ---------
Loss before provision for income taxes ...    (1,451)      (1,310)     (2,326)     (3,689)
Provision for income taxes ...............        14           14          15          14
                                            --------     --------    --------     ---------
Net loss .................................  $ (1,465)    $ (1,324)   $ (2,341)    $(3,703)
                                            ========     ========    ========     =========



<CAPTION>

                                                                THREE MONTHS ENDED
                                           -------------------------------------------------------------
                                             9/30/97     12/31/97     3/31/98     6/30/98      9/30/98
                                           ----------- ------------ ----------- ----------- ------------
                                                                  (IN THOUSANDS)

<S>                                        <C>         <C>          <C>         <C>         <C>
Revenues .................................  $  9,241     $  9,849    $ 11,099    $ 12,101     $ 12,006
Operating Expenses:
 Operations ..............................     4,285        3,942       4,258       4,473        4,793
 Sales, marketing and client services ....     2,385        2,432       2,952       2,996        2,930
 Research and development ................       806        1,059       1,021       1,055        1,106
 General and administrative ..............     1,061        1,107       1,139       1,558        1,263
 Depreciation and amortization ...........     1,698        1,698       1,852       1,895        1,894
 Acquired in-process research and
  development ............................        --           --          --          --           --
 Payment to former owners of
  acquired businesses ....................        --           --          --          --           --
                                            --------     --------    --------    --------     --------
Total operating expenses .................    10,235       10,238      11,222      11,977       11,986
                                            --------     --------    --------    --------     --------
Income (loss) from operations ............      (994)        (389)       (123)        124           20
Other (income) expense ...................        --           --          13         (25)          --
Interest expense, net ....................       655          915         900       1,153        1,089
                                            --------     --------    --------    --------     --------
Loss before provision for income taxes ...    (1,649)      (1,304)     (1,036)     (1,004)      (1,069)
Provision for income taxes ...............        12           12          13           5           16
                                            --------     --------    --------    --------     --------
Net loss .................................  $ (1,661)    $ (1,316)   $ (1,049)   $ (1,009)    $ (1,085)
                                            ========     ========    ========    ========     ========
</TABLE>
    

   
     The quarterly  operating results for the three months ended March 31, 1997,
June 30, 1997,  December  31,  1997,  March 31, 1998 and June 30, 1998 have been
restated in order to adjust the  write-off of acquired  in-process  research and
development  and  the  amortization  of the  goodwill  resulting  from  the  TCS
acquisition. See Note 13 to Notes to Consolidated Financial Statements.
    

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 $25.0 million 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 September 30, 1998, the Company had  outstanding  borrowings of $18.0
million under the Credit  Facility.  Such borrowings bear interest at a weighted
average rate of 7.0% per annum (as of September 30,  1998).  The Company was not
in compliance with the leverage and interest coverage  covenants as of September
30, 1998. The bank has granted a waiver relating to the noncompliance with these
covenants and has amended these  covenants on a prospective  basis such that the
Company  anticipates  it will be in  compliance  with  such  covenants  at least
through September 30, 1999. The total availability under the Credit Facility was
20.0 million.  In October 1998, the total availability under the Credit Facility
was increased to $36.0  million,  and the Company drew down an additional  $11.7
million to pay the purchase price of the HII acquisition. All indebtedness under
the Credit Facility has been, and currently is, guaranteed by the Company's four
principal stockholders. See "Certain Transactions."

     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
    

                                       40

<PAGE>

   
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 would be
computed at .25% above the bank's base rate,  or 1.25% above a Eurodollar  based
rate.  Such  borrowing  rates  would be at the  option  of the  Company  for any
particular  period  during  which  borrowings  exist.  The Company is  currently
negotiating  with the lender to increase  such total  available  credit to $20.0
million. 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,
restrictions  on the  payment  of  dividends,  as well  as  prior  approval  for
acquisitions.   Borrowings  under  the  Amended  Credit  Facility  will  not  be
guaranteed by any third party, but will be secured by  substantially  all of the
Company's assets,  including the stock of the Company's subsidiary.  The Amended
Credit  Facility  will  contain  covenants  similar to those under the  existing
agreement,  including  restrictions  on the payment of  dividends  on the Common
Stock. See "Dividend Policy." It is anticipated that the Amended Credit Facility
will take effect upon the consummation of the Offering.

     As of September 30, 1998, the Company had cash and cash equivalents of $3.6
million and net working capital of $2.2 million. Net cash used in operations was
$1.7 million,  $4.0 million and $2.5 million for the fiscal years ended June 30,
1996, 1997 and 1998, respectively. Net cash provided by operating activities was
$447,000  for the three months ended  September  30, 1998.  The $2.5 million net
cash  used in  operations  for the  fiscal  year  ended  June 30,  1998 was used
primarily for contingent  earnout charges on  acquisitions  made in prior fiscal
years which resulted in a net decrease in accounts  payable and accrued expenses
of $1.4 million. In addition, $1.9 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) and $2.1 million was
attributable to an increase in accounts receivable resulting from an increase in
revenues.  The $447,000 net cash provided by operating  activities for the three
months ended  September  30, 1998  resulted  primarily  from the $1.1 million of
income from  operations  (after adding back  non-cash  charges)  resulting  from
increased revenues and operating margins.  The net cash provided from operations
also  reflected  increased  investments  in  formulary  receivables  ($729,000),
accounts  receivables  ($942,000)  and  other  assets  ($625,000),   which  were
partially  offset by an  increase  in  accounts  payable  and  accrued  expenses
($1,853,000).

     Cash used for investment  purposes was $4.9 million,  $12.2 million,  $12.1
million and $869,000 for the fiscal years ended June 30, 1996, 1997 and 1998 and
the  three  months  ended  September  30,  1998,  respectively.  Cash  used  for
investment  purposes  during the fiscal year ended June 30,  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
$913,000. Cash used for investment purposes for the three months ended September
30, 1998 was used to fund  capital  expenditures  of $466,000  and  additions to
intangible  assets of  $403,000.  The  Company  expects  to pay $1.7  million of
additional contingent  consideration relating to the Stockton acquisition by the
end of the March 31, 1999  quarter  and 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,  $15.6
million and $1.0 million for the fiscal years ended June 30, 1996, 1997 and 1998
and the three months ended  September 30, 1998,  respectively.  Cash provided by
financing  activities  during the fiscal  year ended June 30, 1998 and the three
months ended September 30, 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  $25.0  million of the net proceeds of the  Offering  will be
used to prepay all then outstanding principal and accrued interest on the Senior
Subordinated  Note and  approximately  $19.8 million of the net proceeds will be
used to repay all but $13.0 million of the outstanding  indebtedness and accrued
interest under the Company's  current Credit  Facility.  In connection  with the
repayment of
    

                                       41

<PAGE>

   
the Senior Subordinated Note, the Company will record an extraordinary charge of
approximately  $1.4 million relating to 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 completed its  assessment of whether it will have to modify
or replace  portions of its  software  and its  products,  services and internal
systems so that they will  function  properly  with respect to dates in the year
2000 and thereafter. In addition to its general Year 2000 compliance review, the
Company  has  specifically  identified  several  areas  which  are not Year 2000
compliant as of November 30, 1998:  (i) the Company's  PBM system in Ohio,  (ii)
the UNIX  operating  platform  software  used in  connection  with the Company's
pharmacy  practice  management  system,  and (iii) the UNIX  operating  platform
software utilized in its pharmacy transaction  switching.  With the exception of
the Ohio PBM system, the Company believes its internally  developed software and
systems are Year 2000 compliant.

     The Company has  developed a  remediation  program to correct the Year 2000
problems it has identified.  PBM clients who utilize the Company's PBM system in
Ohio are being migrated to the PBM system acquired by the Company from Stockton,
which the Company  considers to be Year 2000 compliant.  A testing and migration
timetable for all such clients has been  developed,  with  migration  activities
scheduled for completion in mid-1999.  For retail pharmacy  practice  management
clients,  the  Company's  remediation  program  consists of  providing  software
upgrades,  with discounted  hardware  packages to enable such clients to utilize
Year 2000 compliant systems. The Company is currently contacting retail pharmacy
customers  and  expects  that the  implementation  of such  program  will extend
throughout calendar 1999. A version of the UNIX operating platform software used
in pharmacy transaction switching,  which the manufacturer represents to be Year
2000  compliant,  was  released  in  December  1998.  Testing of that  operating
platform  software  on the  Company's  hardware,  with  the  Company's  pharmacy
transaction switching software, is scheduled for January and February of 1999.

     In October 1998 the Company  acquired HII.  HII's EDI products and services
fall into three categories: physician claims processing (small and large-group),
hospital  claims  processing  and  claims  data  transmission   (extraction  and
transmission  of claim data to a third party data analyst).  Based on its review
at the  time of the  acquisition,  the  Company  determined  that  none of these
products is Year 2000  compliant.  The Company  intends to modify  HII's  common
carrier and  internet-based  claims processing system for small physician groups
to make it Year 2000  compliant.  The Company also intends to modify HII's payor
data  transmission  products to make such  products Year 2000  compliant.  These
modifications  are scheduled to be completed by spring 1999. The Company intends
to migrate HII's claims  processing for hospitals and large physician  groups to
the Company's MedE Claim product; this migration is scheduled to start in spring
1999 and be completed by mid-1999. The Company can, if necessary, process claims
for  hospitals  and large  physician  groups  through  its  common  carrier  and
internet-based claims processing system.

     Some or all of the Company's revenues from each of the three areas in which
Year 2000 problems have been identified,  as well as those of HII's clients, are
subject  to the risk of Year  2000  noncompliance.  The total  revenue  from the
Company's PBM services  clients was $6,245,000 in fiscal 1998. The total revenue
from Pharmacy retail system sales was $511,000 in fiscal 1998. The total revenue
derived from Pharmacy  switching was $8,004,000 in fiscal 1998. The total claims
and related  revenue derived from HII was $4,950,000 for the twelve months ended
June 30, 1998.

     Excluding  anticipated   expenditures   associated  with  ordinary  product
development,  the Company has budgeted approximately $1,210,000 through December
1999 for Year 2000 compliance  costs, of which  approximately  $350,000 had been
expended  through  November 30, 1998. The Company believes that this amount will
be sufficient to execute its plan and cover  contingency plan costs. The Company
believes that it has sufficient resources to implement its plan. However,  there
can be no assurance that expenditures  required to achieve  compliance with Year
2000 requirements will not exceed the budgeted amounts.     

                                       42
<PAGE>
   

     The Company's client base consists of over 65,000 health-care providers and
over 1,000  payors.  While the Company has not attempted to assess the readiness
of each of these  entities,  the Company has begun to work with major  customers
and suppliers to insure that Year 2000  compliance  issues will not interrupt in
the  normal  activities   supported  by  these   relationships.   The  Company's
Medicare/Medicaid   Payors  are  subject  to  a  Year  2000  compliance  program
undertaken by the Health Care Financing Administration. Under the HCFA plan, all
mission critical systems have been identified,  and an Independent  Verification
and Validation  consultant has been retained to perform  inspections and testing
of all public  payors.  This plan includes both random and announced  system and
site testing.

     The Company  believes  that the most likely  worst case Year 2000  scenario
would include the following: (i) one or more parts of the Company's software and
operating  systems will operate  incorrectly;  (ii) one or more of the Company's
payors  would be unable to  receive  transactions;  and (iii) one or more of the
Company's   providers/clients  would  not  have  completed  internal  Year  2000
conversions.  The Company has completed the assessment of its critical  hardward
and software and believes that the assessment has revealed all significant  Year
2000 problems,  that such problems will be capable of remediation,  and that the
Company's software and hardware will perform  substantially as planned when Year
2000 processing begins.

     As contingency  planning,  the Company has three  available  options should
certain  functions  not  operate  properly  on January 1, 2000.  The Company has
developed  its  internal  systems in such a manner as to allow  such  systems to
accept non-Year 2000 compliant data, and convert such data based on defaults and
algorithms  developed in conjunction  with the providers to Year 2000 compatible
formats.  This methodology is applicable for claims,  eligibility and enrollment
transactions.  Second,  for payors, in the event a payor is unable to accept EDI
claims,  the Company currently has the capability,  internally and, if necessary
with  support  from an outside  vendor,  to print  paper  claims  forms from the
supplied  provider data, and to send those claims in paper form to non-Year 2000
compliant  payors.  In addition,  for medical  claims,  a bulletin  board system
acquired in the HII  transaction  could be utilized  by  clients,  with  minimal
programming  set up, as a means of  transmitting  claims to the  Company via the
internet.

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", SFAS No. 132, "Employers' Disclosures about
Pensions and Other  Postretirement  Benefits" and SFAS No. 133  "Accounting  for
Derivative  Instruments and Hedging  Activities".  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 June 30, 1998, the Company had net operating loss  carryforwards
for  federal  income tax  purposes of  approximately  $36.4  million.  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."     

                                       43

<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.  As of November 30,  1998,  the Company  processed  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 six  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.

   
     Health Data Directory  estimates  that in 1998 over 4.4 billion  electronic
and paper claims will be paid in all sectors of the healthcare  services market,
and over the past five years  healthcare  claims increased at an average rate of
6.25% 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  1994 to 1998
(estimated),  the proportion of total healthcare claims that were electronically
processed increased from 47% to approximately 62%. During such period the number
of     

                                       44

<PAGE>

   
claims processed electonically increased at an average rate of 14% 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.   Health  Data  Directory
estimates that in 1998 electronic  processing will account for approximately 16%
of total dental claims,  38% of total  physician  medical  claims,  83% of total
hospital  medical  claims and 86% of total pharmacy  claims.  In addition to the
remaining  opportunity to convert  paper-based claims to electronic  processing,
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 what the Company regards as "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.  These products also provide to the client the capability and
the  required  security  to  transmit  or receive  EDI  transactions  across the
Internet.  They are designed to be compatible  with a broad variety of hospital,
medical, pharmacy and dental practice manage-
    

                                       45

<PAGE>

ment and billing systems.  In addition,  new products can be added to respond to
changing  client  requirements,  and the  scalability of the Company'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.  As of November 30, 1998, the Company's highly
diversified  client base consisted of  approximately  42,000  pharmacies,  8,000
dental offices, 1,100 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 1998 fiscal  year.  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.

                                       46

<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 105
          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 what the Company regards as "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:

                                       47

<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 through
                             reconciliation and payor accounts re-                faster claim reimbursement.
                             ceivable management.                               o Reduces administrative expenses.

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>

    

                                       48

<PAGE>

   
<TABLE>
<CAPTION>

 NAME OF PRODUCT/SERVICE                  DESCRIPTION OF
   AND MARKETS SERVED               PRODUCT/SERVICE FEATURES                          CLIENT BENEFITS
- ------------------------- --------------------------------------------- --------------------------------------------
<S>                       <C>                                           <C>
REAL-TIME PHARMACY
 BENEFIT MANAGEMENT
 ("PBM")

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 management.
                                                                                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 through faster claim
                         o Provides on-line claims adjudication.                  reimbursement.
                                                                                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) and processes
transactions  for providers in all 50 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
    

                                       49

<PAGE>

   

Jersey,  California,  Florida,  Minnesota,  and Ohio,  currently  providing  EDI
services to more than 1,100 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 1998.     

SALES, MARKETING AND CLIENT SERVICES

   
     The Company  markets its products  through a national  sales and  marketing
organization  consisting of 99 associates organized according to market,  client
type and product category.  The Company also has a client services  organization
consisting of 67 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 November  30,  1998,  the Company  employed 76 people in the areas of
product design, research and development,  and 40 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 1996, 1997 and 1998 fiscal years, research and development
expenditures  totaled  $2,132,000,  $3,278,000  and  $3,941,000,   respectively,
representing  approximately 7%, 9% 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.

                                       50

<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

                                       51

<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.  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.  In addition,  certain of the Company's internally developed software
and software on which its systems operate 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 November 30, 1998, the Company employed 406 people,  including 110 in
operations, 99 in sales and marketing, 67 in client services, 86 in research and
development,  34 in finance and administration 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:

                                       52

<PAGE>

   
<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
                                           Claims                           3,000,000

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
St. Louis (HII Facility)            23     Claims                                N/A1   May 2005
</TABLE>
    

   

- ----------
1    All claims of this  facility  are  outsourced  to a third  party  mainframe
     processor.

    

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.  On August 25, 1998,  the Company filed a motion to
dismiss this claim. That motion is currently pending.
    

                                       53

<PAGE>

RECENT DEVELOPMENTS

   
     On July  17,  1998,  the  Company  entered  into a  Transaction  Processing
Agreement  (the  "Processing  Agreement")  with  Medic  Computer  Systems,  Inc.
("Medic"),  a subsidiary  of Misys plc that  develops and licenses  software for
healthcare  providers,   principally  physicians,   MSOs  and  PPMs.  Under  the
Processing  Agreement,  the Company will undertake certain software  development
obligations, and on July 1, 1999 it will become the exclusive processor (subject
to certain exceptions) of medical  reimbursement  claims for Medic's subscribers
submitted to payors with whom MedE has or  establishes  connectivity.  Under the
Processing  Agreement,  the  Company  will be entitled to revenues to be paid by
payors (in respect of which a commission is payable to Medic) as well as fees to
be paid by Medic.  The  Processing  Agreement  sets forth  detailed  performance
criteria and development and implementation timetables;  inability to meet these
criteria  may result in  financial  penalties or give Medic a right to terminate
this agreement. The Processing Agreement is for a fixed term of five years, with
annual renewals thereafter (unless either party elects to terminate).

     Contemporaneously,  to  ensure a close  working  relationship  between  the
parties,  on July 19,  1998 the Company  granted to Medic a warrant  (the "Medic
Warrant") to acquire  1,250,000  shares of the Company's  Common Stock, at a per
share exercise price equal to the price of the Common Stock to the public in the
Offering or, in the event that an initial  public  offering is not  completed by
March 31, 1999, at an exercise  price equal to $8.00 per share.  The  difference
between  the  two  alternative  prices  reflects,  in the  Company's  view,  the
incremental value of a share of Common Stock resulting from the Offering and the
concurrent Recapitalization.  The Medic Warrant vests over a two year period and
may be  exercised  up to five  years from the date of grant.  The Medic  Warrant
contains customary weighted average antidilution provisions. The Company and the
principal stockholders  associated with WCAS and WBCP have agreed that following
the  completion of the Offering and until the earlier of the  termination of the
Processing  Agreement or the disposition by Medic and its affiliates of at least
25% of the shares of Common Stock issuable under the Medic Warrant,  Medic shall
have the right to designate one director to the Company's Board of Directors. As
of the date of this Prospectus, Medic has not named a designee.

     On October 30, 1998,  the Company  acquired all the  outstanding  shares of
stock of HII, a St. Louis, Missouri based provider of EDI transaction processing
services  to  hospitals  and  physician  groups  in the  midwest.  Prior to such
acquisition,  HII was a subsidiary  of  RightCHOICE  and General  American.  The
Company  acquired HII for a total cash payment of  approximately  $11.7 million,
including  transaction  expenses.  Immediately  prior to the acquisition,  HII's
"Intercare" and "Telemedical" businesses were divested in separate transactions.

     The HII  acquisition  was financed by an  amendment to the Credit  Facility
increasing the facility to $36,000,000.  To induce  investment  funds affiliated
with WCAS, and WBCP to guarantee  this increase,  on October 7, 1998 the Company
granted to such funds the 1998 Guaranty Warrants to purchase an aggregate 84,050
shares of the Company's Common Stock, at a per share exercise price equal to the
price of the Common Stock to the public in the Offering or, in the event that an
initial public offering is not completed by March 31, 1999, at an exercise price
equal to $8.00 per share. The difference between the two prices reflects, in the
Company's view, the incremental  value of a share of Common Stock resulting from
the Offering and the concurrent Recapitalization. The 1998 Guaranty Warrants are
immediately  exercisable  and may be exercised up to five years from the date of
grant.     

                                       54

<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 .................    46     President and Chief Executive Officer, Director
Richard P. Bankosky ..............    56     Chief Financial Officer, Treasurer and Secretary
James T. Stinton .................    48     Chief Information Officer
William M. McManus ...............    43     Senior Vice President and General Manager -- Pharmacy
Linda K. Ryan ....................    51     Senior Vice President and General Manager -- Medical
Roger L. Primeau .................    55     Senior Vice President and General Manager -- Dental
Anthony J. de Nicola(1) ..........    34     Director
Timothy M. Murray(1)(2) ..........    46     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.

                                       55

<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 of the Company  since  February  1996.  From February 1996 through July
1998 he was Senior Vice  President and General  Manager -- Pharmacy and Medical,
and 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.

     LINDA K. RYAN has been Senior Vice President and General Manager -- Medical
of the  Company  since July 1998.  In April 1995 she joined the  Company as Vice
President of Marketing and Product Management. From June 1990 through April 1995
she served as the Director of the Single Payor Demonstration  Program at the New
York State  Department of Health.  The program was  responsible  for introducing
healthcare  EDI in New York  State.  Ms. Ryan has also served as Director of New
York's  Community  Health  Management  Information  System and held  several key
positions in New York State's  Medicaid  program and as a health care researcher
at Johns Hopkins and Albany Medical College.  Ms. Ryan holds a Bachelor's Degree
from the  University at Stony Brook in New York and a Master of Arts degree from
the College of William and Mary in Virginia.
    

     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

                                       56

<PAGE>

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 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.

DESIGNATED DIRECTOR

     The Company and the principal  stockholders  associated  with WCAS and WBCP
have agreed that, following the completion of the Offering and until the earlier
of the  termination of the Processing  Agreement or the disposition by Medic and
its  affiliates of at least 25% of the shares of Common Stock issuable under the
Medic  Warrant,  Medic  shall have the right to  designate  one  director to the
Company's Board of Directors.  As of the date of this Prospectus,  Medic has not
named a designee.

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 1998 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 ......................  185,833       150,000              --          229,141            --
 President and Chief Executive
 Officer
Richard P. Bankosky ...................  136,969        55,000              --           34,915            --
 Chief Financial Officer, Treasurer
 and Secretary
William M. McManus ....................  133,269        55,000              --           39,279            --
 Senior Vice President and General
 Manager -- Pharmacy and Medical
Roger L. Primeau ......................  121,050        25,000          27,900           23,567            --
 Senior Vice President and General
 Manager -- Dental
James T. Stinton ......................  158,878        50,000              --           40,371            --
 Chief Information Officer ............
</TABLE>
    

   

                                       57

    
<PAGE>

- ----------
(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, 1998 (exercised and unexercised).

OPTION GRANTS IN LAST FISCAL YEAR

     The following  table sets forth  certain  information  regarding  grants of
options to purchase  Common Stock in fiscal 1998 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 ............         8,729               10.65%          5.73     3/5/08    31,424     79,696
Richard P. Bankosky .........         5,455                6.66%          5.73     3/5/08    19,638     49,804
William M. McManus ..........        12,001               14.65%          5.73       (3)     43,204    109,569
Roger L. Primeau ............         5,455                6.66%          5.73       (4)     19,638     49,804
James T. Stinton ............         5,455                6.66%          5.73     3/5/08    19,638     49,804
</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 81,926 shares in fiscal year
     1998.
(3)  Of such options, 2,182 expire July 31, 2007, 3,273 expire December 30, 2007
     and 6,546 expire March 5, 2008.
(4)  Of such options, 2,182 expire July 31, 2007 and 3,273 expire March 5, 2008.


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, 1998(#)                  JUNE 30, 1998($)
                                -------------------------------   ------------------------------
                                 EXERCISABLE     UNEXERCISABLE     EXERCISABLE     UNEXERCISABLE
                                -------------   ---------------   -------------   --------------
<S>                             <C>             <C>               <C>             <C>
Thomas P. Staudt ............      109,551          97,767           $373,908        $322,136
Richard P. Bankosky .........            0          23,567                  0          72,286
William M. McManus ..........       15,711          23,568             45,688          68,544
Roger L. Primeau ............        3,622          19,945             11,976          60,310
James T. Stinton ............       13,529          26,842             45,732          83,486
</TABLE>

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

                                       58

<PAGE>

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).

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 November 30, 1998, options to purchase up
to an  aggregate  482,823  shares of Common  Stock  were  outstanding,  of which
228,917 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

                                       59

<PAGE>

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 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 semi-annual  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.

   
     On July 23, 1998,  the Board of 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.

     On November 15, 1998,  the Board of Directors  determined  to grant options
(such  grant to be  effective  as of the date of the  Offering)  to  purchase an
aggregate  50,500  shares of Common  Stock  under the New Stock  Plan to certain
employees  of the  Company,  most of whom were  formerly  employed by HII.  Such
options will be incentive  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.
    

                                       60

<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  1,772,351
shares of Common Stock and 171,889 shares of Preferred Stock to investment funds
and individuals  affiliated with WCAS, and an aggregate 189,465 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 issuance  and sale of its 10% Senior  Subordinated
Note to WCAS CP II,  the  Company  granted  to  WCAS CP II  certain  demand  and
"piggyback"  registration  rights pursuant to a Registration  Rights  Agreement,
dated as of February  14, 1997  between the Company and WCAS CP II. In addition,
the Company has granted demand and piggyback  registration  rights to Medic with
respect  to the  shares of Common  Stock  issuable  upon  exercise  of the Medic
Warrant.

   
     On July 17, 1998 the Company  granted to Medic the Medic Warrant to acquire
1,250,000  shares of the Company's Common Stock a per share exercise price equal
to the price of the Common  Stock to the public in the Offering or, in the event
that an initial public offering is not completed by March 31, 1999,
    

                                       61

<PAGE>

at an exercise price equal to $8.00 per share.  The  difference  between the two
alternative  prices reflects,  in the Company's view, the incremental value of a
share  of  Common  Stock   resulting   from  the  Offering  and  the  concurrent
Recapitalization.  The Medic  Warrant  vests  over a two year  period and may be
exercised  up to five  years  after  the  date of  grant.  The  Company  and the
principal stockholders associated with WCAS and WBCP have agreed that, following
the  completion of the Offering and until the earlier of the  termination of the
Processing  Agreement or the disposition by Medic and its affiliates of at least
25% of the shares of Common Stock issuable under the Medic Warrant,  Medic shall
have the right to designate one director to the Company's Board of Directors. As
of the date of this Prospectus, Medic has not named a designee.

   

     The  terms  of the  Preferred  Stock  have  been  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
warrants (other than the Medic Warrant and the 1998 Guaranty Warrants) agreed to
exercise all such warrants by the net issuance  exercise method for an aggregate
59,926  shares of Common  Stock.  WCAS V, WCAS VI, Blair V and Blair LCF are the
owners of an  aggregate  193,100  shares of  Preferred  Stock,  and  warrants to
purchase  52,532 and 52,530  shares of Common Stock at exercise  prices of $4.58
and $5.73 per share, respectively.

     On October 7, 1998,  in  connection  with their  agreement  to extend their
guaranty  of the  Company's  obligations  under the Credit  Facility to cover an
additional $16 million of indebtedness, the Company issued to WCAS V and Blair V
warrants to purchase an aggregate  84,050  shares of Common Stock at a per share
price equal to the price of the Common Stock to the public in the Offering,  or,
in the event that an initial public offering is not completed by March 31, 1999,
at an exercise  price equal to $8.00 per share.  The  warrants  are  immediately
exercisable and may be exercised up to five years from the date of grant.     

     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 November 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 $12.00 per share of Common Stock and (iii) assume a
sale of  4,166,667  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.
    

                                       62

<PAGE>

   
<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) .............    6,141,252       72.28%        48.50%
 320 Park Avenue, 25th Floor
 New York, NY 10019
William Blair & Co., L.L.C. (4) .................      989,126       11.71%         7.84%
 222 West Adams Street
 Chicago, Illinois 60606
Southlake & Co., as Nominee .....................      646,612        7.67%         5.13%
 c/o State Street Bank & Trust Co.
 222 Franklin Street -- Concourse
 Boston, MA 02110 ...............................
Thomas P. Staudt (5) ............................      168,768        1.98%         1.33%
Richard P. Bankosky (6) .........................       11,782           -             -
James T. Stinton (7) ............................       20,512           -             -
William M. McManus (8) ..........................       20,948           -             -
Linda K. Ryan (9) ...............................        1,918           -             -
Roger L. Primeau (10) ...........................        7,680           -             -
Thomas E. McInerney (11) ........................    6,000,945       70.62%        47.39%
 320 Park Avenue, 25th Floor
 New York, NY 10019
Anthony J. de Nicola (12) .......................    5,975,632       70.33%        47.19%
 320 Park Avenue, 25th Floor
 New York, NY 10019
Timothy M. Murray (13) ..........................      985,788       11.67%         7.82%
 222 West Adams Street
 Chicago, Illinois 60606
All current directors and executive officers as a    7,224,004       83.25%        56.24%
 group (9 persons) ..............................
</TABLE>
    

- ----------
- -    Represents beneficial ownership of less than 1% of the Common Stock.

   
(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  8,429,707  shares  of  Common  Stock
     outstanding  on November 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  2,725,706 shares of Common Stock held by WCAS V, 2,740,006 shares
     of Common Stock held by WCAS VI, 66,024 shares of Common Stock held by WCAS
     Information  Partners L.P. ("WCAS  Info."),  370,993 shares of Common Stock
     held by WCAS CP II,  171,283  shares of  Common  Stock  held by  individual
     partners of WCAS,  and  warrants to purchase up to 67,240  shares of Common
     Stock held by WCAS V. 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 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  636,491 shares of Common Stock held by Blair V, 332,487 shares of
     Common  Stock held by Blair LCF,  3,338  shares of Common  Stock held by an
     individual  affiliated  with WBCP,  and  warrants  to purchase up to 16,810
     shares of Common
    

                                       63

<PAGE>

   

     Stock held by Blair V.  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 options to purchase up to 109,987 shares of Common Stock.
(6)  Includes options to purchase up to 436 shares of Common Stock.
(7)  Includes options to purchase up to 20,512 shares of Common Stock.
(8)  Includes options to purchase up to 20,948 shares of Common Stock.
(9)  Includes options to purchase up to 1,613 shares of Common Stock.
(10) Includes options to purchase up to 10,255 shares of Common Stock.
(11) Includes  2,725,706 shares of Common Stock held by WCAS V, 2,740,006 shares
     of Common Stock held by WCAS VI, 66,024 shares of Common Stock held by WCAS
     Info.,  370,993  shares of Common Stock held by WCAS CP II, and warrants to
     purchase up to 67,240 shares of Common Stock held by WCAS V. Mr.  McInerney
     disclaims beneficial ownership of such shares.
(12) Includes  2,725,706 shares of Common Stock held by WCAS V, 2,740,006 shares
     of Common Stock held by WCAS VI, 66,024 shares of Common Stock held by WCAS
     Info.,  370,993  shares of Common Stock held by WCAS CP II, and warrants to
     purchase up to 67,240  shares of Common Stock held by WCAS V. Mr. de Nicola
     disclaims beneficial ownership of such shares.
(13) Includes  636,491 shares of Common Stock held by Blair V, 332,487 shares of
     Common  Stock held by Blair LCF,  and  warrants  to  purchase  up to 16,810
     shares of Common  Stock held by Blair V. Mr.  Murray  disclaims  beneficial
     ownership of such shares.

                                       64

    
<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 12,596,374 shares of Common Stock (13,221,374 shares if the
Underwriters'  over-allotment  option is  exercised)  and no shares of Preferred
Stock  outstanding.  As of  November  30,  1998,  before  giving  effect  to the
Recapitalization  but after giving effect to the Reverse Stock Split, there were
5,684,847  shares of Common Stock  outstanding  and 239,956  shares of Preferred
Stock  outstanding,  held of  record by 126  stockholders.  In  addition,  as of
November 30, 1998, before giving effect to the Recapitalization but after giving
effect to the Reverse Stock Split,  there were  outstanding  options to purchase
482,823 shares of Common Stock and warrants to purchase 105,062 shares of Common
Stock. Pursuant to the Recapitalization, all such warrants will be exercised (on
a "net  exercise"  basis) (for an aggregate  59,926  shares),  and all shares of
Preferred Stock will be converted into an aggregate  2,684,933  shares of Common
Stock (based on the aggregate  liquidation  preference of the Preferred Stock as
of November 30, 1998,  assuming no exercise of the Underwriters'  over-allotment
option) prior to the consummation of the Offering. On July 17, 1998, the Company
issued to Medic a warrant to purchase  1,250,000  shares of the Company's Common
Stock.  On October 7, 1998 the Company  issued to WCAS V and Blair V warrants to
purchase an aggregate 84,050 shares of Common Stock. See "Prospectus  Summary --
Recent Developments."

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 2,684,933  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 November 30, 1998,  four investors  owned warrants to purchase 59,926
shares of Common Stock (on a "net exercise"  basis),  which will be exercised in
full upon the closing of this Offering. See "Certain Transactions."
    

                                       65

<PAGE>

   
     On July 17, 1998 the Company  granted to Medic the Medic Warrant to acquire
1,250,000  shares of the Company's  Common Stock,  at a per share exercise price
equal to the price of the Common Stock to the public in the Offering.  The Medic
Warrant vests over a two year period and may be exercised up to five years after
the date of grant.

     On October 7, 1998,  in  connection  with their  agreement  to extend their
guaranty  of the  Company's  obligations  under the Credit  Facility to cover an
additional $16 million of indebtedness, the Company issued to WCAS V and Blair V
warrants to purchase an aggregate  84,050  shares of Common Stock at a per share
price equal to the price of the Common Stock to the public in the Offering,  or,
in the event that an initial public offering is not completed by March 31, 1999,
at an exercise  price equal to $8.00 per share.  The  warrants  are  immediately
exercisable and may be exercised up to five years from the date of grant.

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 90 days nor more
than 120 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
    

                                       66

<PAGE>

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.
    

                                       67

<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 12,596,374
shares of Common  Stock  outstanding  (excluding  482,823  shares  reserved  for
issuance  upon the  exercise of  outstanding  stock  options,  1,250,000  shares
reserved for issuance  upon the exercise of the Medic  Warrant and 84,050 shares
reserved  for  issuance  upon  the  exercise  of  the  1998  Guaranty  Warrants)
(13,221,374   shares  of  Common   Stock   outstanding   if  the   Underwriters'
over-allotment  option is exercised in full).  Of these  shares,  the  4,166,667
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  8,429,707 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,  625,484 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  7,804,223  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  125,964  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.

     In  addition,  the Company has granted  demand and  piggyback  registration
rights to WCAS CP II with respect to 370,993 shares of Common Stock and to Medic
with respect to 1,250,000  shares of Common Stock  issuable upon the exercise of
the Medic  Warrant.  All or part of such shares may be sold in the public market
following  the  exercise  of such  rights  subject to the  lock-up  arrangements
described  below  with  respect  to  WCAS  CP II and  to  vesting  and  exercise
requirements with respect to the Medic Warrant.
    

     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

                                       68

<PAGE>

   
Prospectus  without the prior written  consent of Salomon 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."
    

                                       69

<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>
   Salomon 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 Salomon  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 625,000
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
Salomon 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
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."
    

                                       70

<PAGE>

   
     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  Salomon  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. Salomon 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, 1997
and 1998 and for each of the  three  years in the  period  ended  June 30,  1998
included  in this  Prospectus,  and the  related  financial  statement  schedule
included elsewhere 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.

                                       71

<PAGE>

   
     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.

     The consolidated financial statements of Healthcare  Interchange,  Inc. and
subsidiary  as of June 30,  1998 and for the  nine-month  period  ended June 30,
1998,  included  herein and elsewhere in the  registration  statement  have been
audited and reported upon by KMPG Peat Marwick LLP, independent certified public
accountants.  Such  financial  statements  have been included  herein and in the
registration  statement  in reliance  upon the report of KPMG Peat  Marwick LLP,
appearing  herein,  and upon the authority of said firm 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.

                                       72



<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, 1997 and 1998 and September 30, 1998
   (Unaudited) ...........................................................................    F-3
 Consolidated Statements of Operations for the Years Ended June 30, 1996, 1997 and 1998
   and the Three Months Ended September 30, 1997 (Unaudited) and 1998 (Unaudited) ........    F-4
 Consolidated Statements of Stockholders' Equity (Deficit) for the Years Ended June 30,
   1996, 1997 and 1998 and the Three Months Ended September 30, 1998 (Unaudited) .........    F-5
 Consolidated Statements of Cash Flows for the Years Ended June 30, 1996, 1997 and 1998
   and the Three Months Ended September 30, 1997 (Unaudited) and 1998 (Unaudited) ........    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

HEALTHCARE INTERCHANGE, INC.:
 Independent Auditors' Report ............................................................   F-25
 Consolidated Balance Sheets as of June 30, 1998 and September 30, 1998 (Unaudited) ......   F-26
 Consolidated Statements of Operations for the Nine Month Period Ended June 30, 1998 and
   the Three Month Period Ended September 30, 1998 (Unaudited) ...........................   F-27
 Consolidated Statements of Stockholders' Equity (Deficit) for the Nine Month Period Ended
   June 30, 1998 and the Three Month Period Ended September 30, 1998 (Unaudited) .........   F-28
 Consolidated Statements of Cash Flows for the Nine Month Period Ended June 30, 1998 and
   the Three Month Period Ended September 30, 1998 (Unaudited) ...........................   F-29
 Notes to Consolidated Financial Statements ..............................................   F-30
</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, 1997 and 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, 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, 1997 and 1998, and the results of their  operations
and their  cash flows for each of the three  years in the period  ended June 30,
1998 in conformity with generally accepted accounting principles.

   
As discussed in Note 13, the accompanying 1997 and 1998  consolidated  financial
statements have been restated.
    

DELOITTE & TOUCHE LLP

Jericho, New York
August 5, 1998

   
(October 7, 1998 as to Note 6.b.,  October  30, 1998 as to Note 14 and  December
11, 1998 as to Note 13)
    

                                      F-2

<PAGE>
   
                   MEDE AMERICA CORPORATION AND SUBSIDIARIES
                          CONSOLIDATED BALANCE SHEETS
                             JUNE 30, 1997 AND 1998
                       AND SEPTEMBER 30, 1998 (UNAUDITED)
                    (IN THOUSANDS, EXCEPT PER SHARE AMOUNTS)

<TABLE>
<CAPTION>
                                                                                                                  PRO FORMA
                                                                                                                STOCKHOLDERS'
                                                                                                                   EQUITY
                                                                             JUNE 30,           SEPTEMBER 30,   SEPTEMBER 30,
                                                                     ------------------------- --------------- --------------
                                                                         1997         1998           1998           1998
                                                                     ------------ ------------ --------------- --------------
                                                                           (AS RESTATED,         (UNAUDITED)     (UNAUDITED)
                                                                           SEE NOTE 13)                          (NOTE 1.P.)
<S>                                                                  <C>          <C>          <C>             <C>
ASSETS
CURRENT ASSETS:
 Cash and cash equivalents .........................................  $   1,919    $   2,950      $   3,551
 Accounts receivable, less allowance for doubtful accounts of
   $1,716, $997 and $983, respectively..............................      6,318        7,920          8,579
 Formulary receivables .............................................        405        2,341          3,283
 Inventory .........................................................        172          211            250
 Prepaid expenses and other current assets .........................        486          537            668
                                                                      ---------    ---------      ---------
   Total current assets ............................................      9,300       13,959         16,331
PROPERTY AND EQUIPMENT -- Net (Notes 3 and 6) ......................      5,517        4,711          4,885
GOODWILL -- Net (Notes 1 and 2) ....................................     27,465       34,753         34,735
OTHER INTANGIBLE ASSETS -- Net (Notes 1 and 4) .....................      5,357        5,501          5,143
OTHER ASSETS (Note 11) .............................................        451          470          3,632
                                                                      ---------    ---------      ---------
TOTAL ..............................................................  $  48,090    $  59,394      $  64,726
                                                                      =========    =========      =========
LIABILITIES AND STOCKHOLDERS' (DEFICIT)
 EQUITY
CURRENT LIABILITIES:
 Accounts payable ..................................................  $   2,134    $   3,630      $   3,096
 Accrued expenses and other current liabilities (Note 5) ...........      9,195        7,715         10,741
 Current portion of long-term debt (Note 6) ........................        538          269            262
                                                                      ---------    ---------      ---------
   Total current liabilities .......................................     11,867       11,614         14,099
                                                                      ---------    ---------      ---------
LONG-TERM DEBT (Note 6) ............................................     24,623       41,055         42,365
                                                                      ---------    ---------      ---------
OTHER LONG-TERM LIABILITIES ........................................        215          194            189
                                                                      ---------    ---------      ---------
REDEEMABLE CUMULATIVE PREFERRED STOCK:
 $.01 par  value;  250 shares  authorized;  240  shares  issued and
 outstanding (aggregate liquidation value of $23,996 plus accrued dividends)
 (Note 9)...........................................................     28,823       31,223         31,823      $      --
                                                                      ---------    ---------      ---------      ---------
COMMITMENTS AND CONTINGENCIES (Note 10)
STOCKHOLDERS' (DEFICIT) EQUITY:
 Common stock, $.01 par value; 6,329 shares authorized; 5,671,
   5,685 and 5,685 shares issued and outstanding, respectively.              57           57             57             84
 Additional paid-in capital ........................................     27,713       25,584         27,521         59,317
 Accumulated deficit ...............................................    (45,208)     (50,243)       (51,328)       (51,328)
 Deferred compensation (Note 8) ....................................         --          (90)            --             --
                                                                      ---------    ---------      ---------      ---------
   Total stockholders' (deficit) equity ............................    (17,438)     (24,692)       (23,750)     $   8,073
                                                                      ---------    ---------      =========      ---------
TOTAL ..............................................................  $  48,090    $  59,394      $  64,726
                                                                      =========    =========      =========
</TABLE>
    

                See notes to consolidated financial statements.

                                      F-3

<PAGE>
   
                   MEDE AMERICA CORPORATION AND SUBSIDIARIES
                     CONSOLIDATED STATEMENTS OF OPERATIONS
                    YEARS ENDED JUNE 30, 1996, 1997 AND 1998
             AND THREE MONTHS ENDED SEPTEMBER 30, 1997 (UNAUDITED)
                              AND 1998 (UNAUDITED)
                    (IN THOUSANDS, EXCEPT PER SHARE AMOUNTS)

<TABLE>
<CAPTION>

                                                                                                        THREE MONTHS ENDED
                                                                      YEAR ENDED JUNE 30,                  SEPTEMBER 30,
                                                            --------------------------------------- ---------------------------
                                                                1996          1997         1998          1997          1998
                                                            ------------ ------------- ------------ -------------- ------------
                                                                               (AS RESTATED,         (AS RESTATED,
                                                                                SEE NOTE 13)         SEE NOTE 13)

                                                                                                            (UNAUDITED)

<S>                                                         <C>          <C>           <C>          <C>            <C>
REVENUES ..................................................  $  31,768     $  35,279     $ 42,290      $  9,241      $ 12,006
OPERATING EXPENSES:
 Operations ...............................................     19,174        16,817       16,958         4,285         4,793
 Sales, marketing and client services .....................      7,064         8,769       10,765         2,385         2,930
 Research and development (Note 1) ........................      2,132         3,278        3,941           806         1,106
 General and administrative ...............................      6,059         5,263        4,865         1,061         1,263
 Depreciation and amortization ............................      5,176         5,460        7,143         1,698         1,894
 Contingent consideration paid to former owners of
   acquired businesses (Note 2) ...........................        538         2,301           --            --            --
 Write-down of intangible assets (Note 1) .................      9,965            --           --            --            --
 Acquired in-process research and development (Note 2).....         --         1,556           --            --            --
                                                             ---------     ---------     --------      --------      --------
 Total operating expenses .................................     50,108        43,444       43,672        10,235        11,986
                                                             ---------     ---------     --------      --------      --------

(LOSS) INCOME FROM OPERATIONS .............................    (18,340)       (8,165)      (1,382)         (994)           20
OTHER (INCOME) EXPENSE (Note 12) ..........................        313          (893)         (12)           --            --
INTEREST EXPENSE, Net .....................................        584         1,504        3,623           655         1,089
                                                             ---------     ---------     --------      --------      --------
LOSS BEFORE PROVISION FOR INCOME
 TAXES ....................................................    (19,237)       (8,776)      (4,993)       (1,649)       (1,069)

PROVISION FOR INCOME TAXES (Note 7) .......................         93            57           42            12            16
                                                             ---------     ---------     --------      --------      --------
NET LOSS ..................................................    (19,330)       (8,833)      (5,035)       (1,661)       (1,085)

PREFERRED STOCK DIVIDENDS .................................     (2,400)       (2,400)      (2,400)         (600)         (600)
                                                             ---------     ---------     --------      --------      --------
NET LOSS APPLICABLE TO COMMON
 STOCKHOLDERS .............................................  $ (21,730)    $ (11,233)    $ (7,435)     $ (2,261)     $ (1,685)
                                                             =========     =========     ========      ========      ========
BASIC AND DILUTED NET LOSS PER COMMON
 SHARE ....................................................  $   (4.14)    $   (2.07)    $  (1.31)     $  (0.40)     $  (0.30)
                                                             =========     =========     ========      ========      ========
WEIGHTED AVERAGE COMMON SHARES
 OUTSTANDING -- BASIC AND DILUTED .........................      5,245         5,425        5,679         5,674         5,685
                                                             =========     =========     ========      ========      ========
</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, 1996, 1997 AND 1998
             AND THREE MONTHS ENDED SEPTEMBER 30, 1998 (UNAUDITED)
                                 (IN THOUSANDS)

<TABLE>
<CAPTION>

                                                   COMMON STOCK     ADDITIONAL                                    TOTAL
                                                 -----------------    PAID-IN    ACCUMULATED     DEFERRED     STOCKHOLDERS'
                                                  SHARES   AMOUNT     CAPITAL      DEFICIT     COMPENSATION  EQUITY (DEFICIT)
                                                 -------- -------- ------------ ------------- ------------- -----------------
<S>                                              <C>      <C>      <C>          <C>           <C>           <C>
BALANCE, JULY 1, 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 (as restated, see Note 13) ...........     --     --             --        (8,833)         --            (8,833)
 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 (as restated, see
 Note 13) ......................................  5,671     57         27,713       (45,208)         --           (17,438)
 Net loss (as restated, see Note 13) ...........     --     --             --        (5,035)         --            (5,035)
 Preferred stock dividends .....................     --     --         (2,400)           --          --            (2,400)
 Issuance of warrants ..........................     --     --             98            --          --                98
 Exercise of stock options .....................     14     --             65            --          --                65
 Issuance of stock options (Note 8) ............     --     --            108            --        (108)               --
 Amortization of deferred compensation .........     --     --             --            --          18                18
                                                  -----   ----       --------     ---------      ------         ---------
BALANCE, JUNE 30, 1998 (as restated, see
 Note 13) ......................................  5,685     57         25,584       (50,243)        (90)          (24,692)
 Net loss (unaudited) ..........................     --     --             --        (1,085)         --            (1,085)
 Preferred stock dividends (unaudited) .........     --     --           (600)           --          --              (600)
 Issuance of warrants (unaudited) (Note 11).....     --     --          2,537            --          --             2,537
 Amortization of deferred compensation
   (unaudited) (Note 8) ........................     --     --             --            --          90                90
                                                  -----   ----       --------     ---------      ------         ---------
BALANCE, SEPTEMBER 30, 1998
 (UNAUDITED) ...................................  5,685   $ 57       $ 27,521     $ (51,328)     $   --         $ (23,750)
                                                  =====   ====       ========     =========      ======         =========
</TABLE>
    

                See notes to consolidated financial statements.

                                      F-5

<PAGE>
   
                   MEDE AMERICA CORPORATION AND SUBSIDIARIES
                     CONSOLIDATED STATEMENTS OF CASH FLOWS
        YEARS ENDED JUNE 30, 1996, 1997 AND 1998 AND THREE MONTHS ENDED
              SEPTEMBER 30, 1997 (UNAUDITED) AND 1998 (UNAUDITED)
                                 (IN THOUSANDS)

<TABLE>
<CAPTION>

                                                                                          YEAR ENDED JUNE 30,
                                                                               ------------------------------------------
                                                                                    1996           1997          1998
                                                                               ------------- --------------- ------------
                                                                                                    (AS RESTATED,
                                                                                                     SEE NOTE 13)
<S>                                                                            <C>           <C>             <C>
CASH FLOWS FROM OPERATING ACTIVITIES:
 Net loss ....................................................................   $ (19,330)     $ (8,833)     $  (5,035)
 Adjustments to reconcile net loss to net cash provided by (used
  in) operating activities:
  Depreciation and amortization ..............................................       5,176         5,585          7,502
  Provision for doubtful accounts ............................................         406           316            464
  Write-down of intangible assets ............................................       9,965            --             --
  Acquired in-process research and development ...............................          --         1,556             --
  (Gain) loss on sale of assets ..............................................         313              (8)          13
  Non-cash compensation expense ..............................................          --            --             18
  Changes in  operating  assets and  liabilities  net of  effects of  businesses
   acquired:
   Accounts receivable .......................................................         977          (861)        (2,065)
   Formularly receivables ....................................................         (74)         (331)        (1,936)
   Inventory .................................................................         262           (45)           (40)
   Prepaid expenses and other current assets .................................        (179)          175            (51)
   Other assets ..............................................................         243            13             19
   Accounts payable and accrued expenses and other current liabilities .......         997          (629)        (1,368)
   Other long-term liabilities ...............................................        (409)         (958)           (21)
                                                                                 ---------      ----------    ---------
    Net cash provided by (used in) operating activities ......................      (1,653)       (4,020)        (2,500)
                                                                                 ---------      ----------    ---------
CASH FLOWS FROM INVESTING ACTIVITIES:
 Business acquisitions, net of cash acquired .................................      (3,648)      (11,450)       (10,674)
 Purchases of property and equipment .........................................      (1,271)       (1,477)          (913)
 Additions to goodwill and other intangible assets ...........................          --          (143)          (699)
 Proceeds from sale of property and equipment ................................          --           461            182
 Proceeds from sale of net assets of Premier .................................          --           388             --
                                                                                 ---------      ----------    ---------
    Net cash used in investing activities ....................................      (4,919)      (12,221)       (12,104)
                                                                                 ---------      ----------    ---------
CASH FLOWS FROM FINANCING ACTIVITIES:
 Due to stockholders .........................................................      (4,484)           --             --
 Issuance of Senior Subordinated Note ........................................          --        22,875             --
 Issuance of common stock ....................................................          --         2,125             --
 Net proceeds (repayments) under Credit Facility .............................       8,250        (8,250)        16,725
 Principal repayments of debt ................................................      (2,852)         (801)          (588)
 Principal repayments of capital lease obligations ...........................        (452)         (518)          (567)
 Exercise of stock options ...................................................         195            90             65
                                                                                 ---------      ----------    ---------
    Net cash provided by financing activities ................................         657        15,521         15,635
                                                                                 ---------      ----------    ---------
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS..........................      (5,915)         (720)         1,031
CASH AND CASH EQUIVALENTS, BEGINNING OF PERIOD ...............................       8,554         2,639          1,919
                                                                                 ---------      ----------    ---------
CASH AND CASH EQUIVALENTS, END OF PERIOD .....................................   $   2,639      $  1,919      $   2,950
                                                                                 =========      ==========    =========
SUPPLEMENTAL DISCLOSURES OF CASH FLOW
 INFORMATION:
 Cash paid during the period for:
  Interest ...................................................................   $     394      $  1,541      $   3,018
                                                                                 =========      ==========    =========
  Income taxes ...............................................................   $      69      $    111      $     102
                                                                                 =========      ==========    =========
 Non-cash investing and financing activities:
  Assets acquired under capital leases or by incurring debt ..................   $     205      $    129      $     278
                                                                                 =========      ==========    =========
  Issuance of warrants .......................................................   $     121      $     52      $      98
                                                                                 =========      ==========    =========




<CAPTION>

                                                                                    THREE MONTHS ENDED
                                                                                       SEPTEMBER 30,
                                                                               -----------------------------
                                                                                    1997           1998
                                                                               -------------- --------------
                                                                                (AS RESTATED,
                                                                                SEE NOTE 13)
                                                                                       (UNAUDITED)

<S>                                                                            <C>            <C>
CASH FLOWS FROM OPERATING ACTIVITIES:
 Net loss ....................................................................    $(1,661)       $(1,085)
 Adjustments to reconcile net loss to net cash provided by (used
  in) operating activities:
  Depreciation and amortization ..............................................      1,784          1,990
  Provision for doubtful accounts ............................................         57             70
  Write-down of intangible assets ............................................         --             --
  Acquired in-process research and development ...............................         --             --
  (Gain) loss on sale of assets ..............................................         --             --
  Non-cash compensation expense ..............................................         --             90
  Changes in operating assets and liabilities net of effects of businesses
   acquired:
   Accounts receivable .......................................................       (464)          (729)
   Formularly receivables ....................................................         (9)          (942)
   Inventory .................................................................        (21)           (39)
   Prepaid expenses and other current assets .................................         13           (131)
   Other assets ..............................................................        (60)          (625)
   Accounts payable and accrued expenses and other current liabilities .......     (1,254)         1,853
   Other long-term liabilities ...............................................         (1)            (5)
                                                                                  ----------     ----------
    Net cash provided by (used in) operating activities ......................     (1,616)           447
                                                                                  ---------      ---------
CASH FLOWS FROM INVESTING ACTIVITIES:
 Business acquisitions, net of cash acquired .................................         --             --
 Purchases of property and equipment .........................................       (212)          (466)
 Additions to goodwill and other intangible assets ...........................       (307)          (403)
 Proceeds from sale of property and equipment ................................         --             --
 Proceeds from sale of net assets of Premier .................................         --             --
                                                                                  ---------      ---------
    Net cash used in investing activities ....................................       (519)          (869)
                                                                                  ---------      ---------
CASH FLOWS FROM FINANCING ACTIVITIES:
 Due to stockholders .........................................................         --             --
 Issuance of Senior Subordinated Note ........................................         --             --
 Issuance of common stock ....................................................         --             --
 Net proceeds (repayments) under Credit Facility .............................      3,025          1,225
 Principal repayments of debt ................................................       (172)           (83)
 Principal repayments of capital lease obligations ...........................       (105)          (119)
 Exercise of stock options ...................................................         33             --
                                                                                  ---------      ---------
    Net cash provided by financing activities ................................      2,781          1,023
                                                                                  ---------      ---------
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS..........................        646            601
CASH AND CASH EQUIVALENTS, BEGINNING OF PERIOD ...............................      1,919          2,950
                                                                                  ---------      ---------
CASH AND CASH EQUIVALENTS, END OF PERIOD .....................................    $ 2,565        $ 3,551
                                                                                  =========      =========
SUPPLEMENTAL DISCLOSURES OF CASH FLOW
 INFORMATION:
 Cash paid during the period for:
  Interest ...................................................................    $   641        $ 1,075
                                                                                  =========      =========
  Income taxes ...............................................................    $    10        $     7
                                                                                  =========      =========
 Non-cash investing and financing activities:
  Assets acquired under capital leases or by incurring debt ..................         --        $   184
                                                                                  =========      =========
  Issuance of warrants .......................................................         --        $ 2,537
                                                                                  =========      =========

</TABLE>
    

                See notes to consolidated financial statements.

                                      F-6

<PAGE>
   
                   MEDE AMERICA CORPORATION AND SUBSIDIARIES
                  NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                    YEARS ENDED JUNE 30, 1996, 1997 AND 1998
               AND THREE MONTHS ENDED SEPTEMBER 30, 1997 AND 1998
(INFORMATION  AS  IT  RELATES  TO  THE THREE MONTHS ENDED SEPTEMBER 30, 1997 AND
                              1998 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, Wellmark and EC&F were merged into MEDE America Corporation.

   

   The Company has  instituted  certain  cost  reduction  programs.  The Company
   anticipates  that these programs,  when coupled with the Company's  revolving
   credit facility,  will enable the Company to satisfy its short-term cash flow
   and working capital requirements at least through fiscal 1999.  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,  such stockholders are
   under no legal  obligation to provide such support and, if the IPO (as herein
   defined) is consummated as proposed,  such  stockholders  may elect not to do
   so. (see Note 8).

    

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.  The  Company  submits  processed  transactions
   qualifying for formulary  incentive fees to various  intermediaries  who have
   PBM  program  services  contracts  with  pharmaceutical  manufacturers  on  a
   quarterly  basis,  in  arrears.  The  intermediaries   consolidate  formulary
   transactions  from various  processors and, in turn, submit such transactions
   to the pharmaceutical  manufacturers for payment.  The additional  processing
   and  reconciliation  time of the consolidators and  pharmaceutical  companies
   results in a collection cycle for the Company of 7-12 months.

    

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 $3,451,000 and $5,864,000 as of June 30,
   1997 and 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 year  ended June 30,  1998,  the  Company  capitalized
   $462,000 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,
   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. Unaudited Interim Financial  Statements -- In the opinion of management,  the
   unaudited  consolidated  financial  statements  for the  three  months  ended
   September  30, 1997 and 1998 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 operations for interim
   periods are not necessarily  indicative of the results to be expected for the
   entire year.

p. Pro  Forma  Stockholders'  Equity  -- Pro  forma  stockholders'  equity as of
   September  30, 1998 reflects the  conversion  of 239,956  shares of preferred
   stock plus  $7,827,000 of accrued  preferred  stock  dividends at the assumed
   initial public offering ("IPO") price of $12.00 per share. See Note 8.

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

    

2. ACQUISITIONS

a. 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  obtained  from the
   Company's  majority  stockholder.  Such loans were  subsequently  repaid with
   borrowings  under the  Company's  Credit  Facility  (as herein  defined).  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.  Such  accruals  of  contingent
   considerations  were  recorded as  compensation  expense as these  contingent
   payments  were  made to  former  shareholders  of EC&F and  Premier  who were
   required by the stock  purchase  agreement to remain in the Company's  employ
   during the  period in which the  contingent  consideration  was to be earned.
   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.

   

b. TCS -- In February 1997, the Company  purchased  certain assets of Time-Share
   Computer  Systems,  Inc.  ("TCS")  for  $11,465,000,   including  transaction
   expenses.  Purchased  in-process  research  and  development,  which  had not
   reached technological  feasibility and had no alternative future use amounted
   to  $1,556,000  and  was  charged  to  operations  at the  acquisition  date.
   Purchased  software and  technology was valued at $2,984,000 and generally is
   being   amortized  over  three  years.   TCS  provides  data  processing  and
   information  management  services  to  healthcare  providers  and  pharmacies
   through inte-

    

                                      F-9

<PAGE>

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

   grated 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).

c. 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.  Based  on  revenues  recorded  through  September  30,  1998  by
   Stockton,  the Company has accrued  additional  contingent  consideration  of
   $2,022,000 as of September 30, 1998, which was treated as additional purchase
   price  and  was,  therefore,  added  to  goodwill.   Purchased  software  and
   technology   and  client  lists  were  valued  at  $1,230,000  and  $903,000,
   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 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:  EC&F and
Premier -- $3,586,000; TCS -- $6,525,000 and Stockton -- $8,281,000. 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.

    

The following  unaudited pro forma  information for the year ended June 30, 1997
and 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>

                                                     1997           1998
                                                 ------------   ------------
                                                       (IN THOUSANDS)

<S>                                              <C>            <C>
Revenues .....................................    $  41,824       $ 43,936
                                                  =========       ========
Loss from operations .........................    $  (8,855)      $   (430)
                                                  =========       ========
Net loss .....................................    $ (11,206)      $ (4,320)
                                                  =========       ========
Net loss applicable to common stock ..........    $ (13,606)      $ (6,720)
                                                  =========       ========
Basic and diluted net loss per share .........    $   (2.51)      $  (1.18)
                                                  =========       ========
</TABLE>
    

3. PROPERTY AND EQUIPMENT

   
<TABLE>
<CAPTION>

                                                           USEFUL LIVES
                                                             (IN YEARS)      1997        1998
                                                           -------------   --------   ---------
                                                                              (IN THOUSANDS)

<S>                                                        <C>             <C>        <C>
Land ...................................................                    $  210     $   104
Building and improvements ..............................       20-25         2,190       2,193
Furniture and fixtures .................................           5         1,150       1,240
Computer equipment .....................................         3-5         5,696       6,747
                                                                            ------     -------
                                                                             9,246      10,284

Less accumulated depreciation and amortization .........                     3,729       5,573
                                                                            ------     -------
Property and equipment -- net ..........................                    $5,517     $ 4,711
                                                                            ======     =======
</TABLE>
    

                                      F-10

<PAGE>

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

4. OTHER INTANGIBLE ASSETS


<TABLE>
<CAPTION>

Other intangible assets consist of the following:

                                                 1997        1998
                                              ---------   ---------
                                                 (IN THOUSANDS)

<S>                                           <C>         <C>
Purchased client lists ....................    $2,989      $3,893
Less, accumulated amortization ............     1,518       2,220
                                               ------      ------
                                                1,471       1,673

                                               ------      ------
Purchased software and technology .........     6,859       8,288
Less, accumulated amortization ............     2,973       4,922
                                               ------      ------
                                                3,886       3,366

                                               ------      ------
Software development costs ................        --         462
                                               ------      ------
Other intangible assets -- net ............    $5,357      $5,501
                                               ======      ======
</TABLE>

Subsequent  to the  issuance  of the June 30,  1997  financial  statements,  the
Company's  management  determined  that a lower  discount  rate should have been
utilized  to  value  purchased  software  and  technology  acquired  in the  TCS
acquisition.  As a result,  the Company  reclassified  $343,000 from goodwill to
purchased software and technology.

5. ACCRUED EXPENSES AND OTHER CURRENT LIABILITIES

Accrued expenses and other current liabilities consist of the following:

<TABLE>
<CAPTION>

                                                           1997        1998
                                                        ---------   ---------
                                                            (IN THOUSANDS)

<S>                                                     <C>         <C>
Accrued wages and related employee benefits .........    $1,010      $1,609
Rebate liability ....................................       488         291
Pharmacy claims liability ...........................       576         604
Accrued professional fees ...........................       795         364
Deferred revenue ....................................       749         614
Accrued reorganization costs (a) ....................     1,005          --
Due to former owners of acquired business ...........     2,216       1,945
Accrued litigation settlement .......................       860          --
Accrued interest ....................................         5         864
Other ...............................................     1,491       1,424
                                                         ------      ------
Total ...............................................    $9,195      $7,715
                                                         ======      ======
</TABLE>

- ----------
(a) As a  result  of the  Spin-off  (Note  1),  the  Company  recorded  a charge
    amounting to  $2,864,000  during the year ended June 30,  1995.  Such charge
    represented  amounts to be paid to former stockholders of MedE (who remained
    as executives of MedE) pursuant to contractual agreements which require such
    payments  to be made  upon a change in  control.  The net  present  value of
    remaining  payments  totaled  $1,005,000  as of June  30,  1997,  which  was
    included in accrued reorganization costs.

                                      F-11

<PAGE>

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

6. LONG-TERM DEBT

Long-term debt consists of the following:

<TABLE>
<CAPTION>

                                                                                         1997         1998
                                                                                      ----------   ----------
                                                                                          (IN THOUSANDS)

<S>                                                                                   <C>          <C>
Senior subordinated note less unamortized discount of $2,000,000 and $1,641,000
 at June 30, 1997 and 1998, respectively (a) ......................................    $23,000      $23,359

Credit Facility (b) ...............................................................         --       16,725

Obligations under capital leases (c) ..............................................        769          436

Loan payable relating to an acquisition, collateralized by $224,000 of certifi-
 cates of deposits at June 30, 1998 due in quarterly payments ranging from
 $15,000 to $25,000 through February 2002, interest at 6.7 percent.................        342          271

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..............        180          114

Notes payable to former shareholders of EC&F, repaid in 1998 ......................         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.......        592          419

Note payable to bank, repaid in 1998 ..............................................        173           --

Other .............................................................................         10           --
                                                                                       -------      -------
                                                                                        25,161       41,324

Less current portion ..............................................................        538          269
                                                                                       -------      -------
Total .............................................................................    $24,623      $41,055
                                                                                       =======      =======
</TABLE>

(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 7, 1998,  provides for maximum  borrowings  of
    $36,000,000 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  October  31,  1998 was  6.41%.  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,  1997  and  1998,  respectively.  In  addition,  the
    stockholders  were issued  warrants to purchase  84,050 shares on October 7,
    1998 in  consideration  for the  granting of the most recent  guaranty.  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

    

                                      F-12

<PAGE>

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

   

   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.

   The Company was not in  compliance  with the leverage  and interest  coverage
   covenants as of September 30, 1998. The bank has granted a waiver relating to
   the  noncompliance  with these covenants and has amended these covenants on a
   prospective basis such that the Company  anticipates it will be in compliance
   with such covenants at least through September 30, 1999.

(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 $2,110,000 and $2,406,000 as of June 30, 1997
    and  1998,  respectively,  and  the  related  accumulated  amortization  was
    $1,524,000 and $2,211,000, respectively.


<TABLE>
<CAPTION>

Maturities of long-term debt as of June 30, 1998 are as follows:

                                      DISCOUNT
 YEAR ENDING JUNE 30,      GROSS      ON NOTE       NET
- ----------------------   ---------   ---------   ---------
                                  (IN THOUSANDS)

<S>                      <C>         <C>         <C>
1999 .................    $   664     $  395      $   269
2000 .................     17,164        437       16,727
2001 .................     12,594        483       12,111
2002 .................     12,543        326       12,217
                          -------     ------      -------
Total ................    $42,965     $1,641      $41,324
                          =======     ======      =======
</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, 1996,  1997
and 1998 consists entirely of current state income taxes.

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>

                                                             1996           1997           1998
                                                         ------------   ------------   ------------
                                                                       (IN THOUSANDS)

<S>                                                      <C>            <C>            <C>
       U.S. Federal statutory rate ...................     $ (6,541)      $ (2,984)      $ (1,698)
       Increases (reductions) due to:

        Nondeductible expenses .......................        3,674            293            238
        State taxes ..................................           93             57             42
        Net operating losses not producing current tax
          benefits ...................................        2,867          2,691          1,460
                                                           --------       --------       --------
        Total ........................................     $     93       $     57       $     42
                                                           ========       ========       ========
</TABLE>

The net deferred tax asset is comprised of the following:

<TABLE>
<CAPTION>
                                                                      1997           1998
                                                                  ------------   ------------
                                                                          (IN THOUSANDS)

<S>                                                               <C>            <C>
       Accounts receivable ....................................    $     685      $     399
       Property and equipment .................................          (61)           176
       Goodwill ...............................................        2,488          2,786
       Other intangible assets ................................          366            459
       Accrued expenses and other current liabilities .........        1,264            617
       Net operating loss carryforwards .......................       12,656         14,552
                                                                   ---------      ---------
                                                                      17,398         18,989

       Less valuation allowance ...............................      (17,398)       (18,989)
                                                                   ---------      ---------
       Total ..................................................    $      --      $      --
                                                                   =========      =========
    
</TABLE>


                                      F-13

<PAGE>

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

   

The valuation  allowance increased during the years ended June 30, 1997 and 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 June 30, 1998, the Company had Federal net operating loss carryforwards of
approximately  $36,380,000.  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. 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, 1996, 1997 and 1998.

   
<TABLE>
<CAPTION>

                                                                           WEIGHTED
                                           NUMBER          EXERCISE        AVERAGE
                                             OF             PRICE          EXERCISE
                                           SHARES           RANGE           PRICE
                                        ------------   ---------------   -----------
<S>                                     <C>            <C>               <C>
     Balance, July 1, 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 ............      (14,054)    $ 4.58-$5.73      $  4.62
       Canceled/lapsed ..............      (15,057)    $ 4.58-$5.73      $  4.62
                                           -------     ------------      -------
     Balance, June 30, 1998 .........      483,041     $ 4.58-$5.73      $  4.84
                                           =======     ============      =======

</TABLE>

   During March 1998, the Company granted 47,565 options at an exercise price of
   $5.73 per share. The Company later determined that the value of the Company's
   stock at the date of grant was $8.00.  As a result,  the  Company  recorded a
   deferred  compensation  charge of $108,000  relating to the granting of these
   options,  of which $18,000 was amortized during the year ended June 30, 1998.
   Effective  August 31,  1998,  the  Company  accelerated  the vesting of these
   options and, therefore, amortized the remaining balance.

    

                                      F-14

<PAGE>

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

   Significant  option groups  outstanding at June 30, 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              375,804       7.4              $ 4.58          202,069      $ 4.58
$  5.73              107,237       9.6              $ 5.73           10,689      $ 5.73
                     -------                                        -------
                     483,041       7.9              $ 4.84          212,758      $ 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, 1997 and 1998 would have been as follows:

   
<TABLE>
<CAPTION>

                                                              1996           1997           1998
                                                         -------------   ------------   ------------
                                                            (IN THOUSANDS, EXCEPT PER SHARE DATA)

<S>                                                      <C>             <C>            <C>
   Net loss -- as reported ...........................     $ (19,330)      $ (8,833)      $ (5,035)
   Net loss -- pro forma .............................       (19,345)        (8,887)        (5,105)
   Basic and diluted net loss per share -- as reported         (4.14)         (2.07)         (1.31)
   Basic and diluted net loss per share -- pro forma.          (4.15)         (2.08)         (1.32)

</TABLE>
    

   

   The weighted  average  fair value of the options  granted for the years ended
   June 30, 1996, 1997, and 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,
   1997, and 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.

b. 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. Basic and diluted earnings per share are the
   same  for all of the  periods  presented  because  the  effect  of  including
   outstanding  options and warrants would be antidilutive.  The calculation for
   the years  ended  June 30,  1996,  1997 and 1998 and the three  months  ended
   September 30, 1997 and 1998 was as follows:

    

   
<TABLE>
<CAPTION>

                                                              YEAR ENDED JUNE 30,
                                                     1996                              1997
                                      ---------------------------------- ---------------------------------
                                                              PER-SHARE                         PER-SHARE
                                           LOSS      SHARES     AMOUNT       LOSS      SHARES     AMOUNT
                                      ------------- -------- ----------- ------------ -------- -----------
                                                     (IN THOUSANDS, EXCEPT PER SHARE DATA)

<S>                                   <C>           <C>      <C>         <C>          <C>      <C>
   Net loss .........................   $ (19,330)                        $  (8,833)
   Less: Preferred dividends ........      (2,400)                           (2,400)
                                        ---------                         ---------
   Basic and diluted net loss per
     share ..........................   $ (21,730)   5,245   $(4.14)      $ (11,233)   5,425   $(2.07)
                                        =========    =====   ======       =========    =====   ======




<CAPTION>

                                            YEAR ENDED JUNE 30,
                                                    1998
                                      --------------------------------
                                                           PER-SHARE
                                          LOSS      SHARES   AMOUNT
                                      ------------ -------- ----------
                                      (IN THOUSANDS, EXCEPT PER SHARE
                                                    DATA)

<S>                                   <C>          <C>      <C>
   Net loss .........................   $ (5,035)
   Less: Preferred dividends ........     (2,400)
                                        --------
   Basic and diluted net loss per
     share ..........................   $ (7,435)   5,679   $(1.31)
                                        ========    =====   ======

</TABLE>

                                      F-15

    
<PAGE>

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

   
<TABLE>
<CAPTION>

                                                                    THREE MONTHS ENDED SEPTEMBER 30,
                                                              1997                                    1998
                                              -------------------------------------   ------------------------------------
                                                                         PER-SHARE                               PER-SHARE
                                                  LOSS        SHARES       AMOUNT         LOSS        SHARES      AMOUNT
                                              ------------   --------   -----------   ------------   --------   ----------
                                                                 (IN THOUSANDS, EXCEPT PER SHARE DATA)

<S>                                           <C>            <C>        <C>           <C>            <C>        <C>
   Net loss ...............................     $ (1,661)                               $ (1,085)
   Less: Preferred dividends ..............         (600)                                   (600)
                                                --------                                --------
   Basic and diluted net loss per share....     $ (2,261)     5,674     $(0.40)         $ (1,685)     5,685     $(0.30)
                                                ========      =====     ======          ========      =====     ======

</TABLE>

c.   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 4,166,667 shares of common stock
     will be offered  at a price  between  $11.00 and $13.00 per share.  The net
     proceeds of the IPO will be used to retire its Senior Subordinated Note and
     a portion of  borrowings  outstanding  under its Credit  Facility  plus any
     related accrued interest.

d.   Reverse Stock Split and Increase in  Authorized  Common Stock and Preferred
     Stock -- In  anticipation of the proposed IPO, on July 27, 1998 the Company
     amended and restated its  certificate of  incorporation  in order to, among
     other things,  effect a reverse  stock split of all issued and  outstanding
     common  shares at the rate of 1 for 4.5823,  which  decreased the number of
     issued  and  outstanding  shares  as of June 30,  1998  from  approximately
     26,050,000  to   approximately   5,685,000.   This  stock  split  has  been
     retroactively  reflected in the accompanying  financial  statements for all
     periods  presented.  The  Company  also  increased  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.

e.   Recapitalization  -- In  conjunction  with the proposed IPO and as provided
     for in the  Company's  July  27,  1998  amendment  and  restatement  of its
     certificate of incorporation,  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. However, cash realized by the Company upon any
     exercise of the underwriters'  overallotment option would be applied to the
     payment of accrued  dividends on the  preferred  stock and the remainder of
     such accrued dividends would convert into common stock. The preferred stock
     conversion will be effected based upon the IPO price per share. Assuming an
     IPO  price  of  $12.00  per  share  and no  exercise  of the  underwriters'
     overallotment,  the preferred  stock will be converted  into  approximately
     2,652,000  shares of common stock.  The warrants  will be  converted,  in a
     cashless exercise, into approximately 60,000 shares of common stock.

f.   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  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 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.

g.   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

    

                                      F-16

<PAGE>

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

   

     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.

h.   On November 15, 1998, the Board  determined to grant options (such grant to
     be  effective  as of the date of the IPO) to purchase an  aggregate  50,500
     shares of common stock under the New Stock Plan to certain employees of the
     Company,  most of whom were formerly  employed by HII. Such options will be
     incentive 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.

    

9. REDEEMABLE CUMULATIVE PREFERRED STOCK

   

As of June 30,  1997 and 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 8).

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 September 30, 1998,
cumulative  undeclared  and unpaid  dividends on this  preferred  stock  totaled
$7,827,000.
    

10. 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>
         1999 .................................    $1,405
         2000 .................................     1,351
         2001 .................................       919
         2002 .................................       654
         Thereafter ...........................       348
                                                   ------
         Total minimum lease payments .........    $4,677
                                                   ======

</TABLE>

     Rent expense for the years ended June 30, 1996, 1997 and 1998 was $853,000,
     $1,309,000, and $1,307,000, 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 renumeration 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>
  1999 ................    $206
  2000 ................      79
                           ----
                           $285
                           ====

</TABLE>

                                      F-17


<PAGE>

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

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
   $197,000,  $227,000, and $194,000 for employer contributions to the Plans/New
   Plan for the years ended June 30, 1996, 1997 and 1998, respectively.

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 June 30, 1998. The minimum monthly amounts under these
   agreements are as follows (in thousands):

   
<TABLE>
<CAPTION>

YEAR ENDING JUNE 30,
- --------------------
<S>                        <C>
  1999 .................    $ 1,795
  2000 .................      1,497
  2001 .................      1,429
  2002 .................        543
                            -------
  Total ................    $ 5,264
                            =======
</TABLE>

11. TRANSACTION PROCESSING AGREEMENT

On July 17, 1998, the Company  entered into a transaction  processing  agreement
(the "Processing  Agreement") with Medic Computer  Systems,  Inc.  ("Medic"),  a
subsidiary  of Misys plc that  develops  and licenses  software  for  healthcare
providers,   principally  physicians,   MSOs  and  PPMs.  Under  the  Processing
Agreement,  the Company will undertake certain software development obligations,
and on July 1, 1999 it will become the exclusive  processor  (subject to certain
exceptions) of medical reimbursement claims for Medic's subscribers submitted to
payors  with whom MedE has or  establishes  connectivity.  Under the  Processing
Agreement,  the  Company  will be  entitled to revenues to be paid by payors (in
respect of which a commission is payable to Medic) as well as fees to be paid by
Medic.  The Processing  Agreement sets forth detailed  performance  criteria and
development and implementation timetables.  Inability to meet these criteria may
result in financial penalties or give Medic a right to terminate this agreement.
The Processing Agreement is for a fixed term of five years, with annual renewals
thereafter (unless either party elects to terminate).

Contemporaneously,  to ensure a close working  relationship between the parties,
on July 17, 1998 the Company granted to Medic a warrant (the "Medic Warrant") to
acquire  1,250,000 shares of the Company's common stock, at a per share exercise
price equal to the price of the common stock to the public in the IPO or, in the
event that the IPO is not completed by March 31, 1999 at an exercise price equal
to $8 per  share.  The Medic  Warrant  vests  over a two year  period and may be
exercised  up to five years  after  issuance.  The Medic  Warrant  was valued at
$2,537,000 using the Black-Scholes Option Pricing Model and is recorded in other
assets.  The Medic Warrant is being  amortized  over the life of the  Processing
Agreement,  five years.  The Medic Warrant contains  customary  weighted average
antidilution  provisions.  The Company and certain  principal  stockholders have
agreed that  following  the  completion  of the IPO and until the earlier of the
termination  of the  Processing  Agreement or the  disposition  by Medic and its
affiliates  of at least 25% of the  shares of common  stock  issuable  under the
Medic  Warrant,  Medic  shall have the right to  designate  one  director to the
Company's Board of Directors. Medic has not yet named a designee.

    

                                      F-18

<PAGE>

   

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

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. RESTATEMENT

Subsequent to the issuance of the Company's  consolidated  financial  statements
for the fiscal year ended 1998, the Company's management  determined that it was
necessary to revise the valuation of the  write-off of  in-process  research and
development incurred in connection with the TCS acquisition in February 1997. As
a result, the Company's financial statements for the fiscal years ended June 30,
1997 and 1998 have been restated from the amounts  previously  reported in order
to reflect the effects of the adjustment to the write-off of in-process research
and development.  Such write-off,  which occurred during the year ended June 30,
1997,  was reduced from  $4,354,000  to  $1,556,000.  As a result,  goodwill was
increased by $2,798,000. The effect of the restatement is as follows:

    

   
<TABLE>
<CAPTION>

                                                                 1997                             1998
                                                    -------------------------------   -----------------------------
                                                     AS PREVIOUSLY                     AS PREVIOUSLY
                                                        REPORTED       AS RESTATED       REPORTED       AS RESTATED
                                                    ---------------   -------------   --------------   ------------
                                                                 (IN THOUSANDS, EXCEPT PER SHARE DATA)
<S>                                                 <C>               <C>             <C>              <C>
AT JUNE 30:

 Goodwill .......................................      $  24,834        $  27,465       $  32,522       $  34,753
 Accumulated deficit ............................        (47,839)         (45,208)        (52,474)        (50,243)

FOR THE YEAR ENDED JUNE 30:
 Depreciation and amortization ..................          5,293            5,460           6,743           7,143
 Acquired in-process research and development              4,354            1,556              --              --
 Net loss .......................................        (11,464)          (8,833)         (4,635)         (5,035)
 Net loss applicable to common stock ............        (13,864)         (11,233)         (7,035)         (7,435)
 Basic and diluted net loss per common share.....      $   (2.56)       $   (2.07)      $   (1.24)      $   (1.31)

</TABLE>


14. SUBSEQUENT EVENTS

a. Acquisition  -- In October  1998,  the Company  acquired all the  outstanding
   shares of capital stock of Healthcare  Interchange  Inc. ("HII") a St. Louis,
   Missouri-based  provider of EDI transaction  processing services to hospitals
   and  physician  groups  in  Missouri,  Kansas  and  Illinois.  Prior  to  the
   acquisition of HII, two unrelated  healthcare services  divisions,  Intercare
   and  Telemedical,  were divested from HII in separate  transactions.  HII was
   purchased for a total cash payment of approximately $11.7 million,  including
   transaction  expenses  and was  financed  with  borrowings  under the  Credit
   Facility.  The acquisition will be accounted for under the purchase method of
   accounting.

   The  following  unaudited pro forma  information  for the year ended June 30,
   1998 includes the  operations of the Company,  inclusive of the operations of
   both Stockton and HII as if the acquisitions had occurred as of July 1, 1997.
   The pro forma  information  for the three  months  ended  September  30, 1998
   includes the operations of the Company, inclusive of the operations of HII as
   if the acquisition  had occurred at July 1, 1997. 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 related to financing the
   acquisitions,  and related income tax effects. The allocation of the purchase
   price is  preliminary  and  subject to change upon  review by  management  of
   additional  evidence  relating  to the fair  value  of  assets  acquired  and
   liabilities  assumed at the closing date.  Adjustments  to the purchase price
   allocation,  if any,  would likely  relate to amounts  assigned to intangible
   assets.

    

                                      F-19

<PAGE>

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

   
<TABLE>
<CAPTION>

                                                      YEAR ENDED      THREE MONTHS ENDED
                                                    JUNE 30, 1998     SEPTEMBER 30, 1998
                                                   ---------------   --------------------
                                                               (IN THOUSANDS)

<S>                                                <C>               <C>
  Revenues .....................................      $ 48,880             $ 13,318
                                                      ========             ========
  Income (Loss) from operations ................        (1,034)                  44
                                                      ========             ========
  Net loss .....................................        (5,695)              (1,245)
                                                      ========             ========
  Net loss applicable to common stock ..........        (8,095)              (1,845)
                                                      --------             --------
  Basic and diluted net loss per share .........         (1.43)               (0.32)
                                                      ========             ========

</TABLE>

b. Credit  Facility -- 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 would be computed at .25% above the bank's base rate,  or
   1.25% above a Eurodollar  based rate.  Such  borrowing  rates would be at the
   option of the Company  for any  particular  period  during  which  borrowings
   exist. The Company is currently  negotiating with the lender to increase such
   total available credit to $20.0 million.

    

                                      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>

   

                         INDEPENDENT AUDITORS' REPORT

    

The Board of Directors
Healthcare Interchange, Inc.:

We have  audited  the  accompanying  consolidated  balance  sheet of  Healthcare
Interchange,  Inc. and subsidiary (Company) as of June 30, 1998, and the related
consolidated statements of operations,  stockholders' equity (deficit), and cash
flows  for the  nine-month  period  ended  June  30,  1998.  These  consolidated
financial  statements are the  responsibility of the Company's  management.  Our
responsibility  is  to  express  an  opinion  on  these  consolidated  financial
statements 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  consolidated  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 audit  provides a  reasonable  basis for our
opinion.

   

As described in notes 3 and 15, on October 30, 1998,  the Company  completed the
sale of it financial  transactions  business to MEDE America and the disposal of
the  assets  and  operations  of  the  discontinued  Telemedical  and  Intercare
segments.

In our opinion, the consolidated  financial statements referred to above present
fairly,  in  all  material  respects,   the  financial  position  of  Healthcare
Interchange,  Inc. and  subsidiary as of June 30, 1998, and the results of their
operations and their cash flows for the  nine-month  period ended June 30, 1998,
in conformity with generally accepted accounting principles.

                                                           KPMG Peat Marwick LLP

St. Louis, Missouri

September 8, 1998, except as to notes 3 and 15,
which is as of October 30, 1998


                                      F-25

    
<PAGE>

                  HEALTHCARE INTERCHANGE, INC. AND SUBSIDIARY
                          CONSOLIDATED BALANCE SHEETS

   
<TABLE>
<CAPTION>

                                                                                 JUNE 30,       SEPTEMBER 30,
                                                                                   1998             1998
                                                                             ---------------   --------------
                                                                                                 (UNAUDITED)

<S>                                                                          <C>               <C>

ASSETS
Current assets:
 Cash and cash equivalents ...............................................    $    140,042      $     38,083
 Service accounts receivable, less allowance for doubtful accounts of
   $30,709 and $32,207 (unaudited), respectively..........................         616,044           556,025
 Due from stockholders ...................................................         105,483           104,505
 Inventories .............................................................          13,286            12,822
 Net current assets of discontinued operations ...........................         236,772           243,960
 Prepaid expenses ........................................................          62,472            16,929
                                                                              ------------      ------------
      Total current assets ...............................................       1,174,099           972,324
Property, equipment and computer software, net ...........................         611,578           576,559
Other assets .............................................................          26,246            25,537
Net non-current assets of discontinued operations ........................         176,455           176,455
                                                                              ------------      ------------
                                                                              $  1,988,378         1,750,875
                                                                              ------------      ------------
LIABILITIES AND STOCKHOLDERS' EQUITY (DEFICIT)
Current liabilities:

 Revolving credit facilities .............................................    $  2,260,000      $  2,260,000
 Notes payable ...........................................................          73,751            64,701
 Accounts payable ........................................................       1,162,125           956,320
 Accounts payable to stockholders ........................................         151,705           183,376
 Dividends payable .......................................................          70,313            93,750
 Accrued expenses and other liabilities ..................................         865,935           612,745
                                                                              ------------      ------------
      Total current liabilities ..........................................       4,583,829         4,170,892
                                                                              ============      ============
Stockholders' equity (deficit):
 Cumulative redeemable convertible preferred stock, $1 par value; ........
   62,500 shares authorized, issued, and outstanding .....................          62,500            62,500
   Common stock:
    Class A - $1 par value; 66,250 shares authorized, 35,000 shares
      issued and outstanding .............................................          35,000            35,000
    Class B - $1 par value; 66,250 shares authorized, 35,000 shares
      issued and outstanding .............................................          35,000            35,000
    Class C - $1 par value; 30,000 shares authorized, 20,001 shares
      issued and outstanding .............................................          20,001            20,001
    Additional paid-in capital ...........................................       3,016,898         2,993,461
    Accumulated deficit ..................................................      (5,764,850)       (5,565,979)
                                                                              ------------      ------------
      Total stockholders' equity (deficit) ...............................      (2,595,451)       (2,420,017)
                                                                              ------------      ------------
                                                                              $  1,988,378      $  1,750,875
                                                                              ============      ============

</TABLE>
    

         See accompanying notes to consolidated financial statements.

                                      F-26

<PAGE>

                  HEALTHCARE INTERCHANGE, INC. AND SUBSIDIARY
                     CONSOLIDATED STATEMENTS OF OPERATIONS

   
<TABLE>
<CAPTION>

                                                                            NINE-MONTH         THREE-MONTH
                                                                           PERIOD ENDED        PERIOD ENDED
                                                                          JUNE 30, 1998     SEPTEMBER 30, 1998
                                                                         ---------------   -------------------
                                                                                               (UNAUDITED)

<S>                                                                      <C>               <C>
Revenues:
 Claims service revenue ..............................................    $  2,814,030         $1,032,672
 Claim service revenue from stockholders .............................         843,787            258,506
 Other revenue .......................................................          69,137             20,597
                                                                          ------------         ----------
                                                                             3,726,954          1,311,775
                                                                          ------------         ----------
Operating expenses:
 Operating expenses ..................................................       1,285,832            479,003
 Sales, marketing and client service .................................         993,512            263,320
 General and administrative ..........................................         752,033            248,032
 Depreciation and amortization .......................................         131,806             43,761
 Provision for doubtful accounts .....................................           2,000             14,896
                                                                          ------------         ----------
                                                                             3,165,183          1,049,012
                                                                          ------------         ----------
   Operating income ..................................................         561,771            262,763
Interest expense .....................................................         148,213             63,892
                                                                          ------------         ----------
   Income from continuing operations .................................         413,558            198,871
Discontinued operations:
 Loss from operations of discontinued segments .......................      (2,026,784)                --
 Loss on disposal of segments (including $342,971 for operating losses
   during phase-out period) ..........................................      (2,073,601)                --
                                                                          ------------         ----------
   Net income (loss) .................................................      (3,686,827)           198,871
   Preferred stock dividends declared ................................         (70,313)           (23,437)
                                                                          ------------         ----------
   Net income (loss) attributable to common stockholders .............    $ (3,757,140)        $  175,434
                                                                          ============         ==========

</TABLE>
    

          See accompanying notes to consolidated financial statements.

                                      F-27

<PAGE>
   
                  HEALTHCARE INTERCHANGE, INC. AND SUBSIDIARY
           CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY (DEFICIT)
                   NINE-MONTH PERIOD ENDED JUNE 30, 1998 AND
            THREE-MONTH PERIOD ENDED SEPTEMBER 30, 1998 (UNAUDITED)

<TABLE>
<CAPTION>

                                                                 COMMON STOCK
                                                         -----------------------------
                                              PREFERRED
                                                STOCK     CLASS A   CLASS B   CLASS C

                                             ----------- --------- --------- ---------
<S>                                          <C>         <C>       <C>       <C>
Balance, September 30, 1997 ................   $62,500    $35,000   $35,000   $20,001
Preferred stock dividends declared .........        --         --        --        --
Net loss ...................................        --         --        --        --
                                               -------    -------   -------   -------
Balance, June 30, 1998 .....................    62,500     35,000    35,000    20,001
Preferred stock dividends declared
 (unaudited) ...............................        --         --        --        --
Net income (unaudited) .....................        --         --        --        --
                                               -------    -------   -------   -------
Balance, September 30, 1998 (unaudited)        $62,500    $35,000   $35,000   $20,001
                                               =======    =======   =======   =======



<CAPTION>

                                                                                  TOTAL
                                               ADDITIONAL                     STOCKHOLDERS'
                                                PAID-IN       ACCUMULATED        EQUITY
                                                CAPITAL         DEFICIT         (DEFICIT)
                                             ------------- ---------------- ----------------
<S>                                          <C>           <C>              <C>
Balance, September 30, 1997 ................  $3,087,211     $ (2,078,023)    $  1,161,689
Preferred stock dividends declared .........     (70,313)              --          (70,313)
Net loss ...................................          --       (3,686,827)      (3,686,827)
                                              ----------     ------------     ------------
Balance, June 30, 1998 .....................   3,016,898       (5,764,850)      (2,595,451)
Preferred stock dividends declared
 (unaudited) ...............................     (23,437)              --          (23,437)
Net income (unaudited) .....................          --          198,871          198,871
                                              ----------     ------------     ------------
Balance, September 30, 1998 (unaudited)       $2,993,461     $ (5,565,979)    $ (2,420,017)
                                              ==========     ============     ============
</TABLE>

          See accompanying notes to consolidated financial statements.

                                      F-28

    
<PAGE>

                  HEALTHCARE INTERCHANGE, INC. AND SUBSIDIARY
                     CONSOLIDATED STATEMENTS OF CASH FLOWS

<TABLE>
<CAPTION>
                                                                            NINE-MONTH         THREE-MONTH
                                                                           PERIOD ENDED        PERIOD ENDED
                                                                          JUNE 30, 1998     SEPTEMBER 30, 1998
                                                                         ---------------   -------------------
                                                                                               (UNAUDITED)
<S>                                                                      <C>               <C>
Cash flows from operating activities:
 Net income (loss) ...................................................    $ (3,686,827)        $  198,871
 Loss on disposal of segments ........................................       2,073,601                 --
 Adjustments to reconcile  net income  (loss) to net cash  provided by
  (used in) operating activities:
   Depreciation and amortization .....................................         390,821             43,761
   Provision for doubtful accounts ...................................          40,013             14,896
   Increase (decrease) in cash from changes in assets and liabilities:
    Service accounts receivable ......................................         523,789             37,935
    Due from stockholders ............................................         181,781                978
    Inventories ......................................................         (19,378)               464
    Prepaid expenses .................................................          32,102             45,543
    Accounts payable .................................................         819,323           (197,571)
    Accrued expenses and other liabilities ...........................          45,013           (229,753)
                                                                          ------------         ----------
      Net cash provided by (used in) operating activities ............         400,238            (84,876)
                                                                          ------------         ----------
Cash flows from investing activities:
 Purchases of property and equipment .................................        (276,548)            (8,742)
 Capitalized software development expenditures .......................        (293,442)                 -
 Other non-current assets ............................................           1,297                709
                                                                          ------------         ----------
      Net cash used in investing activities ..........................        (568,693)            (8,033)
                                                                          ------------         ----------
Cash flows from financing activities:
 Advances on revolving credit facilities .............................         350,000                 --
 Payments on notes payable ...........................................         (71,490)            (9,050)
 Dividends paid on cumulative convertible preferred stock ............         (23,437)                --
                                                                          ------------         ----------
      Net cash provided by (used in) financing activities ............         255,073             (9,050)
                                                                          ------------         ----------
      Net increase (decrease) in cash and cash equivalents ...........          86,618           (101,959)
Cash and cash equivalents, beginning of period .......................          53,424            140,042
                                                                          ------------         ----------
Cash and cash equivalents, end of period .............................    $    140,042         $   38,083
                                                                          ============         ==========
Noncash investing activities:
 Write-offs of long-term assets due to disposal of segments ..........    $  1,208,989         $       --
 Accrual for operating losses of discontinued segments during
   phase-out period ..................................................         342,971                 --
                                                                          ============         ==========
Supplemental disclosure of cash flow information - cash paid for
 interest ............................................................    $    148,212         $   55,448
                                                                          ============         ==========
</TABLE>


         See accompanying notes to consolidated financial statements.

                                      F-29

<PAGE>

                  HEALTHCARE INTERCHANGE, INC. AND SUBSIDIARY
                  NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                      JUNE 30, 1998 AND FOR THE NINE-MONTH
                          PERIOD ENDED JUNE 30, 1998

1. ORGANIZATION AND BUSINESS

Healthcare  Interchange,  Inc. was  incorporated in 1991 and began operations in
1992. Healthcare  Interchange,  Inc. and subsidiary (Company) is in the business
of providing  electronic  health data network  services to a national  clientele
through three operating segments; financial transactions, medical televideo, and
intercare.  The financial  transactions  segment processes electronic claims for
health care  providers.  The medical  televideo  segment  develops,  sells,  and
services   televideo  and  minor  medical   equipment  through  a  wholly  owned
subsidiary,   HII  Telemedical  Corp.   (Telemedical).   The  Intercare  segment
(Intercare)  began  operations  in  fiscal  1997,  providing  electronic  claims
processing  and data  analysis  for health care  providers.  Prior to October 1,
1996, Intercare was a development stage enterprise.

The consolidated  financial  statements at June 30, 1998 include the accounts of
Healthcare  Interchange,  Inc. and its wholly owned  domestic  subsidiary  after
elimination of intercompany accounts and transactions.

Unaudited Interim Consolidated  Financial Statements -- The consolidated balance
sheet of the  Company as of  September  30,  1998 and the  related  consolidated
statements of operations,  changes in  stockholders'  equity  (deficit) and cash
flows for the  three-month  period  ended  September  30,  1998  included in the
accompanying consolidated financial statements, which are unaudited, include the
accounts of Healthcare Interchange,  Inc. and its wholly-owned  subsidiary.  All
significant intercompany accounts have been eliminated in consolidation.  In the
opinion of management, all adjustments necessary for a fair presentation of such
financial  statements  have been  included.  Adjustments  consist only of normal
recurring items.

2. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

a. Cash and Cash  Equivalents -- The Company  considers  cash  equivalents to be
   securities  held for cash management  purposes having original  maturities of
   three months or less at the time of investment.

b. Inventories -- Inventories are stated at the lower of cost or market. Cost is
   determined principally using the specific identification method.  Inventories
   at June 30, 1998 are comprised principally of raw materials.

c. Property, Equipment and Computer Software -- Property, equipment and computer
   software are carried at cost.  Depreciation  and  amortization  is calculated
   using the straight-line method over the estimated useful lives of the assets.
   Leasehold  improvements  are amortized  over the shorter of the lease term or
   estimated  useful  life of the  asset.  Costs  associated  with the  internal
   development  of  software  are  capitalized   once  the   marketability   and
   technological feasibility of the software have been established.

   The  property,  equipment  and  computer  software  are  depreciated  on  the
   straight-line basis over the following useful lives:

   
<TABLE>
<CAPTION>

                                                               YEARS
                                                               ------
<S>                                                            <C>
            Building .......................................     28
            Leasehold improvements .........................     10
            Furniture ......................................      7
            Communications equipment .......................      5
            Computers and data handling equipment ..........      5
            Purchased computer software ....................      5
            Developed computer software ....................      3

</TABLE>
    

d. Income Taxes -- Deferred tax assets and  liabilities  are  recognized for the
   estimated  future tax  consequences  attributable to differences  between the
   financial statement carrying amounts of exist-

                                      F-30

<PAGE>

                  HEALTHCARE INTERCHANGE, INC. AND SUBSIDIARY
           NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED )

   ing assets and  liabilities  and their  respective  tax bases.  Deferred  tax
   assets and liabilities are measured using enacted tax rates in effect for the
   year in which those differences are expected to be recovered or settled.

e. Revenue  Recognition -- The Company  recognizes  revenue from the sale of its
   services in the period that the services are delivered or provided.  Unearned
   income on service contracts is amortized by the straight-line method over the
   term of the contracts.

   Revenue from the sale of the  Company's  products is recognized in the period
   that the products are shipped to the customers.

f. Stock-Based  Compensation  -- The Company  uses the  intrinsic  value  method
   prescribed by Accounting  Principles  Board  Opinion No. 25,  Accounting  for
   Stock Issued to Employees (APB 25), and related interpretations in accounting
   for its stock options. The Company has adopted the pro forma disclosures-only
   provisions  of Statement of Financial  Accounting  Standards  (SFAS) No. 123,
   Accounting for Stock-Based Compensation.

   

g. Use of Estimates -- 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.  Estimates also affect the reported  amounts of
   revenues and expenses during the period. Actual results may differ from those
   estimates.

    

3. DISCONTINUED OPERATIONS

   

   In  fiscal  1999,  the  Company's  Board  of  Directors  approved  a plan  to
   discontinue the operations of its Televideo and Intercare operating segments;
   and on September  17, 1998,  signed a letter of intent to sell  substantially
   all the  assets  of the  financial  transactions  business  to  MEDE  America
   Corporation (MEDE America). See note 15.

   The Company's  consolidated  financial statements as of June 30, 1998 and for
   the  nine-month  period then ended  include a charge of $2,073,601 to provide
   for an  after-tax  loss  on the  disposal  of  the  discontinued  operations,
   including estimated operating losses of $342,971 through the expected date of
   disposal.

    

   Operating results for the nine-month period ended June 30, 1998 and financial
   position  as of June 30, 1998 of the  discontinued  segments  are  summarized
   below:

     Results of operations:

<TABLE>
<CAPTION>

                                                                              NINE-MONTH PERIOD
                                                                             ENDED JUNE 30, 1998
                                                                             --------------------
<S>                                               <C>
      Net revenues ..............................                                $    528,552
      Loss from discontinued operations .........                                  (4,100,385)
                                                                                  ============

     Financial position:

                                                                                     AS OF
                                                                                  JUNE 30, 1998
                                                                                 --------------
<S>                                                                          <C>
       Current:

        Accounts receivable, net .........................................       $   162,271
        Inventories ......................................................            74,501
                                                                                   ---------
                                                                                 $   236,772

                                                                                   =========
       Non-current - property, equipment and computer software, net ......       $   176,455
                                                                                   =========

</TABLE>

                                      F-31

<PAGE>

                  HEALTHCARE INTERCHANGE, INC. AND SUBSIDIARY
           NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED )

4. SERVICE ACCOUNTS RECEIVABLE

A summary of activity in the allowance for doubtful  accounts of the  continuing
operations  of the  Company  for the  nine-month  period  ended June 30, 1998 is
summarized as follows:

<TABLE>

<S>                                                <C>
       Balance at beginning of period ..........                 $  52,238
       Provision for doubtful accounts .........                     2,000
       Accounts written-off ....................                   (23,529)
                                                                  ---------
       Balance at end of period ................                 $  30,709
                                                                  =========

</TABLE>

5. PROPERTY, EQUIPMENT AND COMPUTER SOFTWARE

   Property, equipment and computer software of the continuing operations of the
   Company as of June 30, 1998 are as follows:

   
<TABLE>

<S>                                                               <C>
       Land ...................................................   $   7,652
       Building ...............................................      30,610
       Leasehold improvements .................................      64,220
       Furniture ..............................................     453,499
       Communications equipment ...............................     165,127
       Computers and data handling equipment ..................     436,435
       Computer software ......................................     160,724
                                                                  ---------
                                                                  1,318,267

       Less accumulated depreciation and amortization .........     706,689
                                                                  ---------
                                                                  $ 611,578
                                                                  =========

</TABLE>
    

6. REVOLVING CREDIT FACILITIES

On November 4, 1996, the Company entered into a revolving credit facility with a
local bank which allows the Company to borrow up to a maximum of  $750,000.  The
revolving  credit facility bears interest at a fixed prime plus 1% (9.5% at June
30,  1998)  and  requires  monthly  payments  of  interest.  The due date on the
revolving credit facility has been extended from the original  December 31, 1997
due date and is now due on October 31, 1998. The average outstanding  borrowings
on the revolving credit facility  arrangement was $750,000 at a weighted average
interest  weight of 9.6% for the  nine-month  period  ended June 30,  1998.  The
revolving credit facility had a balance of $750,000 at June 30, 1998.

On November 4, 1996, the Company entered into a revolving credit facility with a
local bank which allows the Company to borrow up to a maximum of  $500,000.  The
revolving  credit  facility  bears  interest at a fixed prime less 0.5% (8.0% at
June 30, 1998) and requires monthly  payments of interest,  with the balance due
on November 4, 1998. The average outstanding  borrowings on the revolving credit
facility  was  $500,000 at a weighted  average  interest  weight of 8.1% for the
nine-month  period  ended June 30, 1998.  The  revolving  credit  facility had a
balance of $500,000 at June 30, 1998.

On June 4, 1997,  the Company  entered into a revolving  credit  facility with a
local bank which allows the Company to draw up to a maximum of  $2,500,000.  The
revolving  credit facility bears an interest rate of prime less 0.625% (7.88% at
June 30,  1998),  requires  monthly  payments  of  interest,  and is  secured by
substantially  all assets of the Company  with the  balance due on December  31,
1999. The average  outstanding  borrowings on the revolving  credit facility was
approximately  $877,000  at a  weighted  average  interest  rate of 8.0% for the
nine-month  period  ended June 30, 1998.  The  revolving  credit  facility had a
balance of $1,010,000 at June 30, 1998.

                                      F-32

<PAGE>

                  HEALTHCARE INTERCHANGE, INC. AND SUBSIDIARY
           NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED )

As of June 30,  1998,  the  carrying  value of the  Company's  revolving  credit
facilities   approximated  fair  value  based  upon  borrowing  rates  currently
available for debt instruments with similar remaining terms and maturities.  The
Company's  $750,000  revolving  credit facility and notes payable are secured by
substantially  all of the  Company's  assets.  Additionally,  the  $500,000  and
$2,500,000  revolving  credit  facilities are guaranteed by two of the Company's
stockholders.

The Company's commitment agreement with the local bank for the notes payable and
revolving credit  facilities  contains  restrictive  covenants which include the
maintenance of minimum  tangible net worth,  as defined,  and certain  financial
ratios.  The Company  failed to meet  certain  covenant  requirements  which has
placed  the  Company  in  technical  default.   Consequently,  the  Company  has
classified the entire outstanding  balance of borrowings under the notes payable
and revolving credit facilities as a current liability.

7. NOTES PAYABLE

On February 28, 1995,  the Company  entered into a $300,000  note payable with a
local bank.  The note was paid in full by the Company in February 1998. The note
payable accrued  interest at a fixed rate of 9.0% and required  monthly payments
of principal and interest.

   

On May 30, 1995,  the Company  entered into a $170,000 note payable with a local
bank.  The note  bears  interest  at a fixed  rate of  9.75%,  requires  monthly
payments of principal and interest, with the balance due on May 30, 2000, and is
secured  by  substantially  all  assets of the  Company.  The note is payable on
demand, and accordingly,  is classified as a current  liability.  The balance at
June 30, 1998 was $73,751.
    

8. RELATED PARTY TRANSACTIONS

During the  nine-month  period ended June 30, 1998,  two  stockholders  provided
network  and other  services  to the  Company.  Total  expenses  incurred by the
Company for these  services  totaled  approximately  $116,000 for the nine-month
period ended June 30, 1998.  At June 30,  1998,  the Company owed  approximately
$152,000, to these stockholders for such services.

Revenue received from services  provided to stockholders  totaled  approximately
$844,000 for the nine-month  period ended June 30, 1998.  Due from  stockholders
represents amounts receivable for services provided to the stockholders.

9. LEASE COMMITMENTS

The Company  leases  certain  office space and  equipment  under  various  lease
agreements.  Rent expense of the  continuing  operations of the Company  totaled
$183,291 for the nine-month period ended June 30, 1998.

Future  minimum  lease  payments  under  noncancellable  operating  leases  with
maturities  in  excess  of one year  related  to  continuing  operations  are as
follows:

<TABLE>

<S>                        <C>
  1999 .................    $238,240
  2000 .................     240,133
  2001 .................     212,320
  2002 .................     208,969
  2003 .................     199,460
  Thereafter ...........     395,841
                            ========

</TABLE>

                                      F-33

<PAGE>

                  HEALTHCARE INTERCHANGE, INC. AND SUBSIDIARY
           NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED )

10. STOCKHOLDERS' EQUITY

Each share of cumulative  convertible preferred stock (Preferred Stock) held and
issuable to common holders requires a $1.50 annual dividend.  Preferred Stock is
redeemable,  at the option of the Company, for cash of $24 per share plus unpaid
dividends quarterly. Each share of Preferred Stock is convertible, at the option
of the  holder,  into a share of common  stock  (the  class of common  stock the
holder  already  owns)  upon  change  in  control  of the  Company  or  sale  of
substantially all the Company's assets, as defined in the Company's  Articles of
Incorporation.  The Company has  reserved  31,250  shares of Class A and Class B
common stock for the purpose of effecting the conversion of the Preferred Stock.

Pursuant to an agreement between all stockholders and the Company, all preferred
and common stock  outstanding is subject to certain  restrictions on disposition
and transfer.  The stockholder  agreement  requires that stockholders must first
offer shares to be sold or transferred to other stockholders  and/or the Company
in accordance with terms specified in the stockholder agreement.

11. EMPLOYEE STOCK OPTION PLANS

1994 Stock  Option  Plan -- On March 22,  1994,  the Board of  Directors  of the
Company  adopted  the 1994 Stock  Option  Plan  (1994  Plan)  pursuant  to which
incentive stock options may be granted to employees or directors. Under the 1994
Plan,  options to purchase  12,000 shares of Class C common stock may be granted
for a term not to exceed 10 years (five years with respect to a stockholder  who
owns more than 10% of the  capital  stock of the  Company)  and must be  granted
within 10 years from the date of adoption of the 1994 Plan.  The exercise  price
of all stock  options  must be at least equal to the fair market  value (110% of
fair market value for a stockholder  who owns more than 10% of the capital stock
of the Company) of the shares on the date granted.

1997 Stock Option Plan -- On October 30, 1997, the Company's  Board of Directors
adopted a second stock option plan, the 1997 Stock Option Plan (1997 Plan).  The
purpose of the 1997 Plan is to provide additional employee incentives. Under the
1997 Plan, up to 24,000 options to purchase Class C common stock may be granted.
The other significant  provisions under the 1997 Plan are similar to those under
the 1994 Plan, as described above.

Aggregate  information relating to stock option activity under the 1994 Plan and
1997 Plan for the nine-month period ended June 30, 1998 is as follows:

<TABLE>

<S>                                                    <C>
       Number of shares under stock options:
        Outstanding at beginning of period .........       9,999
        Granted ....................................      12,850
                                                          ------
        Outstanding at end of period ...............      22,849
                                                          ======
        Exercisable at end of period ...............       9,999
                                                          ======

       Weighted average exercise price:
        Granted ....................................    $    100
        Outstanding at end of period ...............        66.74
        Exercisable at end of period ...............        24.00
                                                        =========

</TABLE>

Aggregate  information  relating to stock options  outstanding and stock options
exercisable at June 30, 1998 is a follows:

                                      F-34

<PAGE>

                  HEALTHCARE INTERCHANGE, INC. AND SUBSIDIARY
           NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED )

OPTIONS OUTSTANDING:

<TABLE>
<CAPTION>

                                       WEIGHTED AVERAGE
                    OUTSTANDING AT        REMAINING
 EXERCISE PRICE      JUNE 30, 1998     CONTRACTUAL LIFE
- ----------------   ----------------   -----------------
<S>                <C>                <C>
$       24               9,999                6.25
       100              12,850                9.25
    ======              ======                ====
                        22,849
                        ======

OPTIONS EXERCISABLE:

                                       WEIGHTED AVERAGE
                    OUTSTANDING AT        REMAINING
 EXERCISE PRICE      JUNE 30, 1998     CONTRACTUAL LIFE
- ----------------   ----------------   -----------------
<S>                <C>                <C>
$   24                  9,999                 3.72
======                  =====                 ====

</TABLE>

   

No  compensation  expense  relating to stock  option  grants was recorded in the
nine-month  period ended June 30, 1998 as the option  exercise prices were equal
to the estimated fair value at the dates of grant.
    

Pro forma information  regarding loss and loss per share is required by SFAS No.
123,  and has been  determined  as if the  Company had  accounted  for its stock
options under the fair value method of SFAS No. 123. However, the full impact of
calculating  compensation  cost for  stock  options  under  SFAS No.  123 is not
reflected in the pro forma net loss amounts presented below as compensation cost
does not reflect  options granted prior to October 1, 1996 which vest subsequent
to that date. The fair value for options granted in the nine-month  period ended
June 30, 1998 was  estimated at the date of grant using a  Black-Scholes  option
pricing model with the following weighted average assumptions:

<TABLE>
<CAPTION>

                                               NINE-MONTH PERIOD
                                              ENDED JUNE 30, 1998
                                             ---------------------
<S>                                                 <C>
         Risk-free interest rate ................   8.5%
         Dividend yield .........................   0.0%
         Volatility factor ......................   0.0%
         Weighted average expected life .........   10 years

</TABLE>

The Company's pro forma net loss compared to reported amounts are as follows:

<TABLE>
<CAPTION>

                                                                    NINE-MONTH PERIOD
                                                                   ENDED JUNE 30, 1998
                                                                  --------------------
<S>                                                               <C>
       Net loss:
        As reported ...........................................      $  (3,686,827)
        Pro forma .............................................         (3,783,647)
       Weighted average fair value per share of options granted
        during the year .......................................               56.31

</TABLE>

12. EMPLOYEE BENEFIT PLAN

The Company  maintains a qualified,  contributory,  401(k)  profit-sharing  plan
covering  substantially  all  employees.  Employees  are  allowed to  contribute
between  1% and  15% of  their  compensation  to the  plan,  not to  exceed  the
statutory maximum.  The plan provides for contributions by the Company of 50% of
the  first 6% of an  employee's  salary  deferral.  The plan also  provides  for
discretionary contributions

                                      F-35

<PAGE>

                  HEALTHCARE INTERCHANGE, INC. AND SUBSIDIARY
           NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED )

by the Company in such amounts as the Board of Directors may annually determine.
There were no discretionary  contributions  made in the nine-month  period ended
June 30, 1998. Expense associated with the plan for continuing operations of the
Company totaled $39,371 for the nine-month period ended June 30, 1998.

13. INCOME TAXES

No provision for income taxes was recorded for the nine-month  period ended June
30,  1998,  as  substantially  all income tax  attributable  to  continuing  and
discontinued  operations  was offset by the  utilization  of net operating  loss
carryforwards.

The  difference  between the  effective  income tax rate  applied to income from
continuing  operations  for financial  statement  purposes and the U.S.  federal
income  tax rate of 34% for the  nine-month  period  ended  June 30,  1998 is as
follows:

<TABLE>

<S>                                                      <C>
         Expected provision at statutory rate ..........  $  140,610
         Nondeductible meals and entertainment .........       9,894
         State income taxes ............................       5,624
         Change in valuation allowance .................    (156,128)
                                                          ----------
                                                          $       --
                                                          ==========


The tax effects of  temporary  differences  that give rise to the  deferred  tax
assets and liability as of June 30, 1998 are as follows:


                                                                  CURRENT         NONCURRENT

                                                               -------------   ---------------
<S>                                                            <C>             <C>
     Deferred tax assets:

       Net operating loss carryforwards ....................    $       --      $  1,362,687
       Provision for doubtful accounts .....................        11,669                --
       Deferred income .....................................        21,563                --
       Loss on discontinued operations .....................       787,968                --
       Other ...............................................         2,949                --
                                                                ----------      ------------
                                                                   824,149         1,362,687

       Less valuation allowance ............................      (824,149)       (1,332,185)
                                                                ----------      ------------
                                                                        --            30,502
       Deferred tax liability - excess of tax over financial
        statement fixed assets .............................            --           (30,502)
                                                                ----------      ------------
       Net deferred tax asset (liability) ..................    $       --                --
                                                                ==========      ============

</TABLE>

SFAS No. 109 requires that a valuation allowance be established for deferred tax
assets if, based on the weight of evidence, it is more likely than not that some
portion or all of the  deferred  tax asset will not be  realized.  The  ultimate
realization  of deferred tax assets is dependent  upon the  generation of future
taxable income during the periods in which those  temporary  differences  become
deductible.   Management  considers  the  scheduled  reversal  of  deferred  tax
liabilities,  projected  future taxable income,  and tax planning  strategies in
making  this  assessment.  The  Company  has  approximately  $3,500,000  of  net
operating loss carryforwards for income tax purposes, which will begin to expire
in the year 2009.

   
14. YEAR 2000

    

The Year 2000 issue is the result of computer  programs  being written using two
digits  rather than four to define the  applicable  year.  Any of the  Company's
computer programs that have  date-sensitive  software may recognize a "00" date"
as the year 1900 rather than the year 2000. This could result in computer

                                      F-36

<PAGE>

                  HEALTHCARE INTERCHANGE, INC. AND SUBSIDIARY
           NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED )

   

system failures or miscalculations causing disruptions of operations, including,
among other things, a temporary  inability to process  transactions or engage in
normal business  activities.  The Company has developed a Year 2000  remediation
plan and has begun testing and converting its computer  systems and applications
in order to identify and solve  significant Year 2000 issues.  In addition,  the
Company is  discussing  with its vendors the  possibility  of any  communication
difficulties or other disruptions that may affect the Company.

15. EVENTS SUBSEQUENT TO BALANCE SHEET DATE

Sale of Company's  Capital Stock -- On October 30, 1998,  the Company  completed
the  sale  of  its  financial   transactions  business  to  MEDE  America.  This
transaction was effected through the sale of the Company's capital stock to MEDE
America for cash of $11.6 million.  Proceeds from the sale were used as follows:
    

<TABLE>

<S>                                                                          <C>
     Repayment of borrowings under revolving credit facilities and

       notes payable, including accrued interest .........................    $  2,339,990
     Payment of certain accrued expenses and other liabilities ...........       1,299,982
     Deposit into escrow account related to post-sale contingencies ......         400,000
     Distributions to stockholders .......................................       7,560,028
                                                                              ------------
                                                                              $ 11,600,000

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

</TABLE>

   

Disposition of Discontinued  Operations -- Prior to the closing of the sale, the
Company disposed of the assets and operations of the discontinued  Televideo and
Intercare  segments.  Substantially  all assets and a contract of Televideo were
transferred to a former employee in settlement of a legal action,  and the stock
of the Televideo subsidiary was distributed to the Company's  stockholders.  The
assets and operations of Intercare were sold to Providers Edge  Incorporated,  a
corporation formed by certain former Intercare employees.  The accounts payable,
accrued  liabilities,  and  borrowings  related to Televideo and Intercare  were
retained by the Company.     

                                      F-37

<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 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 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 DATE  SUBSEQUENT TO THE
DATE HEREOF.

                   ----------------------------------------
                               TABLE OF CONTENTS

   
<TABLE>
<CAPTION>

                                                     PAGE

                                                  ---------
<S>                                               <C>
Prospectus Summary ............................        3
Risk Factors ..................................       10
Use Of Proceeds ...............................       19
Dividend Policy ...............................       19
Capitalization ................................       20
Dilution ......................................       21
Unaudited Pro Forma Consolidated Financial
   Information ................................       22
Selected Consolidated Financial Data ..........       28
Management's Discussion And Analysis Of Fi-
   nancial Condition And Results Of Operations.       30
Business ......................................       44
Management ....................................       55
Certain Transactions ..........................       61
Principal Stockholders ........................       62
Description Of Capital Stock ..................       65
Shares Eligible For Future Sale ...............       68
Underwriting ..................................       70
Legal Matters .................................       71
Experts .......................................       71
Additional Information ........................       72
Index To Financial Statements .................      F-1
</TABLE>
    

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

       UNTIL         ,  1999  (25  DAYS  AFTER  THE DATE OF THIS PROSPECTUS) ALL
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  ACTING  AS  UNDERWRITERS AND WITH RESPECT TO THEIR
UNSOLD ALLOTMENTS OR SUBSCRIPTIONS.

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

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

                               4,167,667 SHARES



                               [GRAPHIC OMITTED]




                                  MEDE AMERICA
                                  CORPORATION



                                 COMMON STOCK



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

                                   PROSPECTUS

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



                             SALOMON SMITH BARNEY

                            WILLIAM BLAIR & COMPANY

                         VOLPE BROWN WHELAN & COMPANY



                                JANUARY  , 1999

    

================================================================================
<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 ......................       500,000
       Blue Sky Fees and Expenses ...................        10,000
       Accounting Fees and Expenses .................       800,000
       Printing and Engraving .......................       300,000
       Transfer Agent and Register Fees and Expenses.             *
       Miscellaneous ................................             *
                                                         ----------
       Total ........................................    $1,700,000
                                                         ==========
</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 (share  data prior to July 1,  1998,  do not give  effect to the
Reverse Stock Split):

    

(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.

   

     On July 17, 1998, the Company granted to Medic the Medic Warrant to acquire
1,250,000  shares of Common Stock,  at a per share  exercise  price equal to the
price of the Common Stock to the public in the Offering or, in the event that an
initial public offering is not completed by March 31, 1999, at an exercise price
equal to $8.00 per share.  The  difference  between the two  alternative  prices
reflects,  in the Company's  view,  the  incremental  value of a share of Common
Stock resulting from the Offering and the concurrent Recapitalization. The Medic
Warrant vests over a two year period and may be exercised up to five years after
the date of grant.
    

                                      II-2

<PAGE>

   

     On October 7, 1998,  in  connection  with their  agreement  to extend their
guaranty of the Registrant's  obligations  under the Credit Facility to cover an
additional  $16 million of  indebtedness,  the  Registrant  issued to WCAS V and
Blair V warrants to purchase an aggregate 84,050 shares of Common Stock at a per
share price equal to the price of the Common Stock to the public in the Offering
or, in the event that an initial  public  offering is not completed by March 31,
1999,  at an  exercise  price  equal  to  $8.00  per  share.  The  warrants  are
immediately  exercisable  and may be exercised up to five years from the date of
grant.
    

(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 November 30, 1998 and prior to giving effect
to the Reverse  Stock split,  options to purchase up to an  aggregate  3,351,000
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
2,212,600  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
349,400 shares of Common Stock upon the exercise of such options.     

     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+      --   Amended and Restated Certificate of Incorporation of the Registrant.
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.
</TABLE>

                                      II-3

<PAGE>

   
<TABLE>
<CAPTION>

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

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.
4.6+       --  Registration  Rights  Agreement,  dated as of  February  14, 1997
               between MEDE AMERICA  Corporation  and WCAS Capital  Partners II,
               L.P.
4.7+       --  Warrant,  dated  as of July  17,  1998,  issued  by MEDE  AMERICA
               Corporation to Medic Computer Systems, Inc.
4.8+       --  Registration Rights Agreement,  dated as of July 17, 1998 between
               MEDE AMERICA Cor- poration and Medic Computer Systems, Inc.
4.9+       --  Stockholders  Agreement,  dated as of July 17,  1998 among  Medic
               Computer Systems, Inc., Welsh, Carson,  Anderson & Stowe V, L.P.,
               Welsh,  Carson,  Anderson & Stowe VI, L.P., William Blair Capital
               Partners V, L.P.,  WCAS Capital  Partners  II, L.P.,  and William
               Blair Leveraged Capital Fund Limited Partnership.
4.10+      --  Investment  Agreement,  dated as of July 17,  1998  between  MEDE
               AMERICA Corporation and Medic Computer Systems, Inc.
4.11       --  Warrant  Agreement dated as of October 7, 1998 among MEDE AMERICA
               Corporation,  Welsh,  Carson  Anderson & Stowe VI, L.P.,  William
               Blair  Leveraged  Capital  Fund Limited  Partnership  and William
               Blair Capital Partners V.I.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 Enter-  prises,  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.
10.9**     --  Transaction  Processing  Agreement,  dated  as of July  17,  1998
               between MEDE AMERICA Cor-  poration and Medic  Computer  Systems,
               Inc.
10.10+     --  MEDE AMERICA Corporation 1998 Employee Stock Purchase Plan.
10.11      --  Fifth  Amendment To Credit  Agreement dated as of October 7, 1998
               between MEDE  AMERICA  Corporation  and Bank of America  National
               Trust and Savings Association.
10.12      --  Sixth Amendment to Credit Agreement dated as of December 15, 1998
               between MEDE  AMERICA  Corporation  and Bank of America  National
               Trust and Savings Association.
10.13      --  Stock Purchase Agrement,  dated as of October 20, 1998 among MEDE
               AMERICA   Corporation   and  the   Stockholders   of   Healthcare
               Interchange, Inc. named in Schedule I thereto.
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 KPMG Peat Marwick LLP, independent accountants.
23.4*      --  Consent  of Reboul,  MacMurray,  Hewitt,  Maynard & Kristol  (see
               Exhibit 5.1).
</TABLE>
    

                                      II-4

<PAGE>

   
<TABLE>
<CAPTION>

  EXHIBIT
  NUMBER               DESCRIPTION
- ----------      -------------------------
<S>        <C>  <C>
24.1+      --   Power of Attorney.
27.1+      --   Financial Data Schedule.

</TABLE>
    

- ----------
 * To be filed by amendment.
** Confidential treatment requested.
 + 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-5

<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 December 23, 1998.
    

                                              MEDE AMERICA CORPORATION

                                              By: /s/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             December 23, 1998
- -------------------------       Officer (Principal executive officer);
     Thomas P. Staudt           Director
   
      THOMAS P. STAUDT*       Chief Financial Officer (Principal        December 23, 1998
- -------------------------       financial and accounting officer)
      Richard P. Bankosky

       THOMAS P. STAUDT*      Director                                  December 23, 1998
- -------------------------
     Thomas E. McInerney

      THOMAS P. STAUDT*       Director                                  December 23, 1998
- -------------------------
     Anthony J. de Nicola

       THOMAS P. STAUDT*      Director                                  December 23, 1998
- -------------------------
       Timothy M. Murray
</TABLE>
    

- ----------
* As attorney-in-fact.

                                      II-6

<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, 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
                                        ======          ====           ===           ========           ======
Year ended June 30, 1998 -
 Allowance for bad debts .........      $1,716          $464           $--           $  1,183 (1)       $  997
                                        ======          ====           ===           ========           ======
</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+      --   Amended and Restated Certificate of Incorporation of the Registrant.
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.
</TABLE>

    


<PAGE>
   
<TABLE>
<CAPTION>

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

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.
4.6+       --  Registration  Rights  Agreement,  dated as of  February  14, 1997
               between MEDE AMERICA  Corporation  and WCAS Capital  Partners II,
               L.P.
4.7+       --  Warrant,  dated  as of July  17,  1998,  issued  by MEDE  AMERICA
               Corporation to Medic Computer Systems, Inc.
4.8+       --  Registration Rights Agreement,  dated as of July 17, 1998 between
               MEDE AMERICA Cor- poration and Medic Computer Systems, Inc.
4.9+       --  Stockholders  Agreement,  dated as of July 17,  1998 among  Medic
               Computer Systems, Inc., Welsh, Carson,  Anderson & Stowe V, L.P.,
               Welsh,  Carson,  Anderson & Stowe VI, L.P., William Blair Capital
               Partners V, L.P.,  WCAS Capital  Partners  II, L.P.,  and William
               Blair Leveraged Capital Fund Limited Partnership.
4.10+      --  Investment  Agreement,  dated as of July 17,  1998  between  MEDE
               AMERICA Corporation and Medic Computer Systems, Inc.
4.11       --  Warrant  Agreement dated as of October 7, 1998 among MEDE AMERICA
               Corporation,  Welsh,  Carson  Anderson & Stowe VI, L.P.,  William
               Blair  Leveraged  Capital  Fund Limited  Partnership  and William
               Blair Capital Partners V.I.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 Enter-  prises,  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.
10.9**     --  Transaction  Processing  Agreement,  dated  as of July  17,  1998
               between MEDE AMERICA Cor-  poration and Medic  Computer  Systems,
               Inc.
10.10+     --  MEDE AMERICA Corporation 1998 Employee Stock Purchase Plan.
10.11      --  Fifth  Amendment To Credit  Agreement dated as of October 7, 1998
               between MEDE  AMERICA  Corporation  and Bank of America  National
               Trust and Savings Association.
10.12      --  Sixth Amendment to Credit Agreement dated as of December 15, 1998
               between MEDE  AMERICA  Corporation  and Bank of America  National
               Trust and Savings Association.
10.13      --  Stock Purchase Agrement,  dated as of October 20, 1998 among MEDE
               AMERICA   Corporation   and  the   Stockholders   of   Healthcare
               Interchange, Inc. named in Schedule I thereto.
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 KPMG Peat Marwick LLP, independent accountants.
23.4*      --  Consent  of Reboul,  MacMurray,  Hewitt,  Maynard & Kristol  (see
               Exhibit 5.1).

</TABLE>
    


<PAGE>

   

<TABLE>
<CAPTION>

  EXHIBIT
  NUMBER               DESCRIPTION
- ----------      -------------------------
<S>        <C>  <C>
24.1+      --   Power of Attorney.
27.1+      --   Financial Data Schedule.

</TABLE>

- ----------
 * To be filed by amendment.
** Confidential treatment requested.
 + Previously filed.


    



                                                                    EXHIBIT 4.11


                                    AGREEMENT

                  AGREEMENT  dated as of  October 7,  1998,  among MEDE  AMERICA
CORPORATION,  a Delaware corporation (the "Company"),  WELSH, CARSON, ANDERSON &
STOWE V,  L.P.,  a Delaware  limited  partnership  ("WCAS  V"),  WELSH,  CARSON,
ANDERSON & STOWE VI, L.P., a Delaware limited  partnership  ("WCAS VI"), WILLIAM
BLAIR  LEVERAGED   CAPITAL  FUND  LIMITED   PARTNERSHIP,   an  Illinois  limited
partnership, ("Blair LF") and WILLIAM BLAIR CAPITAL PARTNERS V, L.P., a Delaware
limited  partnership,  ("Blair V";  WCAS V, WCAS VI,  Blair LF and Blair V being
hereinafter  referred to individually  as a "Guarantor" and  collectively as the
"Guarantors").

                  WHEREAS,   the  Guarantors  are  collectively  the  owners  of
approximately 80% of the outstanding common and preferred stock of the Company;

                  WHEREAS, the Company and Bank of America Illinois (the "Bank")
are parties to a Credit  Agreement,  dated as of December  18, 1995 (the "Credit
Agreement"),  as amended, providing for the extension by the Bank to the Company
of a revolving line of credit (the "Line of Credit");

                  WHEREAS,  the maximum  amount of Line of Credit was originally
$10,000,000,  which was  increased to $13.5 million as of February 10, 1997 (the
"February Increase"), subsequently decreased to $5 million and then increased to
a total of $20 million as of October 31, 1997 (the "October Increase").

                  WHEREAS,  in connection with the  establishment of the Line of
Credit and the February Increase and the October Increase in the maximum amounts
thereof,  the Guarantors gave certain guarantees to the Bank with respect to the
Line of Credit and, in consideration  thereof,  were issued warrants to purchase
shares of the Company's Common Stock;

                  WHEREAS,  the Company and the Bank have entered into the Fifth
Amendment  to  Credit  Agreement,  dated  as of  the  date  hereof  (the  "Fifth
Amendment"),  providing,  among  other  things,  for an  increase in the Line of
Credit of $16 million  (the  "Additional  Indebtedness"),  which will permit the
Bank to advance a total of $36 million thereunder;

                  WHEREAS,  in order to induce the Bank to  increase  and extend
the Line of Credit pursuant to the October Increase,  the Bank, WCAS VI, Blair V
and the other Guarantors agreed to modify the Guarantor Percentages provided for
in the Credit Agreement, with the effect that, effective as of the date thereof,
only WCAS VI and Blair V would be liable to the Bank on the Guaranty;


<PAGE>


                  WHEREAS,  in order to induce the Bank to  increase  and extend
the Line of Credit pursuant to the Fifth Amendment,  the Bank and the Guarantors
have  agreed to modify  the  Guarantor  Percentages  provided  for in the Credit
Agreement,  with the effect that,  effective as of the date hereof,  WCAS V will
also be liable to the Bank on the Guaranty;

                  WHEREAS,  WCAS  V  and  Blair  V are  willing  to  assume  the
additional financial risk associated with the Additional  Indebtedness under the
Guaranty,  and in consideration thereof, the Company is willing to issue to WCAS
V and Blair V warrants  to purchase an  additional  84,050  shares of its Common
Stock, on the terms and conditions hereinafter set forth;

                  WHEREAS,  as a result of the forgoing,  the Guarantors wish to
amend and extend the previous  agreements  among  themselves with respect to the
manner in which they will bear the economic  incidence  of any payments  made by
any of them under the Guaranty;

                  WHEREAS,  the Guarantors hereby confirm that they are assuming
the  financial  risk  associated  with  the  Guaranty  and the  Line  of  Credit
(including but not limited to the financial risk  associated with the Additional
Indebtedness) in order to protect their existing  substantial equity investments
in the Company and to ensure the Company's future financial viability; and

                  NOW,  THEREFORE,  in  consideration  of the  foregoing and the
mutual agreements contained herein, the parties hereby agree as follows:


                                   I. ARTICLE

                              ISSUANCE OF WARRANTS

     Section 1.01 Issuance of Warrants.  (a) In  consideration of the assumption
by WCAS V and  Blair V of the  additional  financial  risk  associated  with the
Additional  Indebtedness  under the  Guaranty,  the  Company  shall  execute and
deliver  to each of WCAS V and Blair a  warrant  in the form  annexed  hereto as
Exhibit 1 (individually a "Warrant" and collectively the "Warrants") to purchase
shares of the Company's  Common Stock,  $.01 par value ("Common  Stock"),  at an
exercise  price  specified  therein.  WCAS V shall be  entitled  to a Warrant to
purchase  80% shares of Common  Stock and Blair V shall be entitled to a Warrant
to purchase 20% shares of Common Stock.

     Section 1.02 Tax and Accounting Treatment.  The Company, WCAS V and Blair V
agree that for  federal,  state and local  income  tax as well as for  financial
accounting  purposes,  the issuance of the Warrants by the Company to WCAS V and
Blair V is in the nature of a dividend  distribution and is not compensation (or
a payment) for any services, and each hereby agrees to treat the issuance of the
Warrants  in such  manner  for all  such  purposes,  all to the  maximum  extent
permitted by applicable law.


                                       2
<PAGE>



                                 II. ARTICLE

                  REPRESENTATIONS AND WARRANTIES OF THE COMPANY

                  The Company  represents and warrants to, and agrees with, WCAS
V and Blair V as follows:

     Section 2.01 Organization.  The Company is a corporation duly incorporated,
validly  existing and in good  standing  under the laws of the State of Delaware
and is duly  licensed or  qualified to do business as a foreign  corporation  in
good  standing in each of the  jurisdiction  in which it owns or leases any real
property  or in which  the  nature  of  business  transacted  by it  makes  such
licensing or qualification  necessary and where the failure to be so licensed or
qualified  would have a material  adverse affect on the business,  operations or
financial  condition of the  Company.  The Company has the  corporate  power and
authority  to own and  hold its  properties  and to  carry  on its  business  as
currently  conducted,  to execute,  deliver and perform this  Agreement  and the
Warrants and to issue, sell and deliver the shares of Common Stock issuable upon
the exercise of the Warrants (the "Warrant Shares").

     Section 2.02  Authorization of Agreement,  etc. (a)The execution,  delivery
and  performance  by the Company of this  Agreement  and the  Warrants,  and the
issuance, sale and delivery of the Warrant Shares upon exercise of the Warrants,
have been duly  authorized  by all requisite  corporate  action and will not (i)
violate  any  provision  of law,  any  order of any  court or  other  agency  of
government,  the Amended and Restated Certificate of Incorporation or By-laws of
the Company, or any provision of any indenture, agreement or other instrument by
which  the  Company  or any  of its  subsidiaries  or  any of  their  respective
properties  or assets is bound or  affected;  (ii)  conflict  with,  result in a
breach of or constitute (with due notice or lapse of time or both) a default any
such indenture,  agreement or other instrument;  or (iii) result in the creation
or imposition of any lien,  charge or  incumbrance of any nature upon any of the
properties or assets of the Company or any of its subsidiaries.

     (b) The Warrant  Shares have been duly  reserved for issuance upon exercise
of the Warrants and, when so issued, will be duly authorized, validly issued and
outstanding,  fully paid and nonassessable  shares of Common Stock.  Neither the
execution  and  delivery of the  Warrants  nor the  issuance and delivery of the
Warrant  Shares upon  exercise  thereof is subject to any  preemptive  rights of
shareholders  of the Company or to any right of first  refusal or other  similar
right in favor of any person.

     Section 2.03 Validity.  This Agreement has been duly executed and delivered
by the Company and  constitutes the legal,  valid and binding  obligation of the
Company,  enforceable in accordance with its terms. The Warrants,  when executed
in accordance with this  Agreement,  will  constitute  legal,  valid and binding
obligations  of the Company,  enforceable  in accordance  with their  respective
terms.


                                       3


<PAGE>


                                  III. ARTICLE

                REPRESENTATIONS AND WARRANTIES OF THE GUARANTORS

                  Each of WCAS V and  Blair V  represents  and  warrants  to the
Company that it is acquiring the  Warrants,  and will,  upon  exercise  thereof,
acquire the Warrant  Shares,  for its own account for purpose of investment  and
not with a view to or for sale in connection with any distribution thereof. Each
of WCAS V and Blair V further  represents  that it understands  (i) that neither
the Warrants nor the Warrant  Shares have been  registered  under the Securities
Act of 1933, as amended (the  "Securities  Act"), by reason of their issuance in
transactions  exempt from the  registration  requirements  of the Securities Act
pursuant to Section 4(2) thereof,  (ii) the Warrants and, upon exercise thereof,
the Warrant  Shares must be held  indefinitely  unless a subsequent  disposition
thereof is registered  under the Securities Act or is otherwise exempt from such
registration,  (iii) the Warrants  and the Warrant  Shares will bear a legend to
such effect and (iv) the Company will make a notation on its  transfer  books to
such effect.  Each of WCAS V and Blair V further  understands that the exemption
from  registration  afforded by Rule 144 under the Securities Act depends on the
satisfaction of various conditions and that, if applicable, affords the basis of
sales of the Warrants and/or the Warrant Shares in limited amounts under certain
conditions.  Each of WCAS V and Blair V (i) acknowledges  that it has had a full
opportunity  to  request  from  the  Company  to  review  and has  received  all
information  deemed  relevant in making a decision to enter into this  Agreement
and consummate the transactions  contemplated  thereby and (ii) will comply with
the restrictions on transferability of the Warrants and Warrant Shares contained
in the Warrant.  Each of WCAS V and Blair V is an "Accredited  Investor"  within
the meaning of Rule 501(a) of the Securities Act.

                                  IV. ARTICLE

                         AGREEMENTS AMONG THE GUARANTORS

                  The Guarantors agree that, as among themselves,  the liability
for any and all payments  made by any of them  pursuant to the Guaranty  will be
allocated to and borne by them, as follows: (i) 80% to WCAS VI, 18.4% to Blair V
and 1.6% to  Blair  LF with  respect  to the  first  $20  million  of  principal
indebtedness  (and any interest,  penalties and other charges  thereon) and (ii)
80% to WCAS V and 20% to Blair V with  respect to any  payments in excess of $20
million of principal indebtedness (and any interest, penalties and other charges
thereon)  pursuant  to the Fifth  Amendment.  Each of the  Guarantors  agrees to
indemnify  each of the other  Guarantors  for any payments  made pursuant to the
Guaranty (or to indemnify  other  Guarantors in accordance with this Article IV)
by such other  Guarantor that were in excess of such other  Guarantor's pro rata
share of all amounts paid by the  Guarantors  under the Guaranty,  determined in
accordance with the first sentence of this Article IV, but only to the extent of
the excess,  if any, of its own payments  made pursuant to the Guaranty plus the
indemnity  payments  made by it to other  Guarantors  in  accordance  with  this
Article IV, over its pro rata share of all amounts paid by the Guarantors  under
the Guaranty,  determined in accordance  with the first sentence of this Article


                                       4

<PAGE>


IV. The  foregoing  shall  apply  irrespective  of which of the  Guarantors  has
actually made or is liable to make payment under the terms and provisions of the
Guaranty and without  regard to the release of any Guarantor of its  obligations
under the Guaranty by the Bank or any assignee thereof.

                                   V. ARTICLE

                            AGREEMENTS OF THE COMPANY

                  The  Company  covenants  and agrees  that any right to payment
received by the Guarantors in respect of the Credit Agreement,  as amended,  and
their guaranty  thereof,  whether by way of purchase,  subrogation or otherwise,
and  regardless  whether  and to what extent the same shall be  subordinated  to
other  indebtedness  to the Banks or shall  have  been  waived  pending  certain
events,  may be applied,  both as to principal and accrued and unpaid  interest,
dollar for dollar,  by the Guarantors,  or any of them, as the purchase price of
any equity securities offered by the Company to investors for cash. In addition,
in the event that the Company shall be unable to make a payment under the Credit
Agreement,  as  amended,  the  Guarantors  shall  have  the  right  (but not the
obligation) (i) to purchase additional equity securities of the Company and (ii)
to require  the Company to use the net  proceeds  of such  purchase to make such
payment  under the  Credit  Agreement,  as  amended.  The right set forth in the
preceding  sentence may only be exercised upon joint approval by the Guarantors,
and the  securities  so  purchased  shall be issued at fair  value,  based  upon
current  market  conditions for the issuance of equity  securities.  The Company
shall use its best efforts to provide the Guarantors with  sufficient  notice in
advance of a payment default under the Credit Agreement,  as amended,  to enable
the Guarantors to exercise their rights under this Article V.

                                  VI. ARTICLE

                                  MISCELLANEOUS

     Section  6.01  Expenses.  Each party  hereto  will pay its own  expenses in
connection  with  the  transactions  contemplated  hereby,  whether  or not such
transactions shall be consummated; provided, however, that the Company shall pay
the fees and disbursements of the Guarantors' special counsel,  Messrs.  Reboul,
MacMurray, Hewitt, Maynard & Kristol.

     Section  6.02   Survival  of   Agreements.   All   covenants,   agreements,
representations  and  warranties  made herein shall  survive the  execution  and
delivery of this Agreement and the Warrants and the issuance,  sale and delivery
of the Warrant Shares.


                                       5


<PAGE>


     Section 6.03 Parties in Interest. All covenants and agreements contained in
this Agreement by or on behalf of any of the parties hereto shall bind and inure
to the benefit of the  respective  successors  and assigns of the parties hereto
whether so expressed or not.

     Section   6.04   Notices.   All  notices,   requests,   consent  and  other
communications  hereunder shall be in writing and shall be mailed by first class
registered  mail,  postage  prepaid,  or sent by a  recognized  courier  service
addressed as follows:

                  If to the Company to it at:

                  90 Merrick Avenue, Suite 501
                  East Meadow, New York 11554
                  Fax: (516) 542-4508
                  Attention:  David M. Goldwin, Esq.

                  If to WCAS VI or WCAS V to it at

                  320 Park Avenue
                  Suite 2500
                  New York, New York 10022
                  Attention:  Anthony J. de Nicola

                  If to Blair LF or Blair V to it at

                  222 W. Adams Street
                  Chicago, Illinois  60606
                  Attention:  Timothy M. Murray

or, in any such case,  at such other  address  or  addresses  as shall have been
furnished in writing my such party to the others.

     SECTION  6.05  LAW  GOVERNING.  THIS  AGREEMENT  SHALL BE  GOVERNED  BY AND
CONSTRUED IN ACCORDANCE WITH THE LAWS OF THE STATE OF NEW YORK.

     Section  6.06  Entire  Agreement.  This  Agreement  constitutes  the entire
Agreement of the parties with respect to the subject  matter  hereof and may not
be modified or amended except in writing.

     Section 6.07  Counterparts.  This  Agreement may be executed in two or more
counterparts,  each of  which  shall be  deemed  an  original,  but all of which
together shall constitute one and the same instrument.


<PAGE>


                  IN  WITNESS  WHEREOF,  the  Company  and the  Guarantors  have
executed this Agreement as of the day and year first above written.


                                            MEDE AMERICA CORPORATION

                                            By
                                              ----------------------------------
                                            Name:
                                            Title:

                                            WELSH, CARSON, ANDERSON &
                                                  STOWE V, L.P.
                                            By WCAS V Partners, General Partner

                                            By
                                              ----------------------------------
                                                      General Partner

                                            WELSH, CARSON, ANDERSON &
                                                  STOWE VI, L.P.
                                            By WCAS VI  Partners,  L.P., General
                                                 Partner

                                            By
                                              ----------------------------------
                                                       General Partner

                                                WILLIAM BLAIR LEVERAGED CAPITAL
                                                    FUND LIMITED PARTNERSHIP
                                             By  William Blair Leveraged Capital
                                                        Management, L.P.

                                             By  William Blair & Company,
                                                     General Partner

                                             By
                                               ---------------------------------

                                                     WILLIAM BLAIR CAPITAL
                                                         PARTNERS V, L.P.

                                             By William Blair Capital Partners, 
                                                  LLC,
                                                      General Partner

                                              By
                                                --------------------------------

<PAGE>

                                                                    EXHIBIT 1

                                 FORM OF WARRANT

         THIS WARRANT HAS BEEN ISSUED IN RELIANCE  UPON THE  REPRESEN  TATION OF
         THE HOLDER THAT IT HAS BEEN  ACQUIRED FOR  INVESTMENT  PURPOSES AND NOT
         WITH A VIEW TOWARDS THE RESALE OR OTHER DISTRIBUTION  THEREOF.  NEITHER
         THIS WARRANT NOR THE SHARES ISSU ABLE UPON THE EXERCISE OF THIS WARRANT
         HAVE BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933.

                            MEDE AMERICA CORPORATION

                           Stock Subscription Warrant

Warrant to Subscribe                                             October 7, 1998
for        shares

                           Void After October 7, 2003

                                   ----------


                  THIS CERTIFIES that, for value received, [NAME OF HOLDER], a [
]  ("Holder"),  or its  registered  assigns,  is entitled to  subscribe  for and
purchase  from MEDE AMERICA  CORPORATION,  a Delaware  corporation  (hereinafter
called the  "Corporation"),  at an exercise price (the "Warrant Exercise Price")
of (i) $8.00 per share (subject to adjustment as  hereinafter  provided) or (ii)
in the event an initial public offering for the  Corporation's  Common Stock (as
herein defined) is completed by March 31, 1999, the offering price per share, at
any time prior to  October  7, 2003,  up to [ ( )]  (subject  to  adjustment  as
hereinafter  provided)  fully  paid and  nonassessable  shares of Common  Stock,
subject,   however,  to  the  provisions  and  upon  the  terms  and  conditions
hereinafter  set forth.  This  Warrant and any warrant or warrants  subsequently
issued upon exchange or transfer  hereof and each other warrant issued  pursuant
to the Agreement, dated as of October 7, 1998 (the "Agreement"), among the Corpo
ration and the stockholders of the Corporation named therein, and any warrant or
warrants subse

<PAGE>

quently issued upon exchange or transfer thereof,  are hereinafter  collectively
called the "War rants".

                  Section 1.  Exercise of Warrant.

                  (a) Method of Exercise. The rights represented by this Warrant
         may be  exercised  by the holder  hereof,  in whole at any time or from
         time to time in part, but not as to a fractional share of Common Stock,
         by the surrender of this Warrant  (properly  endorsed) at the office of
         the  Corporation as it may designate by notice in writing to the holder
         hereof at the  address  of such  holder  appearing  on the books of the
         Corporation, and as further provided below in this Section 1:

                  (i)   Cash  Exercise.  By  payment to the  Corporation  of the
         Warrant  Exercise Price in cash or by certified or official bank check,
         for each share being purchased;

                  (ii)   Surrender  of   Indebtedness   of  or  Claims   Against
         Corporation.  By surrender to the Corporation  for  cancellation of any
         indebtedness  of or claim against the  Corporation  (including  without
         limitation  any claim against the  Corporation as subrogee in the event
         the Holder shall have  performed  under its guarantee  under the Credit
         Agreement, as defined in the Agreement), or of any portion thereof, for
         which credit shall be given toward the Warrant  Exercise Price for each
         share being acquired on a dollar-for-dollar basis with reference to the
         principal amount canceled;

                  (iii) Net Issue Exercise. By an election to receive shares the
         aggregate  fair  market  value of which as of the date of  exercise  is
         equal to the fair market value of this Warrant (or the portion  thereof
         being  exercised)  on such date, in which event the  Corporation,  upon
         receipt of notice of such election,  shall issue to the holder hereof a
         number of shares of the  Corporation's  Common  Stock  equal to (A) the
         number of shares of Common Stock acquirable upon exercise of all or any
         portion of this Warrant being exercised, as at such date, multiplied by
         (B) the balance  remaining  after  deducting  (x) the Warrant  Exercise
         Price, as in effect on such date, from (y) the fair market value of one
         share of the Corpora  tion's  Common Stock as at such date and dividing
         the result by (C) such fair market value; or

                  (iv) Combined  Payment Method.  By satisfaction of the Warrant
         Exercise Price for each share being acquired in any  combination of two
         or more of the methods described in clauses (i), (ii) and (iii) above.

                  (b) Definition of Fair Market Value.  For the purposes of this
         Section 1, "fair  market  value"  shall mean,  as to any  security,  as
         follows:  if that  security is listed or admit ted to trading on one or
         more national  securities  exchanges,  the average of the last reported
         sales prices per share regular way or, in case no such  reported  sales
         takes place on any such day,  the average of the last  reported bid and
         asked prices per share regular

                                        2

<PAGE>

         way, in either case on the principal  national  securities  exchange on
         which  that  security  is listed or  admitted  to  trading,  for the 20
         trading days immediately  preceding the date upon which the fair market
         value is determined (the "Determination Date"); if that security is not
         listed or admitted to trading on a national  securities exchange but is
         quoted by the NASD Automated  Quotation System ("NASDAQ"),  the average
         of the last reported  sales prices per share regular way or, in case no
         reported  sale takes place on any such day or the last  reported  sales
         prices are not then quoted by NASDAQ,  the average for each such day of
         the last  reported bid and asked  prices per share,  for the 20 trading
         days immediately  preceding the Determination  Date as furnished by the
         National  Quotation  Bureau  Incor  porated  or any  similar  successor
         organization; and if that security is not listed or admitted to trading
         on a  national  securities  exchange  or  quoted by NASDAQ or any other
         nation ally recognized quotation service, the "fair market value" shall
         be the fair value thereof determined jointly by the Corporation and the
         registered holders of Warrants  outstanding  representing a majority of
         the shares of Common Stock  acquirable  upon  exercise of the Warrants,
         provided,  however,  that if such parties are unable to reach agreement
         within a reasonable  time,  the "fair market value" shall be determined
         in good  faith by an inde  pendent  investment  banking  firm  selected
         jointly by the  Corporation  and the  registered  holders  of  Warrants
         outstanding  representing  a  majority  of the  shares of Common  Stock
         issuable upon exercise of the Warrants or, if that selection  cannot be
         made within 15 days, by an independent investment banking firm selected
         by the American  Arbitration Associa tion in accordance with its rules.
         Anything in this paragraph (b) to the contrary  notwith  standing,  the
         fair  market  value of this  Warrant or any  portion  thereof as of any
         Determina  tion Date shall be equal to (i) the fair market value of the
         shares of Common Stock  issuable upon exercise of this Warrant (or such
         portion  thereof),  (determined  in  accor  dance  with  the  foregoing
         provisions of this  paragraph  (b)),  minus (ii) the aggregate  Warrant
         Exercise Price of this Warrant (or such portion thereof).

                  (c)  Delivery  of  Certificates,  Etc.  In  the  event  of any
         exercise of the rights repre sented by this Warrant,  a certificate  or
         certificates for the shares of Common Stock so purchased, registered in
         the name of the holder,  shall be delivered to the holder hereof within
         a reasonable time, not exceeding ten days, after the rights represented
         by this Warrant shall have been so exercised;  and, unless this Warrant
         has expired, a new Warrant  representing the number of shares (except a
         remaining fractional share), if any, with respect to which this Warrant
         shall not then have been  exercised  shall also be issued to the holder
         hereof within such time. The person in whose name any  certificate  for
         shares of Common Stock is issued upon  exercise of this  Warrant  shall
         for all  purposes be deemed to have become the holder of record of such
         shares on the date on which the Warrant was  surrendered and payment of
         the Warrant  Exercise Price and any applicable  taxes was made,  except
         that, if the date of such  surrender and payment is a date on which the
         stock transfer books of the Corporation  are closed,  such person shall
         be  deemed to have  become  the  holder of such  shares at the close of
         business on the next  succeeding date on which the stock transfer books
         are open.

                                        3

<PAGE>

                  Section  2.   Adjustment  of  Number  of  Shares.   Upon  each
adjustment of the Warrant Exercise Price as provided in Section 3, the holder of
this Warrant shall  thereafter be entitled to purchase,  at the Warrant Exercise
Price resulting from such  adjustment,  the number of shares  (calculated to the
nearest tenth of a share) obtained by multiplying the Warrant  Exercise Price in
effect  immediately prior to such adjustment by the number of shares purchasable
pursuant  hereto  immediately  prior to such adjustment and dividing the product
thereof by the Warrant Exercise Price resulting from such adjustment.

                  Section 3.  Adjustment of Price Upon Issuance of Common Stock.
If and  whenever  the  Corporation  shall issue or sell any shares of its Common
Stock for a  consideration  per share less than the  Warrant  Exercise  Price in
effect immediately prior to the time of such issue or sale, then, forthwith upon
such  issue or sale the  Warrant  Exercise  Price  shall be reduced to the price
(calculated  to the nearest $.01)  determined by dividing (i) an amount equal to
the sum of (a) the  number of shares of  Common  Stock  outstanding  immediately
prior to such  issue or sale (in  cluding  as  outstanding  all shares of Common
Stock issuable upon  conversion of all  outstanding  Convertible  Securities (as
hereinafter  defined) or exercise of outstanding Warrants multiplied by the then
existing Warrant Exercise Price, and (b) the consideration,  if any, received by
the Corpo ration upon such issue or sale,  by (ii) the total number of shares of
Common Stock  outstanding  immediately  after such issue or sale  (including  as
outstanding  all  shares  of  Common  Stock  issuable  upon  conversion  of  all
outstanding  Convertible  Securities or exercise of  outstanding  Warrants).  No
adjustments of the Warrant Exercise Price,  however,  shall be made in an amount
less  than $.01 per  share,  but any such  lesser  adjustment  shall be  carried
forward  and  shall be made at the time and  together  with the next  subsequent
adjustment  which together with any  adjustments so carried forward shall amount
to $.01 per share or more.

                  For purposes of this Section 3, the following  paragraphs  (a)
to (p), inclusive, shall also be applicable:

                  (a)  Issuance  of Rights or  Options.  In case at any time the
         Corporation   shall  in  any  manner  grant  (whether  directly  or  by
         assumption in a merger or otherwise)  any rights to subscribe for or to
         purchase, or any options for the purchase of, Common Stock or any stock
         or securities  convertible  into or exchangeable for Common Stock (such
         rights or options being herein called  "Options",  and such convertible
         or exchangeable  stock or securities  being herein called  "Convertible
         Securities")  whether  or not such  Options  or the right to convert or
         exchange any such Convertible  Securities are immediately  exercisable,
         and the price per share for which  Common  Stock is  issuable  upon the
         exercise  of  such  Options  or upon  conversion  or  exchange  of such
         Convertible Securities (determined by dividing (i) the total amount, if
         any,  received or receivable by the  Corporation  as consider ation for
         the  granting of such  Options,  plus the minimum  aggregate  amount of
         additional  consideration  payable to the Corporation upon the exercise
         of all such Options,  plus, in the case of such Options which relate to
         Convertible  Securities,  the minimum  aggregate  amount of  additional
         consideration, if any, payable

                                       4

<PAGE>

         upon the issue or sale of such  Convert  ible  Securities  and upon the
         conversion or exchange  thereof,  by (ii) the total  maximum  number of
         shares of Common  Stock  issuable  upon the exercise of such Options or
         upon the  conversion  or  exchange of all such  Convertible  Securities
         issuable  upon the  exercise  of such  Options)  shall be less than the
         Warrant Exercise Price in effect  immediately  prior to the time of the
         granting of such Options,  then the total  maximum  number of shares of
         Common  Stock  issuable  upon  the  exercise  of such  Options  or upon
         conversion or exchange of the total maximum amount of such  Convertible
         Securities  issuable  upon the exercise of such Options shall be deemed
         to have been issued for such price per share as of the date of granting
         of such  Options  and  thereafter  shall be deemed  to be  outstanding.
         Except as otherwise  provided in paragraph  (c), no  adjustment  of the
         Warrant  Exercise  Price  shall be made upon the  actual  issue of such
         Common Stock or of such  Convertible  Securities  upon exercise of such
         Options or upon the actual issue of such Common  Stock upon  conversion
         or exchange of such Convertible Securities.

                  (b)   Issuance  of   Convertible   Securities.   In  case  the
         Corporation   shall  in  any  manner  issue  (whether  directly  or  by
         assumption  in  a  merger  or   otherwise)  or  sell  any   Convertible
         Securities, whether or not the rights to exchange or convert thereunder
         are immediately  exercisable,  and the price per share for which Common
         Stock is  issuable  upon such  conversion  or exchange  (determined  by
         dividing (i) the total amount received or receivable by the Corporation
         as consideration for the issue or sale of such Convertible  Securities,
         plus the minimum aggregate amount of additional consideration,  if any,
         payable to the Corporation  upon the conversion or exchange of all such
         Convertible  Securities)  shall be less than the Warrant Exercise Price
         in effect immediately prior to the time of such issue or sale, then the
         total maximum number of shares of Common Stock issuable upon conversion
         or exchange of all such Convertible  Securities shall be deemed to have
         been  issued  for such  price  per share as of the date of the issue or
         sale of such  Convertible  Securities and thereafter shall be deemed to
         be  outstanding,  provided  that (i) except as  otherwise  provided  in
         paragraph (c) below, no adjustment of the Warrant  Exercise Price shall
         be made upon the actual issue of such Common Stock upon  conversion  or
         exchange of such Convertible Securities,  and (ii) if any such issue or
         sale of such Convertible Securities is made upon exercise of any Option
         to purchase any such Convertible  Securi ties for which  adjustments of
         the  Warrant  Exercise  Price have been or are to be made  pursuant  to
         other  provisions  of this  Section  3, no  further  adjustment  of the
         Warrant Exercise Price shall be made by reason of such issue or sale.

                  (c)  Change  in  Option  Price or  Conversion  Rate.  Upon the
         happening of any of the following events, namely, if the purchase price
         provided for in any Option referred to in paragraph (a), the additional
         consideration,  if any,  payable upon the conversion or exchange of any
         Convertible Securities referred to in paragraph (a) or (b), or the rate
         at which any Convertible Securities referred to in paragraph (a) or (b)
         are convertible  into or exchangeable  for Common Stock shall change at
         any time  (other  than  under or by reason of  provisions  designed  to
         protect against dilution), the Warrant Exercise Price in effect at

                                       5

<PAGE>

         the time of such event shall  forthwith  be  readjusted  to the Warrant
         Exercise Price  whichffect at such time had such Options or Convertible
         Securities still outstanding  provided for such changed purchase price,
         additional consideration or conversion rate, as the case may be, at the
         time  initially  granted,  issued or sold; and on the expiration of any
         such Option or the termination of any such right to convert or exchange
         such Convertible Securities,  the Warrant Exercise Price then in effect
         hereunder  shall  forthwith be increased to the Warrant  Exercise Price
         which  would  have  been in effect  at the time of such  expiration  or
         termination  had such  Option or  Convertible  Security,  to the extent
         outstanding immediately prior to such expiration or termination,  never
         been issued,  and the Common Stock issuable  thereunder shall no longer
         be deemed to be outstanding.

         If the purchase  price  provided for in any such Option  referred to in
         paragraph (a) or the rate at which any Convertible  Securities referred
         to in paragraph (a) or (b) are  convertible  into or  exchangeable  for
         Common  Stock,  shall be  reduced  at any time  under or by  reason  of
         provisions with respect thereto  designed to protect against  dilution,
         then in case of the  delivery of Common  Stock upon the exercise of any
         such Option or upon  conversion  or  exchange  of any such  Convertible
         Security,  the Warrant  Exercise Price then in effect  hereunder  shall
         forthwith  be  adjusted  to such  respective  amount as would have been
         obtained had such Option or  Convertible  Security never been issued as
         to such Common Stock and had adjustments been made upon the issuance of
         the shares of Common  Stock  delivered as  aforesaid,  but only if as a
         result of such  adjustment  the Warrant  Exercise  Price then in effect
         hereunder is thereby reduced.

                  (d) Stock Dividends.  In case the Corporation  shall declare a
         dividend  or  make  any  other  distribution  upon  any  stock  of  the
         Corporation payable in Common Stock, Options or Convertible Securities,
         any Common Stock,  Options or Convertible  Securities,  as the case may
         be,  issuable  in payment of such  dividend  or  distribution  shall be
         deemed to have been issued in a subdivision  of  outstanding  shares as
         provided in paragraph (h) below.

                  (e)  Consideration  for  Stock.  In case any  shares of Common
         Stock,  Options or Convertible  Securities  shall be issued or sold for
         cash,  the  consideration  received  therefor shall be deemed to be the
         amount  received  by  the  Corporation   therefor,   without  deduction
         therefrom of any expenses  incurred or any underwriting  commissions or
         concessions paid or allowed by the Corporation in connection therewith.
         In case any shares of Common Stock,  Options or Convertible  Securities
         shall be issued or sold for a consideration other than cash, the amount
         of the consideration  other than cash received by the Corporation shall
         be deemed to be the fair value of such  consideration  as determined by
         the Board of Directors  of the  Corporation,  without  deduction of any
         expenses incurred or any under writing  commissions or concessions paid
         or allowed by the  Corporation in connection  therewith.  The amount of
         consideration  deemed to be received by the Corporation pursuant to the
         foregoing  provisions of this  paragraph  (e) upon any issuance  and/or
         sale, pursuant to an established  compensation plan of the Corporation,
         to directors, officers or

                                       6

<PAGE>

         employees of the  Corporation  in connection  with their  employment of
         shares of Common Stock,  Options or  Convertible  Securities,  shall be
         increased by the amount of any tax benefit  realized by the Corporation
         as a result  of such  issuance  and/or  sale,  the  amount  of such tax
         benefit  being the amount by which the Federal  and/or  State income or
         other tax  liability of the  Corporation  shall be reduced by reason of
         any  deduction or credit in respect of such  issuance  and/or sale.  In
         case any Options shall be issued in connection  with the issue and sale
         of  other  securities  of  the  Corporation,  together  comprising  one
         integral transaction in which no specific consideration is allocated to
         such Options by the parties  thereto,  such Options  shall be deemed to
         have been issued  without  consideration.  In case any shares of Common
         Stock, Options or Convertible  Securities shall be issued in connection
         with any  merger  or  consolidation  in which  the  Corporation  is the
         surviving  corporation,  the amount of consideration  therefor shall be
         deemed to be the fair value as  determined by the Board of Directors of
         the  Corporation  of such  portion of the assets  and  business  of the
         non-surviving   corporation  as  such  Board  shall   determine  to  be
         attributable to such Common Stock,  Options or Convertible  Securities,
         as the case may be. In the event of any  consolidation or merger of the
         Corporation in which the  Corporation is not the surviving  corporation
         or in the event of any sale of all or  substantially  all of the assets
         of the  Corporation for stock or other  securities of any  corporation,
         the  Corporation  shall be deemed to have  issued a number of shares of
         its  Common  Stock for  stock or  securities  of the other  corporation
         computed  on the  basis of the  actual  exchange  ratio  on  which  the
         transaction  was predicated and for a  consideration  equal to the fair
         market  value  on the  date  of  such  transaction  of  such  stock  or
         securities  of the  other  corporation,  and if  any  such  calculation
         results in adjustment of the Warrant Exercise Price, the  determination
         of the number of shares of Common Stock  receivable  under this Warrant
         immediately  prior to such merger,  consolidation or sale, for purposes
         of paragraph (j), shall be made after giving effect to such  adjustment
         of the Warrant Exercise Price.

                  (f) Record Date. In case the  Corporation  shall take a record
         of the holders of its Common  Stock for the purpose of  entitling  them
         (i) to  receive a  dividend  or other  distribution  payable  in Common
         Stock, Options or Convertible  Securities,  or (ii) to subscribe for or
         purchase  Common Stock,  Options or Convertible  Securities,  then such
         record  date shall be deemed to be the date of the issue or sale of the
         shares of  Common  Stock  deemed  to have been  issued or sold upon the
         declaration  of such dividend or the making of such other  distribution
         or the date of the granting of such right of  subscription or purchase,
         as the case may be.

                  (g)  Treasury  Shares.  The  number of shares of Common  Stock
         outstanding at any given time shall not include shares owned or held by
         or for the account of the Corporation,  and the disposition of any such
         shares  shall be  considered  an issue or sale of Common  Stock for the
         purposes of this Section 3.

                  (h)   Subdivision  or  Combination  of  Stock.   In  case  the
         Corporation  shall at any time  subdivide  its  outstanding  shares  of
         Common Stock into a greater number of shares,

                                       7

<PAGE>

         the  Warrant  Exercise  Price  in  effect  immediately  prior  to  such
         subdivision shall be proportionately  reduced, and conversely,  in case
         the  outstanding  shares of Common  Stock of the  Corporation  shall be
         combined into a smaller number of shares, the Warrant Exercise Price in
         effect  immediately prior to such combination shall be  proportionately
         increased.

                  (i) Certain Issues of Common Stock  Excepted.  Anything herein
         to the contrary notwithstanding,  the Corporation shall not be required
         to make any adjustment of the Warrant Exercise Price in the case of the
         issuance of shares of Common  Stock upon  exercise  of  employee  stock
         options approved by the Board of Directors of the Corporation.

                  (j) Reorganization, Reclassification, Consolidation, Merger or
         Sale. If any capital  reorganization or reclassification of the capital
         stock  of  the  Corporation  or  any  consolidation  or  merger  of the
         Corporation   with  another   corporation,   or  the  sale  of  all  or
         substantially  all  of its  assets  to  another  corporation  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,  as  a  condition  of  such  reorganization,
         reclassification,  consolidation,  merger or sale,  lawful and adequate
         provisions  shall be made  whereby  each holder of the  Warrants  shall
         thereafter  have the right to receive upon the basis and upon the terms
         and  conditions  specified  herein  and in lieu of the shares of Common
         Stock of the Corporation  immediately  theretofore  receivable upon the
         exercise of such Warrant or Warrants,  such shares of stock, securities
         or assets  (including 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 stock immediately  theretofore so
         receivable had such  reorganization,  reclassification,  consolidation,
         merger  or sale  not  taken  place,  and in any such  case  appropriate
         provision  shall be made with  respect to the rights and  interests  of
         such holder to the end that the provisions  hereof  (including  without
         limitation  provisions for  adjustments of the Warrant  Exercise Price)
         shall thereafter be applicable, as nearly as may be, in relation to any
         shares of stock,  securities or assets thereafter  deliverable upon the
         exercise of such exercise  rights (in cluding an immediate  adjustment,
         by reason of such  reorganization or  reclassification,  of the Warrant
         Exercise Price to the value for the Common Stock reflected by the terms
         of such reorganization or reclassification if the value so reflected is
         less than the Warrant  Exercise  Price in effect  immediately  prior to
         such reorganization or  reclassification).  In the event of a merger or
         consolidation  of the  Corporation  as a result of which a  greater  or
         lesser  number of shares of common stock of the  surviving  corporation
         are issuable to holders of Common Stock of the Corporation  outstanding
         immediately prior to such merger or consolidation, the Warrant Exercise
         Price in effect immediately prior to such merger or consolidation shall
         be adjusted in the same manner as though  there were a  subdivision  or
         combination  of the  outstanding  shares of  Common  Stock of the Corpo
         ration. The Corporation will not effect any such consolidation,  merger
         or any sale of all or  substantially  all of its assets of  properties,
         unless prior to the consummation thereof the

                                       8

<PAGE>

         successor  corporation (if other than the  Corporation)  resulting from
         such consolidation or merger or the corporation  purchasing such assets
         shall assume by written instrument  executed and mailed or delivered to
         each  holder  of the  Warrants  at the  last  address  of  such  holder
         appearing on the books of the Corporation, the obligation to deliver to
         such  holder  such  shares  of  stock,  securities  or  assets  as,  in
         accordance with the foregoing  provisions,  such holder may be entitled
         to receive.

                  (k) Notice of  Adjustment.  Upon any adjustment of the Warrant
         Exercise Price,  then and in each such case, the Corporation shall give
         written notice thereof, by first class mail, postage prepaid, addressed
         to each  holder of the  Warrants at the address of such holder as shown
         on the books of the  Corporation,  which notice shall state the Warrant
         Exercise  Price  resulting  from  such  adjustment,  setting  forth  in
         reasonable  detail the method of  calculation  and the facts upon which
         such calculation is based.

                  (l)  Certain  Events.  If any event  occurs as to which in the
         opinion  of the  Board  of  Directors  of  the  Corporation  the  other
         provisions of this Section 3 are not strictly applicable or if strictly
         applicable  would  not  fairly  protect  the  exercise  rights  of this
         Warrant, in accordance with the essential intent and principles of such
         provisions to protect  against  dilution,  then such Board of Directors
         shall in good  faith  make an adjust  ment in the  application  of such
         provisions, in accordance with such essential intent and principles, so
         as to protect such exercise rights as aforesaid.

                  (m) Stock to Be Reserved.  The  Corporation  will at all times
         reserve and keep  available out of its  authorized  Common Stock or its
         treasury  shares,  solely for the purpose of issue upon the exercise of
         this Warrant as herein provided,  such number of shares of Common Stock
         as shall  then be  issuable  upon the  exercise  of this  Warrant.  The
         Corpora tion  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,  and,  without  limiting the  generality  of the
         foregoing,  the  Corporation  covenants  that it will from time to time
         take all such action as may be  requisite  to assure that the par value
         per share of the Common Stock is at all times equal to or less than the
         effective  Warrant  Exercise Price.  The Corporation will take all such
         action as may be  necessary  to assure  that all such  shares of Common
         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.  The
         Corporation will not take any action which results in any adjustment of
         the  Warrant  Exercise  Price if the  total  number of shares of Common
         Stock  issued and  issuable  after such  action  upon  exercise of this
         Warrant  would  exceed the total  number of shares of Common Stock then
         authorized  by  the  Corporation's   Articles  of  Incorporation.   The
         Corporation  has not  granted  and will not  grant  any  right of first
         refusal with respect to shares  issuable upon exercise of this Warrant,
         and there are no preemptive rights associated with such shares.

                                       9

<PAGE>

                  (n) Issue Tax.  The  issuance  of  certificates  for shares of
         Common Stock upon exercise of the Warrants shall be made without charge
         to the holders of such Warrants 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
         any holder of the Warrants.

                  (o) Closing of Books.  The  Corporation  will at no time close
         its transfer  books  against the transfer of the shares of Common Stock
         issued or  issuable  upon the  exercise  of this  Warrant in any manner
         which interferes with the timely exercise of this Warrant.

                  (p)  Definition  of  Common  Stock.  As used  herein  the term
         "Common Stock" shall mean and include the Common Stock, $.01 par value,
         of the  Corporation  as autho  rized on the  date  hereof  and also any
         capital stock of any class of the  Corporation  hereinafter  authorized
         which shall not be limited to a fixed sum or  percentage  in respect of
         the rights of the holders thereof to participate in dividends or in the
         distribution  of assets upon the voluntary or involuntary  liquidation,
         dissolution or winding up of the Corpora tion, provided,  however, that
         the shares  purchasable  pursuant to this  Warrant  shall  include only
         shares  designated as Common Stock,  $.01 par value, of the Corporation
         on the date hereof,  or shares of any class or classes  resulting  from
         any  reclassification  or  reclass  ifications  thereof  which  are not
         limited  to any such  fixed sum or  percentage  and are not  subject to
         redemption by the  Corporation  and, in case at any time there shall be
         more than one such  resulting  class,  the shares of each class then so
         issuable  shall be  substantially  in the  proportion  which  the total
         number   of   shares   of  such   class   resulting   from   all   such
         reclassifications  bears to the  total  number  of  shares  of all such
         classes resulting from all such reclassifications.

                  Section 4.  Notices of Record Dates.  In the event of

                  (1) any taking by the  Corporation  of a record of the holders
         of any class of securities for the purpose of  determining  the holders
         thereof who are entitled to receive any dividend or other  distribution
         (other  than cash  dividends  out of earned  surplus),  or any right to
         subscribe for, purchase or otherwise acquire any shares of stock of any
         class or any other  securities  or  property,  or to receive  any other
         right, or

                  (2)  any capital reorganization of the Corporation,

         any  reclassification  or  recapitalization of the capital stock of the
         Corporation or any transfer of all or  substantially  all the assets of
         the Corporation to or  consolidation  or merger of the Corporation with
         or into any other corporation, or

                  (3) any voluntary or involuntary  dissolution,  liquidation or
         winding-up of the Corporation,

                                       10

<PAGE>

then and in each such event the  Corporation  will give  notice to the holder of
this Warrant specifying (i) the date on which any such record is to be taken for
the purpose of such dividend,  distribution  or right and stating the amount and
character of such dividend,  distribution  or right,  and (ii) the date on which
any   such   reorganization,   reclassification,   recapitalization,   transfer,
consolidation,  merger, dissolution, liquidation or winding-up is to take place,
and the time, if any is to be fixed, as of which the holders of record of Common
Stock will be entitled to exchange  their shares of Common Stock for  securities
or other  property  deliverable  upon such  reorganiza  tion,  reclassification,
recapitalization,  transfer, consolidation,  merger, dissolution, liquidation or
winding-up.  Such  notice  shall be given at least 20 days and not more  than 90
days prior to the date therein  specified,  and such notice shall state that the
action in  question  or the record  date is subject  to the  effectiveness  of a
registration  statement  under  the  Securities  Act or to a  favorable  vote of
stockholders, if either is required.

                  Section 5.  [omitted]

                  Section 6. No Stockholder Rights or Liabilities.  This Warrant
shall not entitle the holder  hereof to any voting  rights or other  rights as a
stockholder  of the  Corporation.  No  provi  sion  hereof,  in the  absence  of
affirmative  action by the holder hereof to purchase shares of Common Stock, and
no mere  enumeration  herein of the rights or privileges  of the holder  hereof,
shall give rise to any liability of such holder for the Warrant  Exercise  Price
or as a stockholder  of the  Corporation,  whether such liability is asserted by
the Corporation or by creditors of the Corporation.

                  Section 7. Investment  Representation  and Legend. The holder,
by acceptance of the Warrant, represents and warrants to the Corporation that it
is acquiring  the Warrant and the shares of Common  Stock (or other  securities)
issuable upon the exercise  hereof for  investment  purposes only and not with a
view  towards  the resale or other  distribution  thereof and agrees that (a) it
will not offer, sell, transfer,  encumber or otherwise dispose of the Warrant or
any of the  shares of  Common  Stock (or  other  securities)  issuable  upon the
exercise hereof unless either (i) there is an effective  registration  statement
under said Act relating  thereto or (ii) the Corporation has received an opinion
of counsel,  reasonably  satisfactory in form and substance to the Corpora tion,
stating that such  registration  is not required;  and (b) the  Corporation  may
affix upon this Warrant the following legend:

                  "This   Warrant  has  been   issued  in   reliance   upon  the
         representation  of the holder that it has been acquired for  investment
         purposes and not with a view  towards the resale or other  distribution
         thereof. Neither this Warrant nor the shares issuable upon the exercise
         of this Warrant have been registered under the Securities Act of 1933."

The holder,  by acceptance of this Warrant,  further agrees that the Corporation
may affix the following legend to certificates for shares of Common Stock issued
upon exercise of this Warrant:

                                       11

<PAGE>

                  "The  securities  represented  by this  certificate  have been
         issued in reliance upon the representation of the holder that they have
         been acquired for  investment  and not with a view toward the resale or
         other  distribution  thereof,  and have not been  registered  under the
         Securities Act of 1933.  Neither the securities  evidenced hereby,  nor
         any interest therein, may be offered, sold, transferred,  encumbered or
         otherwise   disposed  of  unless  either  (i)  there  is  an  effective
         registration  statement  under  said Act  relating  thereto or (ii) the
         Corporation has received an opinion of counsel, reasonably satisfactory
         in  form  and   substance  to  the   Corporation,   stating  that  such
         registration is not required."

                  Section 8. Lost, Stolen,  Mutilated or Destroyed  Warrant.  If
this Warrant is lost,  stolen,  mutilated or destroyed,  the Corporation may, on
such terms as to indemnity or otherwise as it may in its  discretion  reasonably
impose (which shall, in the case of a mutilated  Warrant,  include the surrender
thereof),  issue a new Warrant of like  denomination and tenor as the Warrant so
lost, stolen,  mutilated or destroyed.  Any such new Warrant shall constitute an
original contractual obligation of the Corporation, whether or not the allegedly
lost, stolen, mutilated or destroyed Warrant shall be at any time enforceable by
anyone.

                  Section  9.   Notices.   All   notices,   requests  and  other
communications required or permitted to be given or delivered hereunder shall be
in writing, and shall be delivered,  or shall be sent by certified or registered
mail,  postage  prepaid  and  addressed,  if to the holder to such holder at the
address  shown on such  holder's  Warrant or at such other address as shall have
been  furnished  to the  Corporation  by notice from such  holder.  All notices,
requests and other communications required or permitted to be given or delivered
hereunder  shall be in  writing,  and  shall be  delivered,  or shall be sent by
certified or registered  mail,  postage prepaid and addressed to the Corporation
at such  address as shall have been  furnished  to the holder by notice from the
Corporation.

                                       12

<PAGE>

                  IN WITNESS WHEREOF, MedE America Corporation has executed this
Warrant on and as of the day and year first above written.

                                            MEDE AMERICA CORPORATION

                                            By_____________________________

                                       13

<PAGE>

                             SUBSCRIPTION AGREEMENT

To:

Dated:

                  The  undersigned,  pursuant to the provisions set forth in the
within Warrant, hereby agrees to subscribe for and purchase ____shares of Common
Stock of MedE America  Corporation,  a Delaware  Corporation (the "Corporation")
covered by such  Warrant,  and makes  payment  herewith in full therefor [at the
price per share provided by such Warrant [in cash] [by surrender of indebtedness
of the Corporation as provided in Section 1(a)(ii) of such Warrant] [as provided
in Section 1(a)(iii) of such Warrant].

                                          Signature 

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

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


                                          Address 

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

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





                                                                   EXHIBIT 10.11

                       FIFTH AMENDMENT TO CREDIT AGREEMENT

         This  Amendment,  dated as of  October 7, 1998  (this  "Amendment")  is
entered  into by and between MEDE AMERICA  CORPORATION,  a Delaware  corporation
(the "Company") and BANK OF AMERICA NATIONAL TRUST AND SAVINGS  ASSOCIATION (the
"Bank").

                                    RECITALS

         The Company and the Bank are parties to a Credit  Agreement dated as of
December 18, 1995,  as amended (the "Credit  Agreement"),  pursuant to which the
Bank  extended  a  revolving  credit  facility.  Capitalized  terms used and not
otherwise  defined  or  amended  in  this  Amendment  shall  have  the  meanings
respectively assigned to them in the Credit Agreement.

         The Company has  requested  that the Bank extend the maturity  date, to
increase the commitment and to change the relative  percentage  contributions of
the Guarantors.  In order to induce the Bank to agree to the foregoing, the Bank
has requested,  and the Company has agreed, to pay an amendment fee. The Company
has  requested  that the Bank enter into this  Amendment in order to approve and
reflect the foregoing,  and the Bank has agreed to do so, all upon the terms and
provisions and subject to the conditions hereinafter set forth.

                                    AGREEMENT

         In  consideration  of  the  foregoing  and  the  mutual  covenants  and
agreement hereinafter set forth, the parties hereto mutually agree as follows:

A.       AMENDMENTS.

         1.  Amendment  of  Section  1.01.  Section  1.01 is hereby  amended  by
amending the definitions of:

                  (a)  "Guarantor's  Support  Percentage"  shall  mean  (A) with
         respect to the first  $20,000,000 of Loans outstanding (i) with respect
         to WCAS V, 0%; (ii) with respect to WCAS VI, 80%; (iii) with respect to
         WB  Leveraged  Capital,  1.6%;  and (iv)  with  respect  to WB  Capital
         Partners,  18.4%; and (B) with respect to the remaining  $16,000,000 of
         Loans outstanding (i) with respect to WCAS V, 80%; (ii) with respect to
         WCAS VI, 0%; (iii) with respect to WB Leveraged  Capital,  0%; and (iv)
         with respect to WB Capital Partners, 20%.

                  (c)   "Revolving    Commitment"   by   deleting   the   amount
         "$20,000,000" and substituting the amount "$36,000,000" therefor; and

<PAGE>

                  (d) "Revolving Termination Date" by deleting the date "October
         31, 1998" and substituting the date "October 29, 1999".

         2.       Addition  of  New  Covenant.   Article VI is hereby amended by
         adding the following as a new Section 6.14:

                  Section 6.14 Year 200 Compliance. The Company has completed or
         accomplished, or will complete or accomplish, the following:

                           (a) By August  31,  1999,  prepare  a  comprehensive,
                  detailed  inventory  and  assessment  of the risk posed by the
                  "Year  2000  problem"  as it  may  affect  the  Company's  own
                  business, properties or operations;

                           (b) By August 31,  1999,  make a detailed  inquiry of
                  material  suppliers,  vendors and customers of the Company, to
                  ascertain  whether  such  persons  are  aware  of the  need to
                  address  the Year 2000  problem  and  whether  they are taking
                  appropriate steps to do so;

                           (c) By August 31,  1999,  prepare a detailed  project
                  plan and budget  for  ensuring  that the Year 2000  problem is
                  successfully addressed in all material respects as it pertains
                  to thou Company's own business,  properties or operations, and
                  containing  contingency  plans to mitigate  the effects of any
                  third  party's  unexpected  failure to  address  the Year 2000
                  problem;

                           (d) By August 31,  1999,  renovate  all  systems  and
                  equipment  affected by the Year 2000  problem to cause them to
                  perform correctly  date-sensitive  functions for relevant date
                  data from  before and after  December  31,  1999  ("Year  2000
                  Compliance")  or replace them with technology not so affected,
                  and commence testing; and

                           (e)  By  August  31,  1999,   complete   testing  and
                  installation  of all material  systems and equipment to ensure
                  timely Year 2000 Compliance.

                  For the purpose of this  Section  6.14,  "'Year 2000  Problem'
         shall mean the inability of computers,  as well as embedded  microchips
         in non-computing devices, to perform properly date-sensitive  functions
         with respect to certain dates prior to and after December 31, 1999."

B.       REPRESENTATIONS AND WARRANTIES.

         The Company hereby represents and warrants to the Bank that:

                                        2

<PAGE>

         1. No Event of Default  specified in the Credit  Agreement and no event
which with notice or lapse of time or both would become such an Event of Default
has occurred and is continuing;

         2. The  representations  and warranties of the Company  pursuant to the
Credit  Agreement  are true on and as of the date hereof as if made on and as of
said date;

         3. The making and  performance  by the Company of this  Amendment  have
been duly authorized by all corporate action; and

         4. No  consent,  approval,  authorization,  permit or license  from any
federal or state regulatory  authority is required in connection with the making
or performance of the Credit Agreement as amended hereby.

C.       CONDITIONS PRECEDENT.

         This  Amendment  will become  effective as of October 7, 1998  provided
that the Bank shall have  received  in form and  substance  satisfactory  to the
Bank, all of the following:

         1. A copy of a  resolution  passed  by the  Board of  Directors  of the
Company,  certified by the Secretary or an Assistant Secretary of the Company as
being in full force and effect on the date  hereof,  authorizing  the  borrowing
herein  provided for and the execution,  delivery and  performance of the Credit
Agreement as hereby amended.

         2. A certificate of incumbency  certifying the names of the officers of
the Company authorized to sign this Amendment, together with the true signatures
of such officers.

         3. Executed counterparts of this Amendment.

         4. Payment of an amendment fee in the amount of $25,000.

         5. A copy of the executed  asset purchase  agreement  among the Company
and the stockholders of HealthCare Interchange Inc. (the "Asset Purchase").

         6.  Evidence that all  conditions to the closing of the Asset  Purchase
have  occurred  and all  documents  and  agreements  required  thereby have been
executed and delivered

D.       MISCELLANEOUS.

         1. This Amendment may be signed in any number of counterparts,  each of
which shall be an original,  with same effect as if the  signatures  thereto and
hereto were upon the same instrument.

                                        3

<PAGE>

         2. Except as herein  specifically  amended,  fill terms,  covenants and
provisions  of the Credit  Agreement  shall  remain in full force and effect and
shall be performed by the parties  hereto  according to its terms and provisions
and all  references  therein or in the Exhibits  shall  henceforth  refer to the
Credit Agreement as amended by this Amendment.

         3. This Amendment shall be governed by and construed in accordance with
the laws of the State of New York.

                                        4

<PAGE>

         IN WITNESS WHEREOF, the parties hereto have executed and delivered this
Amendment as of the date first written.

                            MEDE AMERICA CORPORATION

                                       By:

                                                     ---------------------------
                                     Title:

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

                         BANK OF AMERICA NATIONAL TRUST

                                                  AND SAVINGS ASSOCIATION

                                       By:

                                                     ---------------------------
                                     Title:

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

ACKNOWLEDGED AND AGREED:

WELSH, CARSON, ANDERSON & STOWE V, L.P.

By:      WCAS V PARTNERS

         Its General Partner

         By: 

             -----------------------------------
             Its General Partner

WELSH, CARSON, ANDERSON & STOWE VI, L.P.

By:      WCAS VI PARTNERS

         Its General Partner

         By:                                                                 

             -----------------------------------
               Its General Partner

WILLIAM BLAIR LEVERAGED CAPITAL FUND
LIMITED PARTNERSHIP

By:      WILLIAM BLAIR LEVERAGED CAPITAL
         MANAGEMENT, L.P.

         By:      WILLIAM BLAIR & COMPANY,

                  General Partner

                  By:                                                         

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


                                        5

<PAGE>

WILLIAM BLAIR CAPITAL PARTNERS V, L.P.

         By:      WILLIAM BLAIR CAPITAL PARTNERS, LLC,

                  General Partner

                  By:                                                          

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



                                        6


                                                                   EXHIBIT 10.12


                       SIXTH AMENDMENT TO CREDIT AGREEMENT

     This Amendment, dated as of December 15, 1998 (this "Amendment") is entered
into by and  between  MEDE  AMERICA  CORPORATION,  a Delaware  corporation  (the
"Company")  and BANK OF AMERICA  NATIONAL  TRUST AND  SAVINGS  ASSOCIATION  (the
"Bank").

                                    RECITALS

     The  Company  and the Bank are  parties to a Credit  Agreement  dated as of
December 18, 1995,  as amended (the "Credit  Agreement"),  pursuant to which the
Bank  extended  a  revolving  credit  facility.  Capitalized  terms used and not
otherwise  defined  or  amended  in  this  Amendment  shall  have  the  meanings
respectively assigned to them in the Credit Agreement.

     The Company has requested that the Bank modify the financial  covenants and
waive  non-compliance  with  the  financial  covenants  for  the  period  ending
September 30, 1998. In order to induce the Bank to agree to the  foregoing,  the
Bank has  requested,  and the Company has agreed,  to pay an Amendment  fee. The
Company  has  requested  that the Bank  enter  into this  Amendment  in order to
approve and reflect  the  foregoing,  and the Bank has agreed to do so, all upon
the terms and provisions and subject to the conditions hereinafter set forth.

                                    AGREEMENT

     In  consideration  of the foregoing and the mutual  covenants and agreement
hereinafter set forth, the parties hereto mutually agree as follows:

A.    AMENDMENTS

     1.  Amendment of Section 7.15.  Section 7.15 is hereby amended and restated
as follows:

          7.15 Maximum  Leverage  Ratio.  The Leverage  Ratio at the end of each
     quarterly period shall not exceed the ratio set forth below for the periods
     set forth below:

                  Quarter Ending                Maximum Ratio
                  --------------                -------------

                  September 30, 1998                 3.00
                  December 31, 1998                  6.80
                  March 31, 1999                     6.20
                  June 30, 1999                      4.50
                  September 30, 1999 and
                           and thereafter            4.10



<PAGE>

          For purposes of calculating the Leverage Ratio  hereunder,  (i) EBITDA
     shall include EBITDA of the Company and its Subsidiaries adjusted, on a pro
     forma  basis,  to  include  the  EBITDA  for the  applicable  period of any
     business  acquired by the  Company;  and (ii)  Indebtedness  shall  include
     Indebtedness of the Company and its Subsidiaries.

     2.  Amendment of Section 7.16.  Section 7.16 is hereby amended and restated
as follows:

          7.16 Minimum Interest  Coverage Ratio.  The Minimum Interest  Coverage
     Ratio for each  fiscal  quarter  shall not be less than the ratio set forth
     below at the end of each fiscal quarter for the periods set forth below:

                  Quarter Ending                 Maximum Ratio
                  --------------                 -------------

                  September 30, 1998                3.00
                  December 31, 1998                 1.65
                  March 31, 1999                    1.70
                  June 30, 1999                     2.20
                  September 30, 1999
                    and thereafter                  2.30

     For purposes of calculating the Minimum Interest  Coverage Ratio hereunder,
EBITDA and cash interest  expense shall include,  respectively,  EBITDA and cash
interest  expense of the Company and its Subsidiaries  adjusted,  on a pro forma
basis, to include the EBITDA and incremental projected cash interest expenses if
any,  with respect to the  acquisition  of any business  acquired by the Company
during the two fiscal  quarters  prior to the date of calculation of the Minimum
Interest Coverage Ratio.

B.   WAIVER.

     The Company has requested and the Bank has agreed to waive  compliance with
     Sections 7.15 and 7.16 for the period ending September 30, 1998.

C.   REPRESENTATIONS AND WARRANTIES

     The Company hereby represents and warrants to the Bank that:

     1. No Event of Default specified in the Credit Agreement and no event which
with  notice or lapse of time or both would  become such an Event of Default has
occurred and is continuing;

     2. The representations and warranties of the Company pursuant to the Credit
Agreement  are  true on and as of the date  hereof  as if made on and as of said
date;

                                       2
<PAGE>


     3. The making and  performance  by the Company of this  Amendment have been
duly authorized by all corporate action; and

     4. No consent, approval, authorization,  permit or license from any federal
or state  regulatory  authority  is  required in  connection  with the making or
performance of the Credit Agreement as amended hereby.

D.   CONDITIONS PRECEDENT

     This Amendment will become  effective as of December 15, 1998 provided that
the Bank shall have received in form and substance satisfactory to the Bank, all
of the following:

     1. Executed counterparts of this Amendment.

     2. Payment of an amendment fee in the amount of $54,000.

E.   MISCELLANEOUS

     1. This  Amendment  may be signed in any  number of  counterparts,  each of
which shall be an original,  with same effect as if the  signatures  thereto and
hereto were upon the same instrument.

     2.   Except  as herein  specifically  amended,  all  terms,  covenants  and
provisions  of the Credit  Agreement  shall  remain in full force and effect and
shall be performed by the parties  hereto  according to its terms and provisions
and all  references  therein or in the Exhibits  shall  henceforth  refer to the
Credit Agreement as amended by this Amendment.

     3.   This Amendment  shall be governed by and construed in accordance  with
the laws of the State of New York.


                                       3
<PAGE>
     IN WITNESS  WHEREOF,  the parties  hereto have executed and delivered  this
Amendment as of the date first written.


                                     MEDE AMERICA CORPORATION

                                     By: _______________________________________

                                     Title: ____________________________________



                                    BANK OF AMERICA NATIONAL TRUST
                                         AND SAVINGS ASSOCIATION

                                     By: _______________________________________

                                     Title: ____________________________________



ACKNOWLEDGED AND AGREED:


WELSH, CARSON, ANDERSON & STOWE V, L.P.


By:   WCAS V PARTNERS
      Its General Partner

      By: ________________________
             Its General Partner



WELCH, CARSON, ANDERSON & STOWE VI, L.P.

By:   WCAS VI PARTNERS
      Its General Partner
      By: __________________________
             Its General Partner












                                       4
<PAGE>
WILLIAM BLAIR LEVERAGED CAPITAL FUND
  LIMITED PARTNERSHIP

By:      WILLIAM BLAIR LEVERAGED CAPITAL
         MANAGEMENT, L.P.

         By:   WILLIAM BLAIR & COMPANY,
               General Partner

               By: ______________________
















                                       5



                                                                   EXHIBIT 10.13
================================================================================
                                                                   

                            STOCK PURCHASE AGREEMENT

                                      among

                            MEDE AMERICA CORPORATION

                                       and

                               THE STOCKHOLDERS OF
                          HEALTHCARE INTERCHANGE, INC.

                           NAMED IN SCHEDULE I HERETO

                          Dated as of October 20, 1998

================================================================================
<PAGE>

                                TABLE OF CONTENTS

<TABLE>
<CAPTION>

                                                                                                               Page

                                                                                                               ----
<S>                                                                                                            <C>
ARTICLE I.  SALE AND TRANSFER OF SHARES; PURCHASE PRICE; CLOSING..................................................1

         SECTION 1.01      Sale and Transfer of Shares............................................................1
         SECTION 1.02      Delivery of Shares and Payment of Purchase Price.......................................1
         SECTION 1.03      Closing................................................................................2

ARTICLE II.  REPRESENTATIONS AND WARRANTIES AS TO THE COMPANY ....................................................2

         SECTION 2.01      Organization, Qualifications and Corporate Power; Subsidiaries.........................2
         SECTION 2.02      Capitalization.........................................................................3
         SECTION 2.03      Financial Statements...................................................................3
         SECTION 2.04      Absence of Undisclosed Liabilities.....................................................4
         SECTION 2.05      Absence of Certain Changes or Events...................................................4
         SECTION 2.06      Consents and Approvals.................................................................5
         SECTION 2.07      Title to Properties, Absence of Liens and Encumbrances.................................5
         SECTION 2.08      List of Properties, Contracts and Other Data...........................................6
         SECTION 2.09      Third-Party Payer and Customer Contracts...............................................7
         SECTION 2.10      Intangible Rights......................................................................7
         SECTION 2.11      Software...............................................................................7
         SECTION 2.12      Litigation, Etc........................................................................8
         SECTION 2.13      Taxes..................................................................................8
         SECTION 2.14      Governmental Authorizations and Regulations...........................................10
         SECTION 2.15      Labor Matters; Employees..............................................................10
         SECTION 2.16      Insurance.............................................................................11
         SECTION 2.17      Use of Real Property..................................................................11
         SECTION 2.18      Condition of Assets...................................................................11
         SECTION 2.19      Employee Benefit Plans................................................................11
         SECTION 2.20      Related Party Transactions............................................................13
         SECTION 2.21      Environmental Matters.................................................................13
         SECTION 2.22      System Capacity.......................................................................13
         SECTION 2.23      Stock and Asset Transfers.............................................................13
         SECTION 2.24      Securities Laws Matters...............................................................14
         SECTION 2.25      Y2K Compliance........................................................................14
         SECTION 2.26      Limit on Employee Obligations.........................................................14
</TABLE>
<PAGE>
<TABLE>
<CAPTION>
                                                                                                               Page
                                                                                                               ----
<S>                                                                                                            <C>
ARTICLE III.  REPRESENTATIONS AND WARRANTIES OF THE STOCKHOLDERS.................................................15

         SECTION 3.01      Organization, Qualifications and Corporate Power......................................15
         SECTION 3.02      Authorization of Agreements, Etc......................................................15
         SECTION 3.03      Validity..............................................................................15
         SECTION 3.04      Title to Shares.......................................................................15
         SECTION 3.05      Brokers' or Finders' Fees.............................................................16

ARTICLE IV.  REPRESENTATIONS AND WARRANTIES OF THE PURCHASER.....................................................16

         SECTION 4.01      Organization, Power, Etc..............................................................16
         SECTION 4.02      Authorization of Agreements, Etc......................................................16
         SECTION 4.03      Validity..............................................................................16
         SECTION 4.04      Governmental Approvals................................................................17
         SECTION 4.05      Litigation Relating to Transaction....................................................17
         SECTION 4.06      Brokers' or Finders' Fees.............................................................17

ARTICLE V.  COVENANTS............................................................................................17

         SECTION 5.01      Certain Covenants of the Stockholders ................................................17
         SECTION 5.02      Books and Records.....................................................................18
         SECTION 5.03      Preparation of Certain Financial Statements...........................................18
         SECTION 5.04      Certain Tax Matters...................................................................18
         SECTION 5.05      Certain Balance Sheet Transactions....................................................19
         SECTION 5.06      Consents and Approvals................................................................21
         SECTION 5.07      Retention of Employees................................................................21
         SECTION 5.08      Intercare and MTI Dispositions........................................................21
         SECTION 5.09      Employee Bonuses......................................................................21
         SECTION 5.10      Access to Tax and Other Records.......................................................21

ARTICLE VI.  CONDITIONS PRECEDENT................................................................................23

         SECTION 6.01      Conditions Precedent to the Obligations of the Purchaser..............................23
         SECTION 6.02      Conditions Precedent to the Obligations of the Stockholders...........................26

ARTICLE VII.  INDEMNIFICATION....................................................................................26

         SECTION 7.01      Survival of Representations and Warranties; Limitation................................26
         SECTION 7.02      Tax Indemnity.........................................................................27
         SECTION 7.03      General Indemnity by the Stockholders.................................................27

</TABLE>

                                       ii

<PAGE>

<TABLE>
<CAPTION>

                                                                                                               Page

                                                                                                               ----
<S>                                                                                                            <C>
         SECTION 7.04      General Indemnity by the Purchaser....................................................28
         SECTION 7.05      Third Party Claims....................................................................28
         SECTION 7.06      Procedure.............................................................................29
         SECTION 7.07      Remedies Limited......................................................................29
         SECTION 7.08      Limited Y2K Indemnity.................................................................30

ARTICLE VIII.              TERMINATION AND ABANDONMENT...........................................................31

         SECTION 8.01      Termination...........................................................................31
         SECTION 8.02      Procedure and Effect of Termination...................................................31

ARTICLE IX.                MISCELLANEOUS.........................................................................32

         SECTION 9.01      Expenses, Etc.........................................................................32
         SECTION 9.02      Execution in Counterparts.............................................................32
         SECTION 9.03      Notices...............................................................................32
         SECTION 9.04      Waivers...............................................................................33
         SECTION 9.05      Amendments, Supplements, Etc..........................................................33
         SECTION 9.06      Entire Agreement......................................................................33
         SECTION 9.07      Applicable Law........................................................................33
         SECTION 9.08      Binding Effect; Benefits..............................................................34
         SECTION 9.09      Assignability.........................................................................34
         SECTION 9.10      Pre-Closing Breach....................................................................34

</TABLE>

                                       iii

<PAGE>

                         INDEX TO EXHIBITS AND SCHEDULES

Exhibit                            Description

- -------                            -----------
    A                    Escrow Agreement

    B-1                  Amended and Restated Payer Agreement (Right Choice)
    B-2                  Amended and Restated Payer Agreement (General)
    C                    Data Processing Agreement
    D-1                  Form of Employment Agreement
    D-2                  Form of Transition Agreement
    D-3                  Form of Release (Intercare employees hired by PEI)
    D-4                  Form of Release (employees to be terminated)
    D-5                  Form of Release (Intercare employees not hired by PEI)
    D-6                  Form of Release Letter (Kruessel)
    E                    Form of Opinion of Counsel for the Stockholders
    F                    Form of Non-Competition and Confidentiality Agreement
    G                    Non-Competition Agreement (Romer)


Schedule                           Description

- --------                           -----------
I                                  Stockholders
2.01                       Subsidiaries

2.02                       Shares of Capital Stock; Warrants, etc.
2.03                       Financial Statements
2.04                       Absence of Undisclosed Liabilities
2.05                       Changes Since June 30, 1998
2.06                       Consents and Approvals
2.07                       Title, Liens and Related Matters
2.08                       List of Properties, Contracts, Etc.
2.10                       Intangible Rights
2.11                       Software
2.12                       Litigation
2.13                       Tax Matters
2.14                       Regulations and Governmental Authorizations
2.15                       Employees
2.16                       Insurance
2.18                       Condition of Assets
2.19                       Severance and Other Benefits
2.20                       Related Party Transactions
2.25                       Y2K Compliance
5.05(b)                    Certain Payments
5.09                       Employee Bonuses
6.01(e)                    Employees




                                       iv

<PAGE>

                            STOCK PURCHASE AGREEMENT

                  STOCK PURCHASE AGREEMENT,  dated as of October 20, 1998, among
MEDE AMERICA CORPORATION,  INC., a Delaware  corporation (the "Purchaser"),  and
the stockholders of Healthcare  Interchange,  Inc., a Missouri  corporation (the
"Company"),  named in  Schedule  I hereto  (hereinafter  sometimes  referred  to
individually as a "Stockholder" and collec tively as the "Stockholders").

                  WHEREAS,  on  the  Closing  Date  (as  defined  herein),   the
Stockholders will own all of the issued and outstanding  shares of capital stock
of the Company, consisting of (i) 35,000 shares (the "A Common Shares") of Class
A Common  Stock,  $1 par value ("A Common  Stock"),  (ii) 35,000  shares (the "B
Common Shares") of Class B Common Stock, $1 par value ("B Common Stock"),  (iii)
20,001 shares (the "C Common  Shares") of Class C Common Stock, $1 par value ("C
Common Stock"), and (iv) 62,500 shares (the "Preferred Shares," and collectively
with the A Common  Shares,  the B Common  Shares  and the C Common  Shares,  the
"Shares") of Convertible  Cumulative  Preferred Stock, $1 par value  ("Preferred
Stock"); and

                  WHEREAS,  the  Stockholders  desire to sell and the  Purchaser
desires to purchase the Shares,  all on the terms and subject to the  conditions
hereinafter set forth;

                  NOW,  THEREFORE,  in  consideration  of the  premises  and the
mutual covenants herein contained, the parties agree as follows:

                                   ARTICLE I.

                          SALE AND TRANSFER OF SHARES;
                             PURCHASE PRICE; CLOSING

                  SECTION  1.01.  Sale and  Transfer  of Shares.  Subject to the
terms and  conditions  set forth  herein,  on the Closing  Date (as  hereinafter
defined) each Stockholder  shall sell to the Purchaser,  and the Purchaser shall
purchase from such Stockholder,  the number of A Common Shares, B Common Shares,
C Common  Shares  and  Preferred  Shares  set  forth  opposite  the name of such
Stockholder in Part B of Schedule I hereto under the headings "A Common Shares,"
"B Common Shares," "C Common Shares" and "Preferred Shares," as applicable.

                  SECTION  1.02.  Delivery  of Shares and  Payment  of  Purchase
Price. (a) On the Closing Date, each Stockholder  shall deliver to the Purchaser
a certificate  or  certificates  in defini tive form,  registered in the name of
such  Stockholder  or accompanied by a stock transfer power duly executed by the
registered  holder of such  certificate and  transferring  the Shares  evidenced
thereby  to  such  Stockholder,   evidencing  the  Shares  being  sold  by  such
Stockholder  hereunder,  duly  endorsed  for  transfer or  accompanied  by stock
transfer powers duly endorsed in blank,  with all requisite stock transfer taxes
paid and stamps affixed.

<PAGE>

                  (b) As  payment in full of the  purchase  price for the Shares
and against delivery of the certificates  evidencing the Shares as aforesaid, on
the Closing Date the Purchaser shall:

                  (i)  pay  an  aggregate   $11,200,000   (the   "Initial   Cash
         Consideration") to the Stockholders or as otherwise directed in writing
         by the Stockholders, by wire transfer of immediately available funds in
         the amounts set forth opposite the name of each Stockholder in Schedule
         I hereto under the heading "Cash Paid at Closing;" and

                  (ii) cause $400,000 in cash (the "Escrow Amount," collectively
         with the  Initial  Cash  Consideration,  the  "Purchase  Price")  to be
         deposited in an escrow account  pursuant to an Escrow  Agreement  among
         the  Purchaser,  the  Stockholders  and the Escrow Agent named therein,
         substantially in the form of Exhibit A hereto (the "Escrow Agreement"),
         to secure in part the  indemnification  obligations of the Stockholders
         pursuant to Article VII hereof.

                  SECTION  1.03.  Closing.   The  closing  of  the  transactions
contemplated by this Agreement (the  "Closing")  shall take place at the offices
of Thompson Coburn, One Mercantile Center, St. Louis, Missouri 63101, within two
business days after the  satisfaction or waiver of all conditions to closing set
forth  herein,  or at such  other  place or at such  other  date and time as the
Stockholders  and the  Purchaser  may  mutually  agree (the date and time of the
Closing is herein called the "Closing Date").

                                   ARTICLE II.

                      REPRESENTATIONS AND WARRANTIES AS TO
                                   THE COMPANY

                  The Stockholders  jointly and severally  represent and warrant
to the Purchaser as follows:

                  SECTION  2.01.  Organization,   Qualifications  and  Corporate
Power;  Subsidiaries.  (a) The Company is a corporation  duly  incorporated  and
validly existing under the laws of the State of Missouri and is duly licensed or
qualified as a foreign  corporation in each other juris diction in which it owns
or leases any real  property  or, to the extent the failure to so qualify  would
have a Material  Adverse  Effect  (as  defined  herein),  in which the nature of
business transacted by it makes such licensing or qualification  necessary.  The
Company has the corporate  power and authority,  and the legal right, to own and
operate its properties and to carry on its business as currently conducted.

                  (b) Except as set forth in Schedule  2.01 hereto,  the Company
does not own of  record or  beneficially,  or have any  right or  obligation  to
acquire, directly or indirectly,  (i) any shares of outstanding capital stock or
securities convertible into or exchangeable for capital stock

                                        2

<PAGE>

of any other corporation or (ii) any participating interests in any partnership,
joint venture or other non-corporate business enterprise.

                  SECTION 2.02. Capitalization. (a) The authorized capital stock
of the Company  consists of (i) 66,250 shares of A Common Stock, of which 35,000
shares are issued and outstanding, fully paid and nonassessable and owned as set
forth in Part A of Schedule I hereto,  (ii) 66,250 shares of B Common Stock,  of
which 35,000 shares are issued and outstanding, fully paid and nonassessable and
owned as set forth in Part A of Schedule I hereto,  (iii) 56,000 shares C Common
Stock,  of which  20,001  shares  are  issued  and  outstanding,  fully paid and
nonassessab  le and owned as set forth in Part A of Schedule I hereto,  and (iv)
62,500  shares of  Preferred  Stock,  of which  62,500  shares  are  issued  and
outstanding,  fully paid and  nonassessable  and owned as set forth in Part A of
Schedule I hereto.  As of the Closing  Date,  all shares of capital stock of the
Company  shall be owned as set forth in Part B of  Schedule I hereto.  Except as
set forth in Schedule  2.02 hereto,  none of the Shares are subject to, nor were
any of them issued in violation of, any preemptive rights of stockholders of the
Company or to any right of first  refusal or other similar right in favor of any
person.

                  (b)  Except  as set  forth in  Schedule  2.02  hereto,  (i) no
subscription,  warrant, option,  convertible security or other right (contingent
or other) to purchase or acquire any shares of any class of capital stock of the
Company are authorized or  outstanding,  (ii) there is not any commitment of the
Company  to issue any  shares,  warrants,  options  or other  such  rights or to
distribute  to  holders  of any  class of its  capital  stock any  evidences  of
indebtedness  or assets and (iii) the Company has no obligation  (contingent  or
other) to purchase,  redeem or otherwise acquire any shares of the capital stock
of the Company or any interest  therein or to pay any dividend or make any other
distribution  in respect  thereof.  At the  Closing,  neither the stock  options
listed or reflected on Schedule 2.02 hereto (or in any other  Schedule  hereto),
nor any right to receive  payment of any sort in respect of such stock  options,
will be outstanding.

                  (c)  Effective  upon  the  consummation  of  the  transactions
contemplated hereby, each of the Stockholders,  by its execution and delivery of
this Agreement,  acknowledges  satisfaction in full of all dividends  payable in
respect of the Preferred  Stock through the Closing Date, and forever waives any
claim, right, title or interest in or to any such dividends not actually paid as
of the Closing Date.

                  SECTION  2.03.  Financial   Statements.   Attached  hereto  as
Schedule 2.03 are the balance sheet of the Company as of June 30, 1998,  and the
related statements of operation,  cash flows and stockholders'  equity (deficit)
for the nine months then ended, including the notes thereto  (collectively,  the
"Financial  Statements").  The Financial Statements (i) are complete and correct
in all material  respects,  (ii) were prepared from the books and records of the
Company in conformity with generally accepted accounting principles applied on a
consistent  basis  (subject to normal  year-end  adjustments)  and (iii)  fairly
present the financial position and stockholders' equity of the Company as of the
dates  specified  therein  and the income and cash  flows for the  periods  then
ended.

                                        3

<PAGE>

                  SECTION 2.04. Absence of Undisclosed  Liabilities.  Except (i)
as and to the extent reflected in the Financial Statements, (ii) as set forth in
Schedule  2.04  hereto,  or (iii) for  immaterial  trade  payables  and  similar
operating  liabilities  incurred  since June 30, 1998 in the ordi nary course of
business and consistent  with past  practice,  the Company has no liabilities or
obliga  tions  of any  kind  or  nature,  whether  known  or  unknown,  secured,
unsecured,  absolute,  accrued,  contingent or otherwise,  and whether due or to
become due (including  without  limitation any tax  liabilities due or to become
due, or whether incurred in respect of or measured by the assets,  sales, income
or receipts of the Company for any period),  which  liabilities  or  obligations
would be required to be reflected on a balance sheet of the Company  prepared in
accordance with generally accepted accounting principles.

                  SECTION 2.05. Absence of Certain Changes or Events. Since June
30, 1998,  except as otherwise set forth in Schedule 2.05 hereto or as expressly
contemplated by this Agreement, the Company has not:

                  (a)  changed or  amended  its  Articles  of  Incorporation  or
         By-laws;

                  (b)  incurred   any   obligation   or   liability   (fixed  or
         contingent),  except normal trade or business  obligations  incurred in
         the ordinary course of business and consistent with past practice, none
         of which individually or in the aggregate is materially adverse;

                  (c)  discharged  or  satisfied  any  material  lien,  security
         interest,  charge or other encumbrance or paid any material  obligation
         or liability  (fixed or contingent),  other than in the ordinary course
         of business and consistent with past practice;

                  (d)  mortgaged,  pledged or  subjected  to any lien,  security
         interest,  charge or other  encumbrance any of its assets or properties
         (other than Permitted Liens as defined in Section 2.07 below);

                  (e)  transferred,  leased or otherwise  disposed of any of its
         material  assets or properties,  except for fair  consideration  in the
         ordinary  course of business  and  consistent  with past  practice,  or
         acquired  any  material  assets or  properties,  except in the ordinary
         course of business and consistent with past practice;

                  (f) declared,  set aside or paid any distribution  (whether in
         cash,  stock or property or any combination  thereof) in respect of its
         capital  stock,  or redeemed or other wise  acquired any of its capital
         stock or split,  combined or  otherwise  similarly  changed its capital
         stock or  authorized  the creation or issuance of or issued or sold any
         capital stock or any  securities  or  obligations  convertible  into or
         exchangeable  therefor,  or given any person  any right to acquire  any
         capital stock from the Company, or agreed to take any such action;

                                        4

<PAGE>

                  (g)  made any  investment  of a  capital  nature,  whether  by
         purchase of stock or  securities,  contributions  to capital,  property
         transfers or otherwise, in any other partner ship, corporation or other
         entity, or purchased any material property or assets;

                  (h) canceled or compromised  any debt or claim,  other than in
         the ordinary course of business consistent with past practice;

                  (i) waived or released any rights of material value, including
         without  limita  tion,  any  Intangible  Rights (as  defined in Section
         2.08(b) below);

                  (j) transferred or granted any rights under or with respect to
         any Intangible  Rights, or permitted any license,  permit or other form
         of authorization relating to an Intangible Right to lapse;

                  (k) made or granted any wage or salary increase  applicable to
         any group or  classification of employees  generally,  entered into any
         employment  contract  with,  or made any loan to, or  entered  into any
         material  transaction of any other nature with, any officer or employee
         of the Company; or

                  (l) suffered any casualty loss or damage  (whether or not such
         loss or damage shall have been covered by  insurance)  which affects in
         any material respect its ability to conduct its business.

                  SECTION 2.06.  Consents and Approvals.  Except as set forth on
Schedule  2.06 hereto,  no order,  authorization,  approval or consent  from, or
filing  with,  (i) any  federal or state  governmental  or public  body or other
authority having jurisdiction over either Stockholder or the Company or (ii) any
third party (including,  without  limitation,  pursuant to any contract to which
the  Company  is a party)  is  necessary  (A) for the  execution,  delivery  and
performance by such  Stockholder of its obligations  under this Agreement or the
Ancillary Agreements (as defined herein), to the extent that such Stockholder is
a party thereto, or the consummation of the transactions  contemplated hereby or
(B) in order that the  business  of the  Company  can be  conducted  immediately
following  the  Closing  Date  substantially  in the same  manner as  heretofore
conducted.

                  SECTION  2.07.  Title to  Properties,  Absence  of  Liens  and
Encumbrances.  Except as set forth in Schedule 2.07 hereto, the Company has, and
will have as of the  Closing  Date,  good and valid  title to all its assets and
properties,  in each  case  free  and  clear  of all  liens,  charges,  security
interests or other encumbrances of any nature  whatsoever,  other than (x) liens
for taxes not yet due, (y) mechanic's, materialman's and similar statutory liens
arising in the ordinary  course of business and which,  in the aggregate,  would
not have a material  adverse  effect on the business,  properties,  prospects or
condition (financial or other) of the Company (a "Material Adverse Effect"),  or
(z) security  interests  securing  indebtedness  not in default for the purchase
price of or lease rental payments on property  purchased or leased under capital
lease arrange-

                                       5

<PAGE>

ments in theordinary course of business (the liens, charges,  security interests
and other  encumbrances  described  in  clauses  (x),  (y) and (z)  above  being
referred to herein as "Permitted Liens").

                  SECTION 2.08.  List of  Properties,  Contracts and Other Data.
Annexed hereto as

Schedule 2.08 is a list setting forth the following:

                  (a) a description  of all leases of real or personal  property
         to which the Company is a party, either as lessee or lessor,  including
         a description of the parties to each such lease,  the property to which
         each such lease  relates,  and the rental  term and  monthly (or other)
         rents payable under each such lease;

                  (b) (i) all patents, trademarks and trade names, trademark and
         trade name registrations,  logos, servicemark registrations,  copyright
         registrations,  all applications  pending on the date hereof for patent
         or for trademark,  trade name, servicemark or copy right registrations,
         and all other material  intellectual  property rights (collectively "In
         tangible  Rights") owned by the Company  (specifying  the nature of the
         rights therein), and (ii) all licenses granted by or to the Company and
         all other  agreements  to which the Company is a party that relate,  in
         whole or in part, to any Intangible Rights mentioned in (i) above or to
         other proprietary rights reasonably  necessary to the Company,  whether
         owned by any of the Stockholders or the Company or otherwise;

                  (c)  all  collective  bargaining  agreements,  employment  and
         consulting agree ments,  independent contractor  agreements,  executive
         compensation  plans,  bonus plans,  deferred  compensation  agreements,
         employee  pension plans or retirement  plans,  employee  profit sharing
         plans,  employee  stock  purchase  and stock option  plans,  group life
         insurance,  hospitalization insurance, severance or other similar plans
         or arrangements  maintained for or providing  benefits to employees of,
         or independent contractors or other agents for the Company (in any such
         case, whether oral or written);

                  (d) all contracts,  including without  limitation  guarantees,
         mortgages,  inden tures and loan agreements,  to which the Company is a
         party,  or to which the Company or its assets or  properties is subject
         and which are not specifically  referred to in clauses (a), (b), or (c)
         above,  provided,  however,  that  there  need  not be  listed  in said
         Schedule 2.08 pursuant to this clause (d) any sales  contracts,  supply
         contracts  with  suppliers  and other such  contracts  incurred  in the
         ordinary  course of business and consistent  with past practice,  other
         than any such  contract  which (i) is a  contract  or group of  related
         contracts which exceeds $5,000 in amount,  (ii) contains  warranties by
         the Company in excess of those customary in its business,  (iii) cannot
         be  performed in the normal  course  within 12 months after the Closing
         Date without breach or penalty or (iv) would be terminable or result in
         a penalty or additional  obligation on the part of the Company upon the
         consum mation of the transactions contemplated hereby; and

                  (e) all agreements with third party payers and customers.

                                        6

<PAGE>

                  Schedule 2.08  indicates,  for each contract  listed  therein,
whether such contract relates to the so-called  "Financial Services" business or
the  so-called  "Intercare"  business (or to both, as the case may be). True and
complete  copies of all documents and complete  descriptions of all binding oral
commitments  (if any)  referred to in said  Schedule  2.08 have been provided or
made available to the Purchaser and/or its counsel.  Except as disclosed in such
Schedule,  all material provisions of the contracts referred to in such Schedule
are valid and  enforceable  obligations  of the Company and, to the knowledge of
the Company and the  Stockholders,  of the other  parties  thereto.  Neither the
Company nor any of the  Stockholders  has been notified of, or is aware that any
basis exists for, any claim that any  contract  referred to in such  Schedule is
not valid and  enforceable  in accordance  with its terms for the periods stated
therein,  or that there is under any such contract any existing default or event
of default or event which with notice or lapse of time or both would  constitute
such a default.

                  The lease for premises at 2452 Centerline  Ind. Dr.,  Maryland
Heights, Missouri 63043 will be validly terminated prior to the Closing Date.

                  SECTION 2.09. Third-Party Payer and Customer Contracts.  Other
than with respect to the  third-party  payers and  customers of HIIT (as defined
herein) or relating to the "Intercare" business,  the Company has not lost since
June 30,  1998,  and neither the  Company nor any of the  Stockholders  has been
notified  that  the  Company  will  lose or  suffer  diminution  in,  and to the
knowledge  of  the  Company  and  the  Stockholders,   no  representative  of  a
third-party  payer or other  customer  has  notified  the  Company or any of the
Stockholders that, in the event of a sale of the Company, the Company would lose
or suffer diminution in, its relationship with any third-party payer(s) or other
customer(s) that, in the aggregate, accounted for more than five percent (5%) of
the revenues of the Company during the nine months ended June 30, 1998.

                  SECTION  2.10.  Intangible  Rights.  Except  as set  forth  in
Schedule  2.10  hereto,  (i) the  Company  has  complied  with  its  contractual
obligations  relating to the protection of such of the Intangible Rights used by
it pursuant to  licenses or other  contracts,  (ii) the Company has the right to
use its Intangible Rights to provide, sell and produce the services provided and
sold  by it and to  conduct  its  business  as  heretofore  conducted,  and  the
consummation of the  transactions  contemplated  hereby will not alter or impair
any  such  Intangible  Rights,  (iii)  all such  Intangible  Rights  are  valid,
enforceable and in good standing,  and no claims have been asserted with respect
to the use by the  Company  of any of the  Intangible  Rights or  otherwise  for
patent,  copyright or trademark  infringement,  and (iv) to the knowledge of the
Company  and the  Stockholders,  no person is  infringing  on or  violating  the
Intangible Rights or know-how used by the Company.

                  SECTION 2.11.  Software.  (a) The  operating and  applications
computer  software  programs and databases used by the Company in the conduct of
its business (other than programs and databases that are generally  commercially
available  for a per unit  license fee of less than $1,000)  (collectively,  the
"Software")  are  described  in  Schedule  2.11  hereto.  Except as set forth in
Schedule  2.11,  the Company owns outright or holds valid licenses to all copies
of the Software  used by it in its  business.  None of the Software  used by the
Company, and no use by the

                                        7

<PAGE>

Company thereof,  infringes upon or violates any patent, copyright, trade secret
or other  proprietary  right of any other  person and, to the  knowledge  of the
Company and the Stockhold ers, no claim with respect to any such infringement or
violation is threatened. The Company has taken all steps reasonably necessary to
protect  its  right,  title and  interest  in and to the  Software  owned by the
Company, including, without limitation, the use of written agreements containing
appropriate  confidentiality  provisions with all third parties having access to
the source code relating to the Software.

                  (b) The Company  possesses  or has access to the  original and
all copies of all documentation,  including, without limitation, all source code
for all Software owned by it. Upon consummation of the transactions contemplated
by this  Agreement,  except as set forth in  Schedule  2.11,  the  Company  will
continue  to own all the  Software  owned by it,  free and clear of all  claims,
liens,  encumbrances,  obligations  and  liabilities,  and,  with respect to all
agreements for the lease or license of Software which require  consents or other
actions as a result of the consummation of the transactions contemplated by this
Agreement in order for the Company to continue to use and operate such  Software
after the Closing  Date,  the Company will have  obtained such consents or taken
such other actions so required.

                  (c)  Any  programs,   modifications,   enhancements  or  other
inventions, improve ments, discoveries,  methods or works of authorship included
in the  Software  that were created by employees of the Company were made in the
regular  course  of such  employees'  employment  with  the  Company  using  the
Company's  facilities  and resources  and, as such,  constitute  "works made for
hire."

                  SECTION 2.12. Litigation, Etc. Schedule 2.12 hereto sets forth
a complete  list and an  accurate  description  of all claims,  actions,  suits,
proceedings and  investigations  pending or, to the knowledge of the Company and
the  Stockholders,  threatened,  by  or  against  the  Company  or  any  of  its
properties,  assets, rights or businesses. No such pending or threatened claims,
actions, suits, proceedings or investigations,  if adversely determined,  would,
individually or in the aggregate,  have a Material  Adverse Effect.  Neither the
Company nor any of the Stockholders has any knowledge of any basis for any other
such claim,  action,  suit,  proceeding  or  investigation  which,  if adversely
decided,  would have a Material  Adverse  Effect.  There are no actions,  suits,
proceedings  or claims pending  before or by any court,  arbitrator,  regulatory
authority or government  agency against or affecting any of the  Stockholders or
the Company that might enjoin or prevent the  consummation  of the  transactions
contemplated by this Agreement.

                  SECTION 2.13.  Taxes.

                  (a) Except as set forth in Schedule  2.13 hereto,  the Company
has (i) duly and timely filed all  returns,  declarations,  reports,  estimates,
information  returns and statements  ("Re turns")  required to be filed by it in
respect of any Taxes (as hereinafter  defined),  all of which Returns (including
all  informational  Returns) were correct as filed (or as subsequently  amended)
and  correctly  reflect  the  facts  regarding  the  income,  business,  assets,
operations, activities and

                                        8

<PAGE>

status of the Company as well as any Taxes  required to be paid or  collected by
the  Company;  (ii) timely  paid or withheld  all Taxes that are due and payable
with  respect to the  Returns  referred  to in clause  (i);  (iii)  established,
consistent  with past practice,  an adequate  reserve,  if any, on its books and
records  for the  payment of all Taxes with  respect to any  taxable  period (or
portion  thereof) ending on or prior to the Closing Date; and (iv) complied with
all  applicable  laws,  rules  and  regulations  relating  to  the  payment  and
withholding  of Taxes and has timely  withheld from employee wages and paid over
to the proper  governmental  authorities  when due all amounts required to be so
withheld and paid over.

                  For purposes of this Agreement, "Taxes" shall mean (A) any net
income,  alternative or add-on minimum tax, gross income, gross receipts, sales,
use, ad valorem, value added, transfer, franchise, profits, license, withholding
on amounts paid or received,  payroll,  employment,  excise,  severance,  stamp,
occupation,  premium,  property,  environmental or windfall profit taxes, custom
duties or other taxes, governmental fees or other like assessments or charges of
any kind whatsoever,  together with any interest or any penalty, addition to tax
or  additional  amount  imposed  on the  Company by any  governmental  authority
responsible for the imposition of any such taxes (domestic or foreign)  ("Taxing
Authorities"),  (B)  liability  for  the  payment  of any  amounts  of the  type
described in (A) as a result of being a member of an  affiliated,  consolidated,
combined or unitary  group,  or being a party to any  agreement  or  arrangement
whereby  liability  for  payments of such amounts was  determined  or taken into
account with reference to the liability of any other person for any period prior
to the Closing Date and (C) liability with respect to the payment of any amounts
described in (A) as a result of any express or implied  obligation  to indemnify
any other person.

                  (b) Except as set forth in Schedule  2.13 hereto,  no Federal,
state or local income Tax Returns of the Company are being examined or have been
examined by any Taxing Authority.

                  (c) Except as set forth in Schedule  2.13 hereto,  the Company
has never (A)  requested  or received a Tax ruling  (other than a  determination
with  respect to a qualified  employee  benefit  plan) or entered into a legally
binding agreement (such as a closing agreement) with any Taxing Authority, which
ruling or agreement could have an effect on the Taxes of the Company on or after
the Closing Date or (B) filed any election or caused any deemed  election  under
Section 338 of the Code, or any similar state or local provision.

                  (d)  Except  as set  forth in  Schedule  2.13  hereto,  (A) no
extensions  of time have been  granted to the Company to file any Return,  which
Return has not been filed in the time period  permitted  by any such  extension,
(B) no  deficiency or adjustment  for any Taxes has been  proposed,  asserted or
assessed  against the Company,  which deficiency or adjustment has not been paid
in full, and no Federal,  state, local or foreign audits or other administrative
proceedings or court  proceedings  are currently in progress or pending  against
the Company with respect to any Taxes owed by the Company,  and (C) no waiver or
consent extending any statute of limitations for the assessment or collection of
any Taxes owed by the Company, which waiver or consent

                                        9

<PAGE>

remains in effect, has been executed by the Company or on behalf of the Company,
nor are any re quests for such waivers or consents pending.

                  (e) Except as set forth in Schedule  2.13 hereto,  the Company
has never (A) been a member of any  consolidated,  combined or unitary group for
Federal,  state,  local or foreign  Tax law  purposes or (B) been a party to any
Tax-sharing or allocation agreement.

                  (f) The Company is not a party to any  agreement,  contract or
arrangement  that  would  result,  by reason of the  consummation  of any of the
transactions contemplated herein, separately or in the aggregate, in the payment
of any "excess  parachute  payment"  within the  meaning of Section  280G of the
Code.

                  SECTION 2.14.  Governmental Authorizations and Regulations.

                  (a) Except as set forth in Schedule  2.14 hereto,  the Company
has all govern mental licenses,  franchises and permits ("Governmental Permits")
required  under  applicable  law for the conduct of its  business  as  currently
conducted.

                  (b) The business of the Company is being conducted in material
compliance with all applicable  laws,  ordinances,  rules and regulations of all
governmental  authorities  relating  to  its  properties  or  applicable  to its
business, including without limitation the terms of all Governmental Permits and
federal  securities  laws.  Neither the Company nor any of the Stock holders has
received any notice of any alleged violation of any of the foregoing.

                  (c) Neither the Company nor any of its properties,  operations
or  businesses  is  subject  to any  court or  administrative  order,  judgment,
injunction or decree. To the knowledge of the Company and the  Stockholders,  no
action  has  been  taken or  recommended  by any  govern  mental  or  regulatory
official,  body or authority,  either to revoke, withdraw or suspend any license
used in the operations of the Company.

                  SECTION  2.15.  Labor  Matters;  Employees.  (a) No collective
bargaining  agreement is applicable  to any employees of the Company.  There are
not any  disputes  between  the  Company  and any of its  employees  that  might
reasonably be expected to have a Material Ad verse  Effect.  To the knowledge of
the  Company and the  Stockholders,  there are not any organi  zational  efforts
presently being made or threatened involving any of such employees.  Neither the
Company nor any of the  Stockholders  has received  notice of any claim that the
Company has failed to comply with any laws relating to employment, including any
provisions thereof relating to wages, hours, collective bargaining,  the payment
of  social  security  and other  payroll  or  similar  taxes,  equal  employment
opportunity,  employment  discrimination  and  employment  safety,  or that  the
Company is liable for any arrears of wages or any taxes or penalties for failure
to comply with any of the foregoing.

                                       10

<PAGE>

                  (b) There are no  proceedings  pending or, to the knowledge of
the Company and the Stockholders, threatened before the National Labor Relations
Board with respect to any employees of the Company.  There are no discrimination
charges  (relating to sex, age,  religion,  race,  national  origin,  ethnicity,
handicap or veteran  status)  against the Company  pending before any federal or
state agency or authority.

                  (c) Schedule 2.15 hereto lists all employees of the Company as
of the  date  hereof,  and  indicates  for each  employee  (i)  whether,  to the
knowledge of the Stockholders and the Company, such employee will be employed in
connection with the "Intercare" business following the Closing,  (ii) the salary
now  received  by  such   Employee   and  (iii)  the  total  amount   (including
stay/severance  benefits  and amounts  payable on exercise of any "in the money"
stock options held by such Employee) of all benefits that will be payable to the
Employee  as a result  of the  consum  mation of the  transactions  contemplated
hereby.

                  SECTION  2.16.  Insurance.  All  policies of fire,  liability,
workers'  compensation and other forms of insurance providing insurance coverage
to or for the  Company are listed in  Schedule  2.16  hereto and,  except as set
forth in said  Schedule  2.16,  (i) the  Company is a named  insured  under such
policies,  (ii) all premiums with respect thereto covering all periods up to and
including the Closing Date have been paid and (iii) no notice of cancellation or
termination has been received with respect to any such policy. All such policies
are in full  force and  effect  and will  remain in full force and effect to and
including  the Closing  Date,  and coverage  thereunder  will  continue to be in
effect  immediately after the Closing Date,  without limit as to time, for occur
rences prior to the Closing Date.

                  SECTION 2.17. Use of Real Property. The leased real properties
listed  in  Schedule  2.08  hereto  are  used and  operated  by the  Company  in
compliance and conformity  with all applicable  leases.  Neither the Company nor
any of the  Stockholders  has received notice of any violation of any applicable
zoning or building  regulation,  ordinance or other law,  order,  regulation  or
requirement  relating to the respective real estate  operations or assets of the
Company and, to the knowledge of the Company and the Stockholders,  there are no
such violations.

                  SECTION  2.18.  Condition  of  Assets.  Except as set forth in
Schedule 2.18 hereto,  all tangible  personal  property,  fixtures and equipment
comprising  the assets of the  Company  are in a good state of repair  (ordinary
wear and tear excepted) and operating condition, and are sufficient and adequate
to permit the Company to conduct its business as of the Closing Date.

                  SECTION  2.19.  Employee  Benefit  Plans.  (a)  Schedule  2.08
attached  hereto lists each employee  benefit plan within the meaning of Section
3(3) of the Employee Retirement Income Security Act of 1974 ("ERISA") maintained
by the Company or to which the Company  contributes or is required to contribute
or in which any employee of the Company participates (a "Plan"). The Company has
complied and currently is in compliance in all material respects, both

                                       11

<PAGE>

as to form and operation,  with the provisions of ERISA and the Internal Revenue
Code of 1986, as amended (the "Code") applicable to each Plan.

                  (b) Each of the  Plans  which is  intended  to  qualify  under
Section 401(a) of the Code does so qualify and is exempt from taxation  pursuant
to Section  501(a) of the Code,  and the  Company  has  received  favorable  and
unrevoked  determination  letters  from the  Internal  Revenue  Service  to that
effect.

                  (c) The Company  has not  maintained,  contributed  to or been
required to contribute  to, and the employees of the Company do not  participate
in, a "multiemployer  plan" (as defined in Section 3(37) of ERISA) or a "defined
benefit plan" (as defined in Section 3(35) of ERISA).  No amount is due or owing
from the  Company  on  account  of a  multiemployer  plan or on  account  of any
withdrawal therefrom.

                  (d)  Notwithstanding  anything else set forth herein,  neither
the Company nor any of the  Stockholders has incurred any liability with respect
to any Plan under ERISA (in cluding, without limitation,  Title I or Title IV of
ERISA),  the Code or other applicable law, which has not been satisfied in full,
and no event has occurred, and there exists no condition or set of circumstances
which could result in the  imposition of any liability  under ERISA  (including,
without limitation,  Title I or Title IV of ERISA), the Code or other applicable
law with respect to any of the Plans.

                  (e) No Plan,  other than a Plan which is an  employee  pension
benefit  plan  (within  the  meaning  of Section  3(2)(A)  of  ERISA),  provides
benefits,  including  without  limita tion,  death,  health or medical  benefits
(whether or not  insured),  with  respect to current or former  employees of the
Company beyond their retirement or other termination of service with the Company
(other than (i) coverage mandated by applicable law, (ii) deferred  compensation
benefits  accrued as  liabilities  on the books of the Company or (iii) benefits
the  full  cost of which is borne by the  current  or  former  employee  (or his
beneficiary)).

                  (f) Except as otherwise set forth in Schedule 2.19 hereto, the
consummation  of the  transactions  contemplated  by this Agreement will not (i)
entitle  any current or former  employee or officer of the Company to  severance
pay, unemployment compensation or any other payment, or (ii) accelerate the time
of payment or  vesting,  or  increase  the amount of compen  sation due any such
employee or officer.

                  (g)  The  Company  has  provided  to the  Purchaser  true  and
complete  copies of the following,  to the extent each is  applicable,  for each
Plan: (i) the Plan; (ii) summary plan  description of the Plan;  (iii) the trust
agreement,  insurance policy or other instrument  relating to the funding of the
Plan;  (iv) the most recent  Annual  Report (Form 5500 series) and  accompanying
schedule filed with the Internal Revenue Service or United States  Department of
Labor with respect to the Plan; (v) the most recent audited financial  statement
for the Plan;  (vi) the most  recent  actuarial  report  of the Plan;  (vii) the
policy of fiduciary liability insurance (and agreements

                                       12

<PAGE>

related  thereto)  maintained in connection  with the Plan;  and (viii) the most
recent  determination letter issued by the Internal Revenue Service with respect
to each of the Plans that is intended  to qualify  under  Section  401(a) of the
Code.

                  SECTION 2.20. Related Party Transactions.  Except as set forth
in  Schedule  2.20 hereto or as  contemplated  by this  Agreement,  there are no
existing  material  arrangements or proposed material  transactions  between the
Company or its  subsidiaries  and (i) any  officer or director of the Company or
its  subsidiaries or any member of the immediate  family of any of the foregoing
persons  (such  officers,   directors  and  family  members  being   hereinafter
individually re ferred to as a "Related Party"), (ii) any business (corporate or
otherwise)  which a Related Party owns,  directly or  indirectly,  or in which a
Related Party has an ownership interest,  or (iii) between any Related Party and
any business (corporate or otherwise) with which the Company or its subsidiaries
regularly does business.

                  SECTION  2.21.  Environmental  Matters.  (a) The Company,  its
business, operations, properties and assets comply in all material respects with
all existing Environmental Laws (as defined below). The Company has not received
notice of violations of any existing  Environmental Law relating to the Company,
its  business  or  operations  or any of its  assets or  properties  that  might
reasonably be expected to have a Material Adverse Effect.

                  (b) For the purposes of this Agreement,  "Environmental  Laws"
shall mean any law, statute, regulation, rule, order, ordinance, consent decree,
settlement agreement or govern mental requirement of any governmental authority,
as in  effect  on the date of this  Agreement,  which  relates  to or  otherwise
imposes liability or standards of conduct concerning the protection or pollution
of the environment,  or community health and safety,  including, but not limited
to the Comprehensive  Environmental  Response Compensation and Liability Act, as
amended,  the Federal  Solid  Waste  Disposal  Act,  as amended by the  Resource
Conservation and Recovery Act and the Hazardous and Solid Waste Amendments,  the
Federal Clean Air Act, the Federal Clean Water Act, the Federal Toxic  Substance
and  Control  Act,  the  Federal  Safe  Drinking  Water Act,  and any similar or
analogous  statute,  regulation,  decisional law,  legally  binding  conditions,
standards,   prohibitions,   requirements  or  judgments  or  any   governmental
authority, as now exist.

                  SECTION 2.22. System Capacity. The computer hardware, Software
and  communications  equipment  now being used by the Company are  sufficient to
accommodate the electronic data interchange and transaction processing currently
performed  by the Company and as  proposed to be  performed  for the next twelve
months (given  reasonably  anticipated  Company  growth and  transaction  volume
absent the transactions contemplated by this Agreement).

                  SECTION 2.23. Stock and Asset  Transfers.  The consummation of
the  transac  tions  contemplated  by  the  "MTI  Transfer  Agreement"  and  the
"Intercare   Transfer  Agreement"  (as  defined  in  Section  5.08  hereof),  as
contemplated  by  Section  5.08  hereof,  will  result in the valid and  legally
binding release  (effective  immediately after the Closing) of the Company,  the
Purchaser and their respective  affiliates,  parents,  subsidiaries,  directors,
officers, employees and

                                       13

<PAGE>

agents, from all liabilities and obligations of any nature and howsoever arising
(whether arising before, on or after the Closing Date, whether known or unknown,
secured, unsecured,  absolute, accrued, contingent or otherwise, and whether due
or to become due) to the extent the same relate to the business now conducted by
the Company's  subsidiary,  HII Telemedical  Corp.  ("HIIT"),  and the so-called
"Intercare"  business now being  conducted  by the Company,  other than any such
obligations  that are explicitly set forth either on the "Closing Balance Sheet"
or the "Backup Materials" (as each is defined in Section 5.05 hereof).

                  SECTION 2.24.  Securities  Laws  Matters.  Neither the Company
nor, to the knowledge of the Company and the Stockholders, any person authorized
by the Company or any  Stockholder  as agent,  broker,  dealer or  otherwise  in
connection  with the offering or sale of the Shares,  or any similar  securities
has taken or will take any action  (including  without  limitation  any offer or
sale of any securities under  circumstances  which would require the integration
of such securities with the Common Shares being  transferred by such Stockholder
hereunder under the Securities Act of 1933 (the "Securities  Act"), or the rules
and  regulations of the Securities and Exchange  Commission  (the  "Commission")
thereunder), which would subject such transfer to the registration provisions of
the Securities Act.

                  SECTION 2.25.  Y2K  Compliance.  Anything in this Agreement to
the contrary notwithstanding, the Purchaser acknowledges and agrees that neither
the Company nor the Stockholders have made any representation or warranty to, or
covenant with, the Purchaser  with respect to issues  surrounding  the so called
"Year 2000" or "Y2K"  problem or Y2K  compliance  of any of the Company's or any
Stockholder's equipment,  software, computer hardware or other assets; provided,
however,  that notwithstanding the foregoing,  the Stockholders hereby represent
and warrant that,  except as set forth in Schedule 2.25 hereto,  the Company has
made no agreement  or contract  with or  commitment  to any third party that the
Company's  equipment,  software or computer hardware will be Y2K compliant prior
to December 1, 1999.

                  SECTION  2.26.  Limit  on  Employee   Obligations.   Upon  the
execution and delivery of the "Employment  Agreements,"  "Transition Agreements"
and "Releases" (as defined herein) required by Section 6.01(e), by the employees
listed on Schedule 6.01(e),  after the Closing Date neither the Company, nor the
Purchaser  shall  have any  payment,  severance,  bonus  or  other  compensatory
obligations of any sort whatsoever arising from or relating to the employment of
any employee of the Company or HIIT on or prior to the Closing Date,  except for
(i) the  obligations  of the Purchaser and the Company  listed in the Employment
Agreements,  Transition Agreements and Releases,  (ii) the obligation to provide
credit  for  past  services  in  determining   eligibility  and  status  in  the
Purchaser's  employee benefit plans,  (iii) the obligation to pay salary for the
pay period in which the Closing Date takes place, (iv) reimbursement obligations
for business  expenses  incurred by such  employees and submitted for payment in
accordance  with the Pur  chaser's  policies now in effect and (v) for any other
liabilities  specifically  listed on the  Closing  Balance  Sheet or the  Backup
Materials.

                                       14

<PAGE>

                                  ARTICLE III.

                        REPRESENTATIONS AND WARRANTIES OF
                                THE STOCKHOLDERS

                  Each  Stockholder,  severally and not jointly,  represents and
warrants as to itself to the Purchaser as follows:

                  SECTION  3.01.  Organization,   Qualifications  and  Corporate
Power. Such Stockholder has been duly incorporated and is in good standing under
the  laws  of its  jurisdiction  of  incorporation.  Such  Stockholder  has  all
requisite  corporate  power  and  authority  to  execute  and  deliver  (i) this
Agreement,  (ii) the Escrow  Agreement,  (iii) a  Non-Competition  and  Confiden
tiality  Agreement  in the  form  of  Exhibit  F  hereto  (the  "Non-Competition
Agreement"), (iv) in the case of RightCHOICE Managed Care, Inc. ("RightCHOICE"),
an Amended and Restated  Payer  Agreement in the form of Exhibit B-1 hereto (the
"RightCHOICE  Payer  Agreement") and a Data Processing  Agreement in the form of
Exhibit  C hereto  (the  "Data  Processing  Agreement"),  and (v) in the case of
General  American Life Insurance  Company  ("General"),  an Amended and Restated
Payer  Agreement  in  the  form  of  Exhibit  B-2  hereto  (the  "General  Payer
Agreement," and  collectively  with the Escrow  Agreement,  the  Non-Competition
Agreement,  the RightCHOICE  Payer Agreement and the Data Processing  Agreement,
the  "Ancillary  Agreements"),  and to perform  its  obligations  hereunder  and
thereunder.

                  SECTION 3.02. Authorization of Agreements,  Etc. The execution
and delivery by such Stockholder of this Agreement and the Ancillary  Agreements
to  which  it is a  party,  and  the  performance  by  such  Stockholder  of its
obligations hereunder and thereunder, have been duly authorized by all requisite
corporate action and will not (x) violate any provision of law, any order of any
court or other agency of government, the charter or By-laws of such Stockholder,
or any judgment,  award or decree to which such  Stockholder  is a party,  or by
which such  Stockholder  or any of such  Stockholder's  properties  or assets is
bound or  affected  or (y) result in the  creation  or  imposition  of any lien,
charge or encumbrance of any nature whatsoever upon any of the Shares.

                  SECTION 3.03. Validity.  This Agreement has been duly executed
and delivered by such  Stockholder and constitutes the legal,  valid and binding
obligations  of  such  Stockholder,  enforceable  against  such  Stockholder  in
accordance with its terms. Each of the Ancillary  Agreements,  when executed and
delivered by such Stockholder (if a party thereto) as contem plated hereby, will
constitute  the  legal,  valid  and  binding  obligation  of  such  Stockholder,
enforceable against such Stockholder in accordance with its terms.

                  SECTION 3.04. Title to Shares.  Such Stockholder is the lawful
holder of record and beneficial owner of the number of Shares set forth opposite
the name of such Stockholder in Schedule I to this Agreement,  in each case free
and clear of any and all pledges,  security interests,  liens,  charges or other
encumbrances of any nature whatsoever. The delivery by such

                                       15

<PAGE>

Stockholder of certificates or instruments and agreements  evidencing the number
of Shares set forth  opposite the name of such  Stockholder  as aforesaid,  duly
endorsed for transfer or accompanied  by stock transfer  powers duly endorsed in
blank, to the Purchaser pursuant to Section 1.02(a) above, against payment or in
exchange for such Shares pursuant to Section 1.02(b) above,  will transfer valid
title to said Shares to the  Purchaser,  free and clear of any and all  pledges,
security  interests,   liens,  charges  or  other  encumbrances  of  any  nature
whatsoever.

                  SECTION  3.05.  Brokers' or Finders'  Fees.  All  negotiations
relative to this Agreement and the  transactions  contemplated  hereby have been
carried out  directly  with the  Purchaser or through the  Stockholders'  agent,
Jefferies & Company,  Inc. (whose fees and expenses shall be borne solely by the
Stockholders),  without the  intervention of any person on behalf of the Company
or the  Stockholders  in such  manner as to give rise to any claim by any person
against  the  Purchaser  for a finder's  fee,  brokerage  commission  or similar
payment.

                                   ARTICLE IV.

                 REPRESENTATIONS AND WARRANTIES OF THE PURCHASER

                  The Purchaser  represents and warrants to the  Stockholders as
follows:

                  SECTION  4.01.  Organization,  Power,  Etc. The Purchaser is a
corporation duly organized, validly existing and in good standing under the laws
of the State of Delaware.  The Purchaser has full corporate  power and authority
to execute and deliver this  Agreement and the Ancillary  Agreements to which it
is a party, and to perform its obligations hereunder and thereun der.

                  SECTION 4.02. Authorization of Agreements,  Etc. The execution
and delivery by the Purchaser of this Agreement and the Ancillary  Agreements to
which it is a party,  and the  performance  by the Purchaser of its  obligations
hereunder and thereunder,  have been duly authorized by all requisite  corporate
action on the part of the  Purchaser  and will not (x) violate any  provision of
law,  any order of any court or other  agency of  government,  the  Amended  and
Restated Certificate of Incorporation or By-laws of the Purchaser, any judgment,
award or decree or any  indenture,  agreement or other  instrument  to which the
Purchaser is a party, or by which it or any of its properties or assets is bound
or affected;  (y) conflict with,  result in a breach of or constitute  (with due
notice or lapse of time or both) a default under any such indenture,  agree ment
or other  instrument;  or (z) result in the creation or  imposition of any lien,
charge or  encumbrance  of any nature  whatsoever  upon any of the properties or
assets of the Purchaser.

                  SECTION 4.03. Validity.  This Agreement has been duly executed
and  delivered by the  Purchaser and  constitutes  the legal,  valid and binding
obligations of the  Purchaser,  enforce able against the Purchaser in accordance
with its terms. Each of the Ancillary Agreements, when executed and delivered by
the Purchaser (if a party thereto) as contemplated hereby,

                                       16

<PAGE>

will  constitute  the legal,  valid and  binding  obligation  of the  Purchaser,
enforceable against the Purchaser in accordance with its terms.

                  SECTION 4.04. Governmental Approvals. No order, authorization,
approval or consent from, or filing with, any federal or state  governmental  or
public  body or  other  authority  having  jurisdiction  over the  Purchaser  is
necessary for the  execution,  delivery and  performance by the Purchaser of its
obligations under this Agreement or the Ancillary Agreements (to the extent that
the Purchaser is a party thereto).

                  SECTION 4.05. Litigation Relating to Transaction. There are no
actions,  suits,  proceedings or claims pending before any court,  arbitrator or
government  agency  against or  affecting  the  Purchaser  which might enjoin or
prevent the consummation of the  transactions  contemplated by this Agreement or
the Ancillary Agreements.

                  SECTION  4.06.  Brokers' or Finders'  Fees.  All  negotiations
relative to this Agreement and the  transactions  contemplated  hereby have been
carried  out by the  Purchaser  directly  with  the  Stockholders,  without  the
intervention  of any person on behalf of the Purchaser in such manner as to give
rise to any claim by any person  against the  Stockholders  for a finder's  fee,
brokerage commission or similar payment.

                                   ARTICLE V.

                                    COVENANTS

                  SECTION  5.01.  Certain  Covenants  of the  Stockholders.  (a)
During the period  from the date of this  Agreement  to the  Closing  Date,  the
Stockholders  will cause the  Company to conduct  its  business  and  operations
according to its ordinary  course of business  consistent with past practice and
use its best efforts (i) to preserve its relationships  with business  partners,
employees and customers,  (ii) to maintain the contracts with third-party payers
and customers in full force and effect in accordance  with their terms and (iii)
to ensure that the Company  will  continue to provide its services to such third
party payers and  customers.  Without  limiting the generality of the foregoing,
except as  otherwise  expressly  contemplated  by this  Agreement,  prior to the
Closing  Date,  without  the  prior  written  consent  of  the  Purchaser,   the
Stockholders  will  cause  the  Company  not to do any of the  things  listed in
paragraphs (a) through (k) of Section 2.05 above.

                  (b) Upon prior  notice and at  reasonable  times,  between the
date hereof and the Closing Date, the  Stockholders  shall,  and shall cause the
Company  to,  provide  access  to  repre  sentatives  of  the  Purchaser  to the
financial,  accounting and legal records of the Company, and to key employees of
the Company  designated by the Purchaser,  and, in connection  therewith,  shall
permit representatives of the Purchaser to visit the premises of the Company.

Such activities 

                                       17

<PAGE>

shall be  performed,  so far as is reasonably  possible,  in such a manner as to
avoid disruption of normal operations.

                  (c)  Between  the  date  hereof  and  the  Closing  Date,  the
Stockholders  shall cause the Company not to, except as required by consistently
applied accounting  methods,  (A) utilize accounting  principles  different from
those used in the  preparation  of the financial  statements as of June 30, 1998
referred to in Section  2.03 above,  (B) change in any manner its method of main
taining its books of account and records  from such methods as in effect on June
30,  1998,  or (C)  accelerate  booking of revenues or the deferral of expenses,
other than as shall be consistent  with past practice and in the ordinary course
of business.

                  (d)  Between  the  date  hereof  and  the  Closing  Date,  the
Stockholders  shall not,  and shall  cause the  Company  not to,  enter into any
transaction,  make any  agreement or commit ment, or take any action which would
result  in  any  of  the   representations,   warranties  or  covenants  of  the
Stockholders contained in this Agreement not being true and correct at and as of
the time immediately after the occurrence of such transaction, event or action.

                  SECTION 5.02.  Books and Records.  Promptly  after the Closing
Date, the  Stockholders  shall deliver to the Purchaser or the Company all books
and records used in the  operation of the business of the Company and all files,
documents,  papers, agreements, books of account and other records pertaining to
the business of the Company, to the extent that such books,  records,  files and
other materials are not located at the offices of the Company.

                  SECTION 5.03. Preparation of Certain Financial Statements. (a)
After the Closing and at no cost to the  Stockholders,  the  Stockholders  shall
provide  the  Company's  auditors  with all  financial  information,  other than
information  held by the Company,  and data  reasonably  necessary to enable its
independent  accountants to prepare and review an audited  consolidated  balance
sheet of the Company as of June 30, 1999 and the related  statements  of income,
stockhol ders' equity and cash flows for the year then ended.

                  (b) The  Stockholders  agree that, if requested by the Company
as being necessary to prepare the audited  financial  statements as contemplated
by Section  5.03(a)  hereof,  the  Stockholders  shall  provide to the Company's
auditors a management  representation  letter in a form reasonably acceptable to
such auditors covering the period referred to above.

                  SECTION 5.04.  Certain Tax Matters.

                  (a) Transfer Taxes. All stamp,  transfer,  sales and use Taxes
imposed  upon or incurred by any of the parties  hereto in  connection  with the
transfer of the Shares to the Purchaser under this Agreement,  and any legal and
other  expenses  relating  thereto,  shall  be borne  by the  Stockholders.  The
Stockholders  shall,  at their own expense,  prepare and file all  necessary Tax
Returns and other documents with respect to all such stamp, transfer,  sales and
use Taxes.

                                       18

<PAGE>

                  (b) Tax Returns.  The Purchaser shall prepare and file all Tax
Returns  of the  Company  that have not yet been  filed.  Before  filing any Tax
Returns  relating  in whole or in part to the any  period  prior to the  Closing
Date, the Purchaser shall deliver a copy of such Tax Returns to the Stockholders
for their  review and  approval  (which  will not be  unreasonably  withheld  or
delayed). The Purchaser shall make any changes requested by the Stockholders and
reasonably  acceptable to the  Purchaser.  For all Tax Returns  relating both to
periods  before and after the Closing  Date,  all  reasonable  fees and expenses
relating to the  preparation  of such returns shall be  apportioned  between the
Stockholders,  on the one hand, and the Company and the Purchaser,  on the other
hand,  on the basis set forth in paragraph  (c) below.  The  Stockholders  shall
provide the Purchaser  with all  reasonable  assistance  required to prepare and
file such Tax Returns.  The Stockholders shall be responsible for, and shall pay
all  Taxes  shown on such Tax  Returns  that  relate to any Tax  period  (or any
portion  thereof)  ending on or before the close of business on the Closing Date
(a "Prior Tax Period").  The Purchaser shall be responsible  for, and shall pay,
any such Taxes for which the Stockholders are not responsible.

                  (c) Straddle Periods. Subject to Section 5.04(b), with respect
to any Tax period that  straddles the Closing  Date,  (i) the portion of any Tax
based on income,  profits or revenue that is  attributable to a Prior Tax Period
shall be determined based on a closing of the Company's books as of the close of
business on the Closing Date and (ii) the portion of any other Tax  attributable
to a Prior Tax Period will be determined by  multiplying  the amount of such Tax
by a  fraction,  the  numerator  of which shall equal the number of days in such
Prior Tax Period up to and  including  the Closing Date and the  denominator  of
which shall equal the total number of days in such Tax period.

                  (d) Tax Disputes.  In the event that the Stockholders  dispute
their  responsi  bility for any Tax under this Section  5.04,  the  Stockholders
shall not be relieved of their  obligation  to pay, in the first  instance,  the
amount of such Tax. If, within 15 days of the payment by the Stockholders of the
disputed  Tax, the  Stockholders,  on the one hand,  and the  Purchaser,  on the
other, are unable to resolve the dispute among  themselves,  they shall select a
nationally  recog nized  financial  accounting firm and shall give such firm the
authority to resolve the dispute in its sole discretion.

                  SECTION 5.05.  Certain Balance Sheet Transactions.

                  (a) Prior to or on the Closing Date,  the  Stockholders  shall
cause the Company (or direct the Purchaser to disburse a portion of the Purchase
Price) to repay all  indebtedness of the Company for borrowed money, and to take
such  actions  as  may  be  necessary  or  appropriate  to  release  all  liens,
encumbrances, mortgages and security interests securing such indebtedness.

                  (b) On or prior to the Closing Date,  the  Stockholders  shall
cause the Company to take such  actions as may be necessary to cause (i) the Net
Working  Capital of the Company to be at least $1 on the  Closing  Date and (ii)
the Tangible Net Worth of the Company on the Closing Date

                                       19

<PAGE>

to be  at  least  $425,000,  in  each  case  after  giving  effect  to  (i)  the
transactions  contemplated  by the MTI  Transfer  Agreement  and  the  Intercare
Transfer  Agreement  and (ii) the payments  listed on Schedule  5.05(b)  hereof;
provided,  however,  that the Net Working  Capital and Tangible Net Worth may be
reduced  below such  amounts by the amount  payable to KPMG Peat  Marwick LLP in
connection  with its audit of the  Company as of and for the nine  months  ended
June 30, 1998; provided, further, however, that such amount so payable shall not
exceed $30,000.  For purposes hereof,  "Net Working Capital" shall be calculated
by subtracting the sum of the Company's current  liabilities from the sum of the
Company's  "cash,"  "accounts  receivable"  (excluding,  however,  any  accounts
receivable  arising  from the  Company's  "Intercare"  business and the business
conducted by HIIT (collectively,  the "Excluded  Receivables")),  "deposits" and
"prepaids,"  in each case deter  mined in  accordance  with  generally  accepted
accounting  principles  consistently applied and (to the extent not inconsistent
with GAAP) in a manner consistent with that used by the Company in preparing the
Financial Statements.  For purposes hereof, "Tangible Net Worth" means the total
assets of the Company (excluding,  however,  any Excluded  Receivables) less the
value of capitalized  software,  goodwill,  other intangible assets and less all
liabilities,  in each case  determined in  accordance  with  generally  accepted
accounting  principles  consistently applied and (to the extent not inconsistent
with GAAP) in a manner consistent with that used by the Company in preparing the
Financial Statements.

                  (c) On the Closing Date, the Stockholders shall deliver to the
Purchaser  a  balance  sheet  (the  "Closing  Balance  Sheet")  of the  Company,
unaudited but certified by the Company's chief executive officer, reflecting (in
accordance with paragraphs (a) and (b) above) the repayment of indebtedness  and
the revised Net Working  Capital and Tangible Net Worth of the Company as of the
Closing Date,  and also  reflecting  the  transactions  contemplated  by the MTI
Transfer   Agreement  and  the  Intercare   Transfer  Agreement  (and  otherwise
reflecting no material  changes to the  Company's  audited June 30, 1998 balance
sheet other than those  described in Schedule 2.04 hereto).  For all purposes of
this  Agreement,  the  Closing  Balance  Sheet shall be deemed to be part of the
Financial  Statements  (without limiting the foregoing,  the representations and
warranties made by the  Stockholders  regarding the Financial  Statements  shall
apply to the Closing Balance Sheet).  The Stockholders shall also deliver to the
Purchaser  such  supporting  materials  (collectively,  the "Backup  Materials")
relating to the Closing  Balance Sheet as the Purchaser may reasonably  request,
including without  limitation  worksheets of all accounts receiv able,  accounts
payable  and  accrued  but unpaid  expenses  that are  reflected  on the Closing
Balance Sheet.

                  (d)  Notwithstanding  any  policy  of  the  Purchaser  to  the
contrary,  the  Purchaser  agrees to cause the Company to pay all accrued  sales
commissions set forth in the Backup Materials as and when due in accordance with
the Company's  policies prior to the Closing Date, whether or not such employees
are then employed by the Purchaser or the Company.

                  (e)  The  Purchaser   agrees  that,  in  connection  with  the
transactions  contemplated  by the  Intercare  Transfer  Agreement  and  the MTI
Transfer Agreement, the Company will surrender

                                       20

<PAGE>

all right, title and interest in and to the Excluded  Receivables.  In the event
that,  after the Closing Date,  the Company shall receive any amounts in payment
of the  Excluded  Receivables,  the  Purchaser  shall cause the Company to remit
one-half  of any such  amount to each  Stockholder  (with the  result  that such
amount shall be remitted in full to the Stockholders). Such remittances shall be
made in a reasonably commercially prompt manner.

                  SECTION 5.06. Consents and Approvals.  Between the date hereof
and the Closing Date, the  Stockholders  shall,  and shall cause the Company to,
use their  respective  best efforts to make the filings and procure the consents
and approvals listed on Schedule 2.06 hereto.

                  SECTION  5.07.  Retention  of  Employees.  Effective as of the
Closing Date,  the Purchaser  will offer  employment to certain  employees  (the
"Retained  Employees")  of the  Company  principally  engaged in the  "Financial
Services"  business.  The Retained  Employees  will be employed on the terms set
forth in the  "Employment  Agreements"  referred  to in Section  6.01(e)  below.
Effective as of the Closing Date, the Purchaser will offer employment to certain
other  employees (the  "Transitional  Employees")  on a  transitional  basis for
periods  of time up to one  year,  on the  terms  set  forth in the  "Transition
Agreements" referred to in Section 6.01(e) below.

                  SECTION 5.08. Intercare and MTI Dispositions. Between the date
hereof and the Closing Date, the Stockholders shall, and shall cause the Company
to, use their best efforts to execute and deliver  agreements  transferring from
the Company all operations and liabilities relating to the business conducted by
HIIT  (such  agreements  being  collectively  referred  to as the "MTI  Transfer
Agreement")  and the  so-called  "Intercare"  business  being  conducted  by the
Company  (such  agreements  being  collectively  referred  to as the  "Intercare
Transfer  Agreement").  Among other things, the Intercare Transfer Agreement and
the MTI Transfer Agreement shall provide (in terms satisfactory to the Purchaser
and its  counsel)  that  after  the  Closing  Date  the  Company  shall  have no
obligations  or  liabilities of any sort relating to the businesses so disposed,
other than any such  obligations  that are  explicitly  set forth  either on the
Closing  Balance  Sheet  or  the  Backup  Materials.   In  connection  with  the
transactions  contemplated by the Intercare  Transfer  Agreement,  the Purchaser
agrees to negotiate in good faith with the  proposed  acquiror of the  Intercare
business the terms of any short-term transitional service agreements that may be
required by such acquiror after the Closing Date.

                  SECTION  5.09.  Employee  Bonuses.  On the Closing  Date,  the
Stockholders  will  cause a  portion  of the  Purchase  Price  to be paid to the
Company  for the purpose of  enabling  the Company to pay (and the  Stockholders
shall  cause the  Company to pay) to each of the  employees  of the  Company set
forth on Schedule 5.09 hereto, a bonus in the amount set forth opposite the name
of such employee.

                                       21

<PAGE>

                  SECTION 5.10.  Access to Tax and Other Records.

                  (a) After the  Closing  Date,  if and to the  extent  that the
Purchaser  has  asserted a claim for Damages  under  Article VII hereof,  or any
other  third  party has  asserted a claim  against  either the Company or either
Stockholder  with  respect to any act or omission  alleged to have been taken or
omitted by the Company on or prior to the Closing Date, then upon the request of
either  Stockholder  the Purchaser  shall (i) grant to such  Stockholder and its
representatives the right, during normal business hours, to inspect and copy the
books,  records and other  documents  of the  Company and (ii) use  commercially
reasonable efforts to cause the Company's auditors to permit such Stockholder to
inspect and copy worksheets and other information  pertaining to the Company and
its financial  statements,  in each case as reasonably  necessary to defend such
Stockholder against any such claim. In connection with any such inspection,  the
Stockholder  making  such  inspection  shall  reimburse  the  Purchaser's,   the
Company's  and the  auditors'  (as the  case  may be)  reasonable  out-of-pocket
expenses only.

                  (b) After the Closing Date,  in  connection  with any claim or
investigation  by the  Internal  Revenue  Service  or any state or local  taxing
authority with respect to (i) the Company, for any periods ending on or prior to
the Closing Date, or (ii) the transactions  contemplated by this Agreement,  the
Purchaser shall cause the Company to make available to either Stockholder access
to appropriate  employees,  agents and  representatives of the Company,  in each
case as  reasonably  necessary  to defend  itself  against  any such claim or to
represent  itself  in  any  such  investigation.   Any  out-of-pocket   expenses
reasonably  and actually  incurred by the  Purchaser or the Company in complying
with the  provisions  of this  paragraph  (b) shall be borne by the  Stockholder
requesting such assistance.

                  (c) The Purchaser  shall, and shall cause the Company to, keep
and maintain all their tax books,  records and other tax information  pertaining
to the Company for all tax periods  ending on or prior to the Closing Date for a
period of six (6) years after the Closing Date, and thereafter  shall (and shall
cause the Company to) offer such tax  information to the  Stockholders  prior to
the disposal thereof.

                  (d) To the extent that either Stockholder requests information
pursuant to this Section  5.10,  such  Stockholder  shall keep such  information
confidential  as  though  it were  "Confidential  Information,"  as such term is
defined   in   the   Non-Competition   Agreement;    provided,   however,   that
notwithstanding the terms of the Non-Competition Agreement, such Stockholder may
use  such  information  for  its own  benefit  in  connection  with  the  claim,
investigation  or  proceeding  giving  rise to such  Stockholder's  request  for
information.  Notwithstanding  the provisions of this Section 5.10, in the event
that  Purchaser  is  advised  in  writing  by its  outside  legal  counsel  that
disclosure of any  information  hereunder  would destroy or compromise a legally
accepted privilege against disclosure  (including without limitation  privileges
relating to  attorney-client  communications  or attorney  work  products),  the
Purchaser and the Company shall not be obligated to disclose such information.

                                       22

<PAGE>

                                   ARTICLE VI.

                              CONDITIONS PRECEDENT

                  SECTION 6.01.  Conditions  Precedent to the Obligations of the
Purchaser.  The  obligation  of the  Purchaser to  consummate  the  transactions
contemplated  by this Agreement is subject,  at the option of the Purchaser,  to
the  satisfaction  at or  prior  to the  Closing  Date of each of the  following
conditions:

                  (a)   Accuracy  of   Representations   and   Warranties.   The
representations  and warranties of each Stockholder  contained in this Agreement
or in any  certificate or document  delivered to the Purchaser  pursuant  hereto
shall be true and correct on and as of the Closing Date as though made at and as
of that date, and each  Stockholder  shall have so certified to the Purchaser in
writing.

                  (b) Compliance with  Covenants.  Each  Stockholder  shall have
performed  and complied in all  material  respects  with all terms,  agreements,
covenants and  conditions of this  Agreement to be performed or complied with by
it at or prior to the Closing Date, and each Stockholder shall have so certified
to the Purchaser in writing.

                  (c) Balance Sheet  Adjustments.  The  Stockholders  shall have
made (or  caused  the  Company  to make)  the  payments,  and  delivered  to the
Purchaser the Closing  Balance  Sheet,  contemplated  by and in accordance  with
Sections 5.05 and 5.09 hereof.  Such  adjustments,  and the form of such balance
sheet after giving effect to such adjustments, shall be reasonably acceptable to
the Purchaser.

                  (d) Indebtedness  for Borrowed Money.  The Stockholders  shall
have caused the Company to repay all  indebtedness for borrowed money, and shall
have caused all liens, encumbrances, mortgages and security interests in respect
thereof to be  released.  The  Stockhold  ers shall have  caused the  Company to
deliver  to the  Purchaser  evidence  of such  repayments  and  releases,  which
evidence shall be reasonably satisfactory to the Purchaser and its counsel.

                  (e) Employment  Arrangements.  Each of the Retained  Employees
listed on Schedule  6.01(e)  hereto  shall have  executed  and  delivered to the
Company and the  Purchaser  an  Employment  Agreement in the form of Exhibit D-1
hereto  (collectively,  the "Employment  Agreements").  Each of the Transitional
Employees listed on Schedule 6.01(e) hereto shall have executed and delivered to
the Company and the Purchaser a Transition  Agreement in the form of Exhibit D-2
hereto (collectively,  the "Transition Agreements"). Each of the other employees
of the Company or HIIT shall have  executed and delivered to the Company and the
Purchaser a Release in the form of either Exhibit D-3, Exhibit D-4, Exhibit D-5,
or Exhibit D-6 hereto (collectively,  the "Releases"),  as specified by Schedule
6.01(e).

                                       23

<PAGE>

                  (f) All Proceedings To Be Satisfactory.  All proceedings to be
taken by the Company and the  Stockholders in connection  with the  transactions
contemplated  hereby and all  documents  incident  thereto  shall be  reasonably
satisfactory  in form and substance to the  Purchaser  and its counsel,  and the
Purchaser and said counsel shall have received all such  counterpart  origi nals
or certified or other copies of such documents as they may reasonably request.

                  (g) No Material  Adverse  Change.  Except as  disclosed on the
Schedules to this  Agreement,  there shall not have occurred since June 30, 1998
any  material  adverse  change  (i) in the  financial  condition  or  results of
operations of the business of the Company or (ii) in the capacity of the Company
to conduct such business in a manner consistent with past practice.

                  (h) Opinion of Counsel.  The Purchaser shall have received the
opinion of Thompson Coburn,  counsel to the  Stockholders,  in substantially the
form of Exhibit E hereto.

                  (i)  Consents and  Approvals.  All  authorizations,  consents,
waivers and  approvals  set forth in Schedule  2.06 hereto  shall have been duly
obtained  and  shall be in form and  substance  reasonably  satisfactory  to the
Purchaser and its counsel.

                  (j)  Legal  Actions  or   Proceedings.   No  legal  action  or
proceeding  shall  have  been  instituted  by any  party  or  threatened  by any
governmental  department,  agency  or  authority,  in  either  case  seeking  to
restrain,  prohibit,  invalidate  or otherwise  affect the  consummation  of the
transactions  contemplated  hereby or which would, if adversely decided,  have a
Material Adverse Effect.

                  (k) Ancillary  Agreements.  The Stockholders,  the Company and
the Escrow Agent shall have executed and  delivered the Ancillary  Agreements to
which each of them is a party,  and the  Ancillary  Agreements  shall be in full
force and effect with respect to each of them.

                  (l) MTI Transfer Agreement and Intercare  Transfer  Agreement.
The MTI Transfer  Agreement  and the Intercare  Transfer  Agreement (in form and
substance  satisfactory  to the  Purchaser  and its counsel)  shall be have been
executed and  delivered by all parties  thereto,  all  conditions to closing set
forth therein shall have been  satisfied,  and such  agreements  shall have been
consummated in accordance with their respective terms.

                  (m)  Intercare  Switching  Agreement.   The  Company  and  the
acquiror  of the  Intercare  business  shall  have  executed  and  delivered  an
Intercare Switching Agreement on mutually agreeable terms.

                  (n) Resignations.  The Purchaser shall have received from each
person who is,  immediately  prior to the Closing Date, a director or officer of
the Company, his or her written  resignation,  effective as of the Closing Date,
from such position.

                                       24

<PAGE>

                  (o) Supporting Documents. On or prior to the Closing Date, the
Purchaser and its counsel shall have received copies of the following supporting
documents:

                  (i) (A) the charter  documents  of the Company and each of the
         Stockholders certified as of a recent date by the Secretary of State of
         such corporation's  jurisdiction of incorporation and (B) a certificate
         of such  Secretary  of  State  as to the  due  incorporation  and  good
         standing  of the Company or such  Stockholder,  as the case may be, and
         listing all documents on file with said official;

                  (ii) a certificate of the Secretary or an Assistant  Secretary
         of the Company and each of the Stockholders, dated the Closing Date and
         certifying (A) that attached thereto is a true and complete copy of the
         By-laws of the Company or such  Stockholder,  as the case may be, as in
         effect on the date of such  certification;  (B) that the charter of the
         Company or such Stockholder,  as the case may be, have not been amended
         since the date of the last  amendment  referred  to in the  certificate
         delivered  pursuant  to clause  (i)(B)  above;  (C) in the case of each
         Stockholder,  that attached  thereto is a true and complete copy of the
         resolutions  adopted  by  the  Board  of  Directors  or  an  authorized
         committee of the Board of Directors  of such  Stockholder,  authorizing
         the  execution,  delivery and  performance  of this  Agreement  and the
         Ancillary  Agreements;  and (D) as to the incum bency and  signature of
         each officer of the Company or such  Stockholder  that is executing any
         Ancillary  Agreement  or other  certificate  or document  delivered  in
         connection with the Closing; and

                  (iii) such additional supporting documents as the Purchaser or
         its counsel may rea sonably request.

All such documents  shall be satisfactory in form and substance to the Purchaser
and its counsel.

                  (p) Non-Competition  Agreement. John Romer shall have executed
and delivered a Non-Competition Agreement substantially in the form of Exhibit G
hereto, and the same shall be in full force and effect.

                  (q)  Settlement  of  Litigation.   The  lawsuit  described  on
Schedule 2.12 hereto shall have been settled and dismissed with  prejudice.  The
terms of such settlement shall be satisfactory to the Purchaser and its counsel.

                  (r)  Financing.  The Purchaser  shall have obtained  financing
from  Bank of  America  NT&SA in an  amount  sufficient  to enable it to pay the
Purchase Price.

                                       25

<PAGE>

                  SECTION 6.02.  Conditions  Precedent to the Obligations of the
Stockholders.  The  obligations  of the  Stockholders  under this  Agreement are
subject,  at the option of the Stockholders,  to the satisfaction at or prior to
the Closing Date of each of the following condi tions:

                  (a)   Accuracy  of   Representations   and   Warranties.   The
representations  and warranties of the Purchaser  contained in this Agreement or
in any  certificate or document  delivered to the  Stockholders  pursuant hereto
shall be true and correct on and as of the Closing Date as though made at and as
of that date.

                  (b)  Compliance  with  Covenants.  The  Purchaser  shall  have
performed  and complied in all  material  respects  with all terms,  agreements,
covenants and  conditions of this  Agreement to be performed or complied with by
it at or prior to the Closing Date.

                  (c) All Proceedings to Be Satisfactory.  All proceedings to be
taken by the Purchaser in connection with the transactions  contemplated  hereby
and all documents incident thereto shall be reasonably  satisfactory in form and
substance to the Stockholders  and their counsel,  and the Stockholders and said
counsel shall have received all such counterpart originals or certified or other
copies of such documents as they may reasonably request.

                  (d) Employment  Arrangements.  Each of the Retained  Employees
shall have executed and delivered to the Company and the Purchaser an Employment
Agreement.  Each of the Transitional Employees shall have executed and delivered
to the Company and the Purchaser a Transition  Agreement.  Each of the Company's
employees  not to be  retained  by the Company or the  Purchaser  following  the
Closing Date shall have  executed and delivered to the Company and the Purchaser
a Release.

                  (e)  Legal  Actions  or   Proceedings.   No  legal  action  or
proceeding  shall  have  been  instituted  by any  party  or  threatened  by any
governmental  department,  agency  or  authority,  in  either  case  seeking  to
restrain,  prohibit,  invalidate  or otherwise  affect the  consummation  of the
transactions contemplated hereby.

                  (f) Ancillary Agreements.  The Purchaser,  the Company and the
Escrow Agent shall have executed and delivered the Ancillary Agreements to which
each of them is a party, and the Ancillary Agreements shall be in full force and
effect with respect to each of them.

                                  ARTICLE VII.

                                 INDEMNIFICATION

                  SECTION 7.01.  Survival  of  Representations   and Warranties;
Limitation.  All representations and warranties made by any party hereto in this
Agreement or pursuant hereto

                                       26

<PAGE>

shall survive the Closing Date hereunder for a period of eighteen months, except
for (i)those  representations  and  warranties set forth in Section 2.13 hereof,
which shall  survive  until the  expiration  of all  applicable  Tax statutes of
limitations  (including any extensions  thereof) and (ii) those  representations
and warranties  set forth in Sections 2.02 and 3.04 hereof,  which shall survive
indefinitely. Notwithstanding the other provisions of this Article VII, no party
hereto  shall be  obligated  to  indemnify  any  other  party  hereto  until the
aggregate amount of Taxes and/or Damages (as defined herein) in respect of which
indemnification  is  sought  exceeds  $30,000,  it  being  understood  that  the
foregoing  limitation is a "threshold" and not a "deductible." In addition,  the
maximum  aggregate  liability  of the  Stockholders  for  "Damages"  (as defined
herein) shall be $11,600,000.  There shall be no maximum aggregate  liability of
the Stockholders for Taxes payable in accordance with Section 7.02 hereof.

                  SECTION 7.02. Tax Indemnity.  (a) The Stockholders jointly and
severally  agree to and will  indemnify,  defend and hold harmless the Purchaser
and the Company from and against any and all Taxes  incurred by, imposed upon or
attributable  to the  Company  or  HIIT,  including  reasonable  legal  fees and
expenses  incurred  by the  Company,  HIIT or any  party  hereto  and  relat ing
thereto,  for any Prior Tax Period,  including without limitation any amount due
for sales and use Taxes  payable as a result of an audit  conducted  by state or
local governmental authorities.

                  (b) For purposes of this Section 7.02,  any interest,  penalty
or  additional  charge  included  in Taxes  shall be  deemed to be a Tax for the
period to which  the item or event  giving  rise to such  interest,  penalty  or
additional  charge is  attributable,  and not a Tax for the period  during which
such interest, penalty or additional charge accrues.

                  (c) The  indemnity  provided for in this Section 7.02 shall be
independent  of any other  indemnity  provision  hereof  and,  anything  in this
Agreement to the contrary notwithstanding, shall survive until the expiration of
the applicable statutes of limitation, including any extensions thereof, for the
Taxes  referred  to  herein.  Any  Taxes,  legal  fees and  expenses  subject to
indemnifi cation under this Section 7.02 shall not be subject to indemnification
under Section 7.03 or Section 7.04 hereof.

                  SECTION 7.03.  General Indemnity by the Stockholders.  Subject
to the terms and conditions of this Article VII, the  Stockholders  agree to and
will,  jointly and severally,  indemnify,  defend and hold the Purchaser and the
Company (together with their respective directors,  officers, employees, agents,
stockholders  and  affiliates)  harmless  from and against all demands,  claims,
actions or causes of action, assessments,  losses, damages,  liabilities,  costs
and expenses,  including without limitation  interest,  penalties and reasonable
attorneys'  fees  and  expenses  (hereinafter  collectively  called  "Damages"),
asserted  against,  resulting to, imposed upon or incurred by the Company or the
Purchaser (or such other  parties) by reason of,  resulting  from or arising out
of:

                                       27

<PAGE>

                   (i) a  breach  of  any  representation  or  warranty  of  any
         Stockholder contained in or made pursuant to this Agreement,  except as
         and to the extent that Section 7.02 above shall be applicable  thereto,
         in which case the provisions of said section shall govern;

                  (ii)  any  breach  of  any   covenant  or   agreement  of  any
         Stockholder contained in or made pursuant to this Agreement;

                  (iii)   any   claims,   actions,   suits,   proceedings,    or
         investigations  described in Schedule 2.12 hereof,  or any other claim,
         action, suit,  proceeding,  or investigation against the Company or the
         Stockholders,  whether  known or unknown as of the Closing Date, to the
         extent  arising from an event  occurring or a claim arising on or prior
         to the Closing  Date  (including,  without  limitation,  any claims for
         severance or other  employment-related  benefits by any employee of the
         Company beyond those specifically  assumed by the Purchaser pursuant to
         the Employment Agreements, the Transition Agreements and the Releases);
         or

                  (iv)  any   liabilities  or  obligations  of  any  nature  and
         howsoever  arising  (whether  arising  before,  on or after the Closing
         Date, whether known or unknown, secured, unse cured, absolute, accrued,
         contingent  or  otherwise,  and  whether  due or to become  due) to the
         extent  the same  relate to the  business  conducted  by HIIT or to the
         so-called  "Intercare" business conducted by the Company on or prior to
         the Closing Date,  other than any  liabilities  or  obligations  of the
         Company  specifically listed on the Closing Balance Sheet or the Backup
         Materials.

                  SECTION 7.04.  General Indemnity by the Purchaser.  Subject to
the terms and  conditions of this Article VII, the Purchaser  agrees to and will
indemnify,  defend and hold the  Stockholders  (together  with their  respective
directors,  officers,  employees,  agents, stockholders and affiliates) harmless
from and against all Damages  asserted  against,  resulting to,  imposed upon or
incurred by the  Stockholders  (or such other  parties) by reason of,  resulting
from or arising out of:

                  (i)    a  breach  of any  representation  or  warranty  of the
         Purchaser contained in or made pursuant to this Agreement,

                  (ii) any breach of any covenant or agreement of the  Purchaser
         contained in or made pursuant to this Agreement or

                  (iii)  any   liabilities   or   obligations   of  the  Company
         specifically  listed  on  the  Closing  Balance  Sheet  or  the  Backup
         Materials.

                  SECTION 7.05. Third Party Claims.  The respective  obligations
and liabilities of the Stockholders,  on the one hand, and the Purchaser, on the
other hand (herein  sometimes  called the  "indemnifying  party"),  to the other
(herein  sometimes  called the  "party to be  indemnified"  or 

                                       28

<PAGE>

the  "indemnified  party")  under  Sections 7.03 and 7.04 hereof with respect to
claims  resulting  from the  assertion of liability  by third  parties  shall be
subject to the following terms and conditions:

                  (a) Within 30 days after receipt of notice of  commencement of
any  action  or the  assertion  of any claim by a third  party,  the party to be
indemnified  shall give the  indemnifying  party written notice thereof together
with a copy of such  claim,  process  or other  legal  pleading  (provided  that
failure so to notify the  indemnifying  party of the assertion of a claim within
such period shall not affect its indemnity obligation hereunder except as and to
the extent that such failure shall adversely  affect the defense of such claim),
and the indemnifying party shall have the right to undertake the defense thereof
by representatives of its own choosing.

                  (b) In the event that the indemnifying  party, by the 30th day
after  receipt  of notice of any such claim (or,  if  earlier,  by the tenth day
preceding  the day on which an answer or other  pleading must be served in order
to prevent  judgment by default in favor of the person  asserting  such  claim),
does not elect to defend against such claim,  the party to be  indemnified  will
(upon further notice to the indemnifying  party) have the right to undertake the
defense,  compro  mise or  settlement  of such  claim on  behalf  of and for the
account  and  risk  of the  indemnifying  party,  subject  to the  right  of the
indemnifying  party to assume  the  defense  of such  claim at any time prior to
settlement, compromise or final determination thereof.

                  (c)   Anything   in  this   Section   7.05  to  the   contrary
notwithstanding,  (i) if  there is a  reasonable  probability  that a claim  may
materially  and  adversely  affect the party to be indem  nified other than as a
result of money damages or other money  payments,  the  indemnified  party shall
have the right, at its own cost and expense, to compromise or settle such claim,
but (ii) the party to be  indemnified  shall  not,  without  the  prior  written
consent of the indemnifying  party, settle or compromise any claim or consent to
the entry of any  judgment  which  does not  include  as an  unconditional  term
thereof the giving by the claimant or the plaintiff to the indemnifying  party a
release from all liability in respect of such claim.

                  (d) In connection with any such indemnification,  the party to
be indemnified  will cooperate in all  reasonable  requests of the  indemnifying
party.

                  SECTION  7.06.  Procedure.  In the event  that a party  incurs
Damages  or  Taxes  for  which  it in good  faith  believes  it is  entitled  to
indemnification  under this Article VII, and the  procedure set forth in Section
7.05 is not applicable,  then at any time after incurring or paying such Damages
or Taxes,  such  party  shall  notify  the  Purchaser  or the  Stockholders,  as
applicable, of such payment or incurrence in writing and request that such party
or parties pay to it the amount of such  Damages or Taxes.  Within 30 days after
receiving  such a written  request,  the party or parties from whom indemnity is
sought  shall,  in good  faith,  either (i) pay the amounts so  requested  to be
indemnified  or (ii) notify the party seeking  indemnification  that it does not
intend to pay such amounts, in which case the party seeking  indemnification may
pursue any and all lawful remedies in respect of its claims.

                                       29

<PAGE>

                  SECTION  7.07.  Remedies  Limited.  From and after the Closing
Date, the  indemnification  provisions of this Article VII shall be the sole and
exclusive contractual remedy of the parties hereto with respect to any breach of
this  Agreement;  provided that the  foregoing  shall not prohibit any claim for
injunctive or non-monetary equitable relief.

                  SECTION 7.08.  Limited Y2K Indemnity.  (a) The Purchaser shall
have no right of indemnification for Damages to the extent the same arise out of
or relate to the Y2K problem, other than for a breach of the representations set
forth  in  the  proviso  to  Section  2.25  of  this  Agreement  and  except  as
specifically provided in this Section 7.08.

                  (b)      In the event that:

         (i)      between  the  Closing  Date  and June 30,  1999,  a client  or
                  clients   (each  a  "Terminat  ing  Client")  of  the  Company
                  terminate their respective contracts with the Company;

         (ii)     the  principal  grounds for  termination  of such  Terminating
                  Client's  contract is the failure of the Company to abide by a
                  representation  or  warranty  (whether  oral  or  written  and
                  whether set forth on Schedule 2.25 or otherwise),  made by the
                  Company on or prior to the Closing Date,  relating to the date
                  prior to which the Company's  systems or services would be Y2K
                  compliant; and

         (iii)    the  aggregate  revenues  of all  Terminating  Clients for the
                  twelve months ended September 30, 1998 exceeded $500,000;

then the Stockholders shall jointly and severally pay to the Purchaser an amount
equal to 40% of (i) the "net sales" (computed in accordance with the "net sales"
shown on the "Schedule of Financial  Services Customer  Agreements"  appended to
Schedule 2.08(d) hereof) generated by each such Terminating  Client in the month
prior to the termination of such Terminating  Client's  contract,  multiplied by
(ii) eighteen.

                  (c) The Stockholders jointly and severally agree to indemnify,
defend and hold  harmless the Purchaser and the Company from and against any and
all  Damages  resulting  from claims by any clients of the Company to the extent
that such claims relate to an actual or alleged  failure of the Company to abide
by a representation  or warranty  (whether oral or written and whether set forth
on Schedule 2.25 or  otherwise),  made by the Company on or prior to the Closing
Date,  relating  to the date prior to which the  Company's  systems or  services
would be Y2K compliant.

                  (d)  In no  event  shall  the  Stockholders  be  obligated  to
indemnify  the  Purchaser  and/or the Company  under this  Section  7.08 for any
amounts in excess of $1,000,000 in the aggregate.

                                       30

<PAGE>

                                  ARTICLE VIII.

                           TERMINATION AND ABANDONMENT

                  SECTION 8.01.  Termination.  This Agreement may be terminated 
at any time prior to the Closing:

                  (a)      by the mutual consent of  the  Stockholders  and the 
         Purchaser;

                  (b)  by a  "Breaching  Party"  (as  defined  in  Section  9.10
         hereof),  subject to the terms  (including the payment  obligations) of
         Section 9.10; or

                  (c) by the Purchaser, on the one hand, or the Stockholders, on
         the other  hand,  if the Closing  shall not have  occurred on or before
         November  30,  1998 or such  later  date as may be  agreed  upon by the
         parties hereto,  provided,  however,  that the right to termi nate this
         Agreement  under this clause (c) shall not be available to any party (a
         "Defaulting  Party") whose failure to fulfill any obligation under this
         Agreement  has been the  cause of or  resulted  in the  failure  of the
         Closing to occur on or before such date.

If the Closing shall not have occurred,  or this  Agreement  shall not have been
terminated  in accordance  with this Section  8.01,  by December 31, 1998,  this
Agreement shall automatically  terminate on said date, provided,  however,  that
such  termination  shall not affect the  liability  hereunder of any  Defaulting
Party.

                  SECTION  8.02.  Procedure  and Effect of  Termination.  In the
event of  termination  of this  Agreement and  abandonment  of the  transactions
contemplated hereby by any or all of the parties pursuant to Section 8.01 above,
written  notice  thereof  shall  forthwith be given to the other parties to this
Agreement  (other than in the event of an automatic  termination  as provided in
such Section) and this Agreement  (except for this Section and Sections 8.01 and
9.01,  which shall continue) shall terminate and the  transactions  contemplated
hereby shall be abandoned,  without further action by any of the parties hereto.
If this Agreement is terminated as provided in this Agreement:

                  (a) the parties hereto will promptly  redeliver all documents,
         work  papers and other  material  of any other  party  relating  to the
         transactions  contemplated hereby, whether obtained before or after the
         execution hereof, to the party furnishing the same; and

                  (b) no party shall have any liability or further obligation to
         any other party to this Agreement  pursuant to this Agreement except as
         provided in this Article VIII.

                                       31

<PAGE>

                                   ARTICLE IX.

                                  MISCELLANEOUS

                  SECTION  9.01.  Expenses,  Etc.  (a)  Subject to Section  9.10
hereof,  all costs and expenses,  including fees and  disbursements  of counsel,
advisors,   accountants  and  consultants,   incurred  in  connection  with  the
negotiation,  preparation,  execution  and  delivery of this  Agreement  and the
closing of the  transactions  contemplated  hereby  (collectively,  "Expenses"),
shall be paid by the party incurring such Expenses.  All transfer,  documentary,
stamp and other similar  taxes,  if any, in connection  with the transfer of the
Shares  as  provided  herein  shall  be  borne  by the  Stockholder  selling  or
exchanging such Shares.

                  (b) The Stockholders,  on the one hand, and the Purchaser,  on
the other hand,  will  indemnify the other and hold it or them harmless from and
against any claims for finders' fees or brokerage  commissions in relation to or
in  connection  with  such   transactions  as  a  result  of  any  agreement  or
understanding between such indemnifying party and any third party.

                  SECTION 9.02.  Execution in Counterparts.  For the convenience
of the parties, this Agreement may be executed in one or more counterparts, each
of which shall be deemed an original, but all of which together shall constitute
one and the same instrument.

                  SECTION 9.03.  Notices.  All notices which are required or may
be given pursuant to the terms of this  Agreement  shall be in writing and shall
be sufficient and deemed to be received if (i) delivered personally, (ii) mailed
by registered or certified mail,  return receipt  requested and postage prepaid,
or (iii) sent via a nationally  recognized  overnight  courier service,  in each
case as follows:

         if to the Purchaser, to:

                  MEDE AMERICA Corporation
                  Suite 501
                  90 Merrick Avenue
                  East Meadow, New York  11554
                  Attention:  Thomas P. Staudt

         with a copy to:

                  Reboul, MacMurray, Hewitt,
                     Maynard & Kristol

                  45 Rockefeller Plaza
                  New York, New York  10111
                  Attention:  Mark J. Tannenbaum, Esq.

                                       32

<PAGE>

         if to any Stockholder,  to the address appearing under the name of such
         Stockholder in Schedule I hereto, and in each case with a copy to:

                  Thompson Coburn
                  One Mercantile Center
                  Suite 3500
                  St. Louis, Missouri  63101

                  Attention:  Donald B. Dorwart, Esq.

or such other address or addresses as the Stockholders,  on the one hand, or the
Purchaser,  on the other hand, shall have designated by notice in writing to the
other.

                  SECTION 9.04.  Waivers.  Either the  Stockholders,  on the one
hand, or the Purchaser,  on the other hand, may, by written notice to the other,
(i)  extend  the time for the  performance  of any of the  obligations  or other
actions of the other under this  Agreement,  (ii) waive any  inaccuracies in the
representations or warranties of the other contained in this Agreement or in any
document delivered  pursuant to this Agreement,  (iii) waive compliance with any
of the conditions or covenants of the other contained in this Agreement, or (iv)
waive  performance of any of the  obligations of the other under this Agreement.
Except as provided in the preceding  sentence,  no action taken pursuant to this
Agreement,  including,  without limitation, any investigation by or on behalf of
any  party,  shall be deemed to  constitute  a waiver by the party  taking  such
action  of  compliance  with  any  representations,   warranties,  covenants  or
agreements  contained  in this  Agreement.  The waiver by any party  hereto of a
breach of any provision of this Agreement shall not operate or be construed as a
waiver of any subsequent breach.

                  SECTION 9.05. Amendments,  Supplements,  Etc. At any time this
Agreement may be amended or supplemented by such additional agreements, articles
or  certificates,  as may be determined  by the parties  hereto to be necessary,
desirable or expedient to further the purposes of this Agreement,  or to clarify
the intention of the parties hereto, or to add to or modify the covenants, terms
or conditions  hereof or to effect or facilitate  any  governmental  approval or
acceptance of this  Agreement or to effect or facilitate the filing or recording
of this Agreement or the  consummation of any of the  transactions  contemplated
hereby. Any such instrument must be in writing and signed by all parties hereto.

                  SECTION 9.06. Entire Agreement.  This Agreement,  its Exhibits
and  Schedules  and the  documents  executed on the Closing  Date in  connection
herewith,  constitute  the entire  agreement  between  the  parties  hereto with
respect to the subject  matter  hereof and supersede  all prior  agreements  and
understandings, oral and written, between the parties hereto with respect to the
subject matter hereof.

                  SECTION 9.07. APPLICABLE LAW. THIS AGREEMENT SHALL BE GOVERNED
BY AND CONSTRUED IN ACCORDANCE WITH THE LAWS OF THE STATE OF NEW YORK, EXCLUSIVE

OF THE CONFLICTS OF LAWS PROVISIONS THEREOF.

                                       33

<PAGE>

                  SECTION 9.08. Binding Effect;  Benefits.  This Agreement shall
inure to the  benefit  of and be  binding  upon the  parties  hereto  and  their
respective successors and permitted as signs. Notwithstanding anything contained
in this  Agreement  to the  contrary,  nothing in this  Agreement,  expressed or
implied,  is intended to confer on any person  other than the parties  hereto or
their respective  successors and assigns, any rights,  remedies,  obligations or
liabilities under or by reason of this Agreement.

                  SECTION 9.09.  Assignability.  Neither this Agreement nor any 
of the parties' rights hereunder shall be assignable by any party hereto without
the prior written consent of the other parties hereto.

                  SECTION 9.10.  Pre-Closing Breach.

                  (a)  Between the date  hereof and the  Closing  Date,  if as a
result of any  investigation  by any party or any  information  disclosed  to or
discovered by such party prior to the Closing Date,  such party  determines that
any  representation  or warranty of another party hereunder is not true, or that
any  covenant  of  another  party (in either  case,  the  "Breaching  Party") is
impracticable or impossible of performance (a "Pre-Closing  Breach"),  the party
making  such  determination  will use  reasonable  efforts  to  communicate  the
existence of a possible  Pre-Closing  Breach to the  Breaching  Party.  Promptly
after learning of any Pre-Closing Breach, the Breaching Party shall use its best
efforts to remedy or cure the same;  provided  that,  in the event the Breaching
Party determines that the cost of remedying such  Pre-Closing  Breach is greater
than $100,000 or that such  Pre-Closing  Breach cannot be remedied  prior to the
Closing  Date,  the  Breaching  Party  may  terminate  this  Agreement  and  its
obligations  hereunder by paying all fees, expenses and internal allocated costs
of  each  other  party  hereto  relating  to  the   negotiation,   execution  or
implementation  of the acquisition  contemplated  hereby. As of the date hereof,
the total of such costs for the  Purchaser  is $150,000.  Any party  entitled to
reimbursement for fees,  expenses and costs (whether arising before or after the
date hereof) shall submit reasonably  detailed  supporting  documentation to the
Breaching Party.

                  (b)  Nothing  in  paragraph  (a)  above  shall   restrict  the
requirement  that the Breaching  Party either  satisfy or obtain a waiver of all
conditions  precedent  set forth in Section 6.01 or Section 6.02 hereof,  as the
case may be, in order to cause the Purchaser or the  Stockhold  ers, as the case
may be, to be obligated to consummate the transactions contemplated hereby

                  (c) Notwithstanding anything to the contrary set forth in this
Agreement,  no  investigation  or acquisition of  information  (whether  actual,
alleged or imputed) by any party  hereto shall in any way operate as a waiver of
the representations, warranties and covenants made to or for the benefit of such
party in this Agreement.  In addition to and without  limiting the generality of
the foregoing, after the Closing Date any actual or alleged failure by any party
hereto to disclose a Pre-Closing Breach shall in no way restrict such party from
seeking  indemnification  or any  other  available  remedy  hereunder  for  such
Pre-Closing Breach.

                                       34

<PAGE>

                  IN WITNESS WHEREOF,  this Agreement has been duly executed and
delivered by the parties hereto as of the day and year first above written.

                                        MEDE AMERICA CORPORATION

                                        By                                  

                                          ----------------------------------
                                                  Richard P. Bankosky
                                                Chief Financial Officer

                                        STOCKHOLDERS:

                                        RIGHTCHOICE MANAGED CARE, INC.

                                        By                                  

                                          ----------------------------------
                                        Name:
                                        Title:

                                        GENERAL AMERICAN LIFE INSURANCE COMPANY

                                        By                                  

                                          ----------------------------------
                                        Name:
                                        Title:

                                       35

<PAGE>

<TABLE>
<CAPTION>

                                                    SCHEDULE I, PART B

<S>                                         <C>               <C>               <C>                <C>             <C>
                                            A Common          B Common          C Common           Preferred       Initial Cash
Name and Address of Stockholder             Shares            Shares            Shares             Shares          Payment
- -------------------------------             -------------     -------------     -------------      -----------     --------------
RightCHOICE Managed Care, Inc.                         0            35,000          10,000.5           31,250          $5,600,000
1831 Chestnut
St. Louis, Missouri 63103
Attn: Sandra Van Trease

General American Life Insurance Company           35,000                 0          10,000.5           31,250          $5,600,000
13045 Tesson Ferry Road
St. Louis, Missouri 63128
Attn: Michael P. Ingrassia

</TABLE>



Subsidiaries of the Registrant:

               MEDE America Corporation of Ohio
               Healthcare Interchange, Inc.




                                                                   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. 5 to Registration Statement No. 333-55977
of MEDE  America  Corporation  on Form S-1 of our  report  dated  August 5, 1998
(October 7, 1998 as to Note 6.b.,  October  30, 1998 as to Note 14 and  December
11, 1998 as to Note 13) (which expresses an unqualified  opinion and includes an
explanatory paragraph relating to the restatement described in Note 13) relating
to the consolidated  financial statements of MEDE America Corporation as of June
30, 1997 and 1998 and for each of the three  years in the period  ended June 30,
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.

DELOITTE & TOUCHE LLP

   
Jericho, New York
December 23, 1998
    


                                                                   EXHIBIT 23.2

                         INDEPENDENT AUDITORS' CONSENT

MEDE America Corporation
East Meadow, New York

   
We  consent  to  the  use  in  Amendment  No.  5  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
December 23, 1998
    


   

                                                                    EXHIBIT 23.3

                         INDEPENDENT AUDITORS' CONSENT

The Board of Directors
HealthCare Interchange, Inc.:

We  consent  to the use,  in  Amendment  No.  5 to  registration  statement  No.
333-55977 on Form S-1 of MEDE America  Corporation,  of our audit report,  dated
September  8, 1998,  except as to notes 3 and 15,  which are as of  October  30,
1998, on the  consolidated  balance sheet of  HealthCare  Interchange,  Inc. and
subsidiary  as of June  30,  1998 and the  related  consolidated  statements  of
operations,  stockholders'  equity (deficit),  and cash flows for the nine-month
period ended June 30, 1998, which report appears in the Form S-1 of MEDE America
Corporation  dated  December 23, 1998 and to the reference to our firm under the
heading "Experts" in the prospectus.

                                                           KPMG Peat Marwick LLP

St. Louis, Missouri
December 23, 1998
    



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