MED E AMERICA CORP
S-1/A, 1998-07-22
COMPUTER PROCESSING & DATA PREPARATION
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     AS FILED WITH THE SECURITIES AND EXCHANGE COMMISSION ON JULY 22, 1998

                                                   REGISTRATION NO. 333 - 55977
    
================================================================================
                      SECURITIES AND EXCHANGE COMMISSION
                            WASHINGTON, D.C. 20549
                               -----------------
   
                                AMENDMENT NO. 2
    
                                      TO
                                   FORM S-1
                            REGISTRATION STATEMENT
                                     UNDER
                           THE SECURITIES ACT OF 1933
                               -----------------
                           MEDE AMERICA CORPORATION
            (Exact name of registrant as specified in its charter)

   
<TABLE>
<S>                                   <C>                              <C>
                DELAWARE                          7374                              11-3270245
  (State or other jurisdiction of     (Primary Standard Industrial     (I.R.S. Employer Identification No.)
   incorporation or organization)      Classification Code Number)
</TABLE>
    

                         90 MERRICK AVENUE, SUITE 501
                          EAST MEADOW, NEW YORK 11554
                                (516) 542-4500
       (Address, including zip code, and telephone number, including area
               code, of registrant's principal executive offices)
                               -----------------
                            DAVID M. GOLDWIN, ESQ.
                                GENERAL COUNSEL
                           MEDE AMERICA CORPORATION
                         90 MERRICK AVENUE, SUITE 501
                          EAST MEADOW, NEW YORK 11554
                                (516) 542-4500
 (Name, address, including zip code, and telephone number, including area code,
                              of agent for service)
                               -----------------
                                  COPIES TO:

<TABLE>
<S>                                   <C>
           MARK J. TANNENBAUM, ESQ.        FREDERICK W. KANNER, ESQ.
         REBOUL, MACMURRAY, HEWITT,          DEWEY BALLANTINE LLP
             MAYNARD & KRISTOL           1301 AVENUE OF THE AMERICAS
            45 ROCKEFELLER PLAZA              NEW YORK, NY 10019
             NEW YORK, NY 10111                (212) 259-8000
               (212) 841-5700
</TABLE>
APPROXIMATE  DATE OF  COMMENCEMENT  OF PROPOSED  SALE TO THE PUBLIC:  As soon as
practicable after this Registration Statement becomes effective.

     If any of the securities being registered on this Form are to be offered on
a delayed or continuous  basis  pursuant to Rule 415 under the Securities Act of
1933, check the following box: [ ] 

     If this Form is filed to  register  additional  securities  for an offering
pursuant to Rule 462(b) under the Securities Act, please check the following box
and list  the  Securities  Act  registration  statement  number  of the  earlier
effective registration statement for the same offering. [ ]

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

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

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

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

     THE REGISTRANT  HEREBY AMENDS THIS  REGISTRATION  STATEMENT ON SUCH DATE OR
DATES AS MAY BE NECESSARY TO DELAY ITS EFFECTIVE DATE UNTIL THE REGISTRANT SHALL
FILE A FURTHER  AMENDMENT  WHICH  SPECIFICALLY  STATES  THAT  THIS  REGISTRATION
STATEMENT SHALL  THEREAFTER  BECOME EFFECTIVE IN ACCORDANCE WITH SECTION 8(A) OF
THE SECURITIES  ACT OF 1933 OR UNTIL THIS  REGISTRATION  STATEMENT  SHALL BECOME
EFFECTIVE  ON SUCH  DATE  AS THE  SECURITIES  AND  EXCHANGE  COMMISSION,  ACTING
PURSUANT TO SAID SECTION 8(A), MAY DETERMINE.
================================================================================
<PAGE>
   
                  SUBJECT TO COMPLETION, DATED JULY 22, 1998
    
PROSPECTUS
   
                               3,600,000 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
$13.00 and $15.00 per share. See "Underwriting" for information  relating to the
factors to be considered in determining the initial public  offering price.  The
Company  intends  to apply to have  the  Company's  Common  Stock  approved  for
quotation on the Nasdaq National Market under the symbol "MEDE."

                              ------------------
<TABLE>
<S>                                  <C>                                       
SEE "RISK FACTORS" BEGINNING ON PAGE 9 FOR A DISCUSSION OF CERTAIN FACTORS THAT
SHOULD BE CONSIDERED BY PROSPECTIVE PURCHASERS OF THE COMMON STOCK OFFERE HEREBY.
     THESE SECURITIES HAVE NOT BEEN APPROVED OR DISAPPROVED BY THE SECURI-
       TIES AND EXCHANGE COMMISSION OR ANY OTHER STATE SECURITIES COMMIS-
           SION NOR HAS THE SECURITIES AND EXCHANGE COMMISSION OR ANY
             STATE SECURITIES COMMISSION PASSED UPON THE ACCURACY OR
                 ADEQUACY OF THIS PROSPECTUS. ANY REPRESENTATION
                     TO THE CONTRARY IS A CRIMINAL OFFENSE.
</TABLE>

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

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

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

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

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

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

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

SALOMON SMITH BARNEY
                             WILLIAM BLAIR & COMPANY
                                                    VOLPE BROWN WHELAN & COMPANY
      , 1998

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

<PAGE>



















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

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

<PAGE>
                              PROSPECTUS SUMMARY

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

                                  THE COMPANY

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

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

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

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

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

                                       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 "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, 1,000 hospitals and clinics and 14,000 physicians.  The Company's broad
and  diversified  client base provides it with  transaction-based  revenues that
tend to be recurring and  positions it to capitalize on the rapid  consolidation
taking place within the healthcare industry.

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

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

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

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

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

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

                                       4
<PAGE>
                                 THE OFFERING
<TABLE>
<S>                                         <C>             
COMMON STOCK OFFERED BY THE COMPANY..       3,600,000 shares

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

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

PROPOSED NASDAQ NATIONAL MARKET SYMBOL....  MEDE
</TABLE>

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

(2) Excludes (i) 1,250,000 shares of Common Stock issuable pursuant to the Medic
    Warrant (as defined herein) and (ii) 483,041 shares of Common Stock issuable
    upon the exercise of stock options outstanding as of June 30, 1998 under the
    MEDE AMERICA  Corporation and Its  Subsidiaries  Stock Option and Restricted
    Stock  Purchase Plan (the "Stock Plan"),  of which 212,758 are  exercisable.
    The weighted  average  exercise  price of all  outstanding  stock options is
    $4.84 per share.  See  "Recent  Developments"  and  "Management  -- Employee
    Benefit Plans."

                               RECENT DEVELOPMENTS

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

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

     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,   MSO;  and  PPMs.  Under  the
Processing  Agreement,  the Company will undertake certain software  development
obligations,  and from July 1, 1999 it will be the exclusive  processor (subject
to certain exceptions) for Medic's subscribers for medical  reimbursement claims
submitted to payors with whom MedE has or  establishes  connectivity.  Under the
Processing  Agreement,  the Company  will be entitled to certain  revenues to be
paid by  payors as well as  certain  fees to be paid by  Medic.  The  Processing
Agreement  sets  forth  detailed   performance   criteria  and  development  and
implementation  timetables. The Processing Agreement is for a fixed term of five
years, with annual renewals thereafter.

     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
Offering. The Medic Warrant vests over a two year period and may be exercised up
to five years after  issuance.  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
    

                                       5

<PAGE>



   
Medic and its  affilates 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.     

                                  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                         PRO FORMA(1)
                                                  ---------------------------------------------------- --------------
                                                        1995             1996              1997             1997
                                                  ---------------- ---------------- ------------------ --------------
                                                                 (IN THOUSANDS, EXCEPT PER SHARE DATA)
<S>                                               <C>              <C>              <C>                <C>
STATEMENT OF OPERATIONS DATA:
 Revenues(3) ....................................    $ 16,246         $ 31,768          $  35,279        $  41,824
 Operating expenses:
  Operations ....................................       9,753           19,174             16,817           18,601
  Sales, marketing and client services ..........       3,615            7,064              8,769           10,450
  Research and development ......................       2,051            2,132              3,278            3,513
  General and administrative ....................       3,119            6,059              5,263            5,516
  Depreciation and amortization .................       2,995            5,176              5,293            7,062
  Write-down of intangible assets ...............       8,191 (4)        9,965 (5)             --               --
  Acquired in-process research and
    development(6) ..............................          --               --              4,354            4,354
  Other charges(7) ..............................       2,864              538              2,301            3,581
                                                     ---------        ---------         ---------        ---------
 Total operating expenses .......................      32,588           50,108             46,075           53,077
                                                     ---------        ---------         ---------        ---------
 Loss from operations ...........................     (16,342)         (18,340)           (10,796)         (11,253)
 Other (income) expense .........................          --              313               (893)            (893)
 Interest expense (income), net .................         189              584              1,504              356
                                                     ---------        ---------         ---------        ---------
 Loss before provision for income taxes .........     (16,531)         (19,237)           (11,407)         (10,716)
 Provision for income taxes .....................          70               93                 57               57
                                                     ---------        ---------         ---------        ---------
 Net loss .......................................     (16,601)         (19,330)           (11,464)         (10,773)
 Preferred stock dividends ......................         (27)          (2,400)            (2,400)              --
                                                     ---------        ---------         ---------        ---------
 Net loss applicable to common
  stockholders...................................    $(16,628)        $(21,730)         $ (13,864)       $ (10,773)
                                                     =========        =========         =========        =========
 Basic net loss per common share ................    $  (3.17)        $  (4.14)        $    (2.56)(8)    $   (1.18)
 Weighted average common shares
  outstanding - Basic ...........................       5,238            5,245              5,425            9,131
<CAPTION>
                                                                   NINE MONTHS
                                                                 ENDED MARCH 31,
                                                  ---------------------------------------------
                                                              ACTUAL               PRO FORMA(2)
                                                  ------------------------------- -------------
                                                      1997            1998             1998
                                                  ------------ ------------------ -------------
                                                      (IN THOUSANDS, EXCEPT PER SHARE DATA)
<S>                                               <C>          <C>                <C>
STATEMENT OF OPERATIONS DATA:
 Revenues(3) ....................................   $ 24,964       $  30,189         $31,835
 Operating expenses:
  Operations ....................................     12,104          12,485          12,730
  Sales, marketing and client services ..........      6,143           7,769           8,067
  Research and development ......................      2,455           2,886           2,929
  General and administrative ....................      3,340           3,307           3,468
  Depreciation and amortization .................      3,502           4,846           5,156
  Write-down of intangible assets ...............         --              --              --
  Acquired in-process research and
    development(6) ..............................      4,354              --              --
  Other charges(7) ..............................        990              --              --
                                                    --------       ---------         -------
 Total operating expenses .......................     32,888          31,293          32,350
                                                    --------       ---------         -------
 Loss from operations ...........................     (7,924)         (1,104)           (515)
 Other (income) expense .........................       (885)             13              13
 Interest expense (income), net .................        779           2,470            (134)
                                                    --------       ---------         -------
 Loss before provision for income taxes .........     (7,818)         (3,587)           (394)
 Provision for income taxes .....................         43              37              37
                                                    --------       ---------         -------
 Net loss .......................................     (7,861)         (3,624)           (431)
 Preferred stock dividends ......................     (1,800)         (1,800)             --
                                                    --------       ---------         -------
 Net loss applicable to common
  stockholders...................................   $ (9,661)      $  (5,424)        $  (431)
                                                    ========       =========         =======
 Basic net loss per common share ................  $   (1.81)     $    (0.96)(8)     $ (0.05)
 Weighted average common shares
  outstanding - Basic ...........................      5,345           5,677           9,277
</TABLE>
<PAGE>
<TABLE>
<CAPTION>
                                                          AS OF MARCH 31, 1998
                                                       ---------------------------
                                                          ACTUAL       AS ADJUSTED
                                                       ------------   ------------
<S>                                                    <C>            <C>
BALANCE SHEET DATA:
 Working capital ...................................    $   3,276        $ 7,889
 Total assets ......................................       54,179         58,363
 Long-term debt, including current portion .........       40,499          1,324
 Redeemable cumulative preferred stock .............       30,623             --
 Stockholders' equity (deficit) ....................      (25,337)        49,362
</TABLE>

<TABLE>
<CAPTION>
                                                                 YEAR ENDED JUNE 30,
                                               -------------------------------------------------------
                                                                ACTUAL                   PRO FORMA(1)
                                               ---------------------------------------- --------------
                                                    1995          1996         1997          1997
                                               ------------- ------------- ------------ --------------
                                                     (IN THOUSANDS, EXCEPT PER TRANSACTION DATA)
<S>                                            <C>           <C>           <C>          <C>
OTHER DATA:
 EBITDA(9) ...................................   $ (13,347)    $ (13,164)   $  (5,503)     $ (4,191)
 Adjusted EBITDA(9) ..........................      (2,292)       (2,052)       2,211         4,803
 Cash flows from operating activities ........      (3,561)       (1,653)      (4,020)           --
 Cash flows from investing activities ........     (22,074)       (4,919)     (12,221)           --
 Cash flows from financing activities ........      33,434           657       15,521            --
 Transactions processed(10)
  Pharmacy ...................................          --       107,032      126,201       145,903
  Medical ....................................          --        16,030       23,085        27,814
  Dental .....................................          --         6,021       12,188        12,188
                                                 ---------     ---------    ---------      --------
    Total transactions processed .............          --       129,083      161,474       185,905
 Transactions per FTE(10)(11) ................          --           322          415           478
 Revenue per FTE(11) .........................   $      48     $      79    $      91      $    108
 Operating expenses per transaction(10) ......          --           0.39         0.29          0.29
<CAPTION>
 
                                                                NINE MONTHS
                                                               ENDED MARCH 31,
                                               ---------------------------------------
                                                        ACTUAL            PRO FORMA(2)
                                               ------------------------- -------------
                                                   1997         1998          1998
                                               ------------ ------------ -------------
                                              (IN THOUSANDS, EXCEPT PER TRANSACTION DATA)
<S>                                            <C>          <C>          <C>
OTHER DATA:
 EBITDA(9) ...................................  $  (4,422)   $    3,742    $   4,641
 Adjusted EBITDA(9) ..........................        922         3,742        4,641
 Cash flows from operating activities ........     (2,991)       (3,842)          --
 Cash flows from investing activities ........    (11,630)      (11,630)          --
 Cash flows from financing activities ........     15,818        15,008           --
 Transactions processed(10)
  Pharmacy ...................................     88,463       136,685      140,234
  Medical ....................................     14,921        23,514       23,514
  Dental .....................................      8,759        10,767       10,767
                                                ---------    ----------    ---------
    Total transactions processed .............    112,143       170,966      174,515
 Transactions per FTE(10)(11) ................        293           478          487
 Revenue per FTE(11) .........................  $      65    $       84    $      89
 Operating expenses per transaction(10) ......        0.29          0.18         0.19
</TABLE>
                                                   (Footnotes on following page)

                                       7

<PAGE>

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

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

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

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

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

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

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

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

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

<TABLE>
<CAPTION>
                                                             YEAR ENDED JUNE 30,
                                            ------------------------------------------------------
                                                              ACTUAL                    PRO FORMA
                                            ------------------------------------------ -----------
                                                 1995           1996          1997         1997
                                            -------------- -------------- ------------ -----------
                                                                (IN THOUSANDS)
<S>                                         <C>            <C>            <C>          <C>
  EBITDA ..................................   $  (13,347)    $  (13,164)    $ (5,503)   $ (4,191)
  Contingent consideration paid to
    former owners of acquired busi-
    nesses ................................           --            538        2,301       2,301
  Write-down of intangible assets .........        8,191          9,965           --          --
  Acquired in-process research and
    development ...........................           --             --        4,354       4,354
  Expenses related to the CES spin-
    off ...................................        2,864             --           --          --
  Non-cash stock compensation .............           --             --           --       1,280
  Contract and legal settlement provi-
    sions .................................           --            609        1,059       1,059
                                              ----------     ----------     --------    --------
  Adjusted EBITDA .........................   $   (2,292)    $   (2,052)    $  2,211    $  4,803
                                              ==========     ==========     ========    ========
</TABLE>
<PAGE>
<TABLE>
<CAPTION>
                                                    NINE MONTHS ENDED
                                                        MARCH 31,
                                            ----------------------------------
                                                    ACTUAL           PRO FORMA
                                            ----------------------- ----------
                                                1997        1998       1998
                                            ------------ ---------- ----------
                                                      (IN THOUSANDS)
<S>                                         <C>          <C>        <C>
  EBITDA ..................................   $ (4,422)   $ 3,742    $ 4,641
  Contingent consideration paid to
    former owners of acquired busi-
    nesses ................................        990         --         --
  Write-down of intangible assets .........         --         --         --
  Acquired in-process research and
    development ...........................      4,354         --         --
  Expenses related to the CES spin-
    off ...................................         --         --         --
  Non-cash stock compensation .............         --         --         --
  Contract and legal settlement provi-
    sions .................................         --         --         --
                                              --------    -------    -------
  Adjusted EBITDA .........................   $    922    $ 3,742    $ 4,641
                                              ========    =======    =======
</TABLE>
- -----------
(10) Transaction  volumes are not  available  for the fiscal year ended June 30,
     1995.

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

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

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

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

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

     Except as otherwise  noted herein,  all  information in this Prospectus (i)
assumes no exercise of the Underwriters'  over-allotment option, (ii) assumes no
exercise of the Medic  Warrant  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  in lieu of having  such  dividends
convert into Common Stock.  Except as otherwise noted herein,  each reference in
this Prospectus to Common Stock issuable upon conversion of all of the Preferred
Stock assumes a conversion  price of $14.00.  Based on an aggregate  liquidation
preference  of the  Preferred  Stock of  $31,220,578  (including  $7,224,978  of
accrued  dividends) as of June 30, 1998,  2,229,982 shares of Common Stock would
be so issuable as of such date. In addition,  concurrently with the consummation
of the Offering, an additional 66,375 shares of Common Stock will be issued upon
the  exercise of all  outstanding  Common  Stock  purchase  warrants.  The Medic
Warrant to purchase  1,250,000 shares of Common Stock at the price to the public
in the Offering will remain  outstanding after the Offering.  Such conversion of
the  Preferred  Stock,  and exercise of warrants,  are referred to herein as the
"Recapitalization".   See  "Capitalization,"   "Description  of  Common  Stock,"
"Principal Stockholders" and "Underwriting."     

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

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

ACQUISITION STRATEGY; NEED FOR ADDITIONAL CAPITAL

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

INTEGRATION OF ACQUIRED BUSINESSES

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

                                       10

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

EVOLVING INDUSTRY STANDARDS AND RAPID TECHNOLOGICAL CHANGES

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

DEPENDENCE ON CONNECTIONS TO PAYORS

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

DEVELOPMENT OF EDI PROCESSING IN THE HEALTHCARE INDUSTRY

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

POTENTIAL VARIABILITY IN QUARTERLY OPERATING RESULTS

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

                                       11
<PAGE>
for  healthcare  services  generally;  the number,  timing and  significance  of
announcements  and  releases  of product  enhancements  and new  products by the
Company  and its  competitors;  the timing  and  significance  of  announcements
concerning the Company's present or prospective strategic alliances; the loss of
clients due to consolidation in the healthcare industry;  legislation or changes
in government  policies or regulations  relating to healthcare  EDI  processing;
delays in product  installation  requested  by clients;  the length of the sales
cycle or the timing of sales;  client  budgeting  cycles  and  changes in client
budgets; marketing and sales promotional activities;  software defects and other
quality factors; and general economic conditions.

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

PROPOSED HEALTHCARE DATA CONFIDENTIALITY LEGISLATION

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

COMPETITION

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

RISK OF INTERRUPTION OF DATA PROCESSING

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

YEAR 2000 COMPLIANCE

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

                                       12

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

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

DEPENDENCE ON KEY PERSONNEL

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

UNCERTAINTY AND CONSOLIDATION IN THE HEALTHCARE INDUSTRY

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

                                       13

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

DEPENDENCE ON INTELLECTUAL PROPERTY; RISK OF INFRINGEMENT

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

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

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

RISK OF PRODUCT DEFECTS

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

CONTROL BY EXISTING STOCKHOLDERS

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

                                       14
<PAGE>
proval,  including  the  election  of  directors  and  approval  of  significant
corporate  transactions.  Such  control  may  have  the  effect  of  delaying or
preventing  a change in control of the Company. The Company's Board of Directors
currently  includes  Thomas  E. McInerney and Anthony J. de Nicola, designees of
WCAS,  and Timothy M. Murray, a designee of WBCP. The funds affiliated with WCAS
may  be  deemed  to  be  controlled  by  their  respective general partners, the
general  partners  of  each  of  which  include  some  or  all  of the following
individuals:  Thomas  E.  McInerney  and  Anthony J. de Nicola, directors of the
Company,  Patrick  J.  Welsh,  Russell  L. Carson, Bruce K. Anderson, Richard H.
Stowe,  Andrew  M.  Paul,  Robert  A.  Minicucci,  Paul  B. Queally and Laura M.
VanBuren.  The  funds  affiliated  with  WBCP  may be deemed to be controlled by
their  respective  general  partners,  the  general  partners  of  which include
William  Blair  & Company L.L.C. and certain of its employees, including Timothy
E. Murray, a director of the Company.

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

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

POTENTIAL ADVERSE EFFECT OF ANTI-TAKEOVER PROVISIONS

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

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

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

                                       15

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

BENEFITS OF THE OFFERING TO CURRENT STOCKHOLDERS

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

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

    
IMMEDIATE AND SUBSTANTIAL DILUTION


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

ABSENCE OF DIVIDENDS

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

                                       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.
Currently,  the Company  processes  over 900,000  transactions  per day for over
65,000 providers  located in all 50 states.  The Company's  mission is to be the
leading provider of integrated  healthcare  transaction  processing  technology,
networks  and  databases,  enabling  its  clients to  improve  the  quality  and
efficiency of their services.

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

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















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

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


                                DIVIDEND POLICY

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













                                       19

<PAGE>
                                CAPITALIZATION

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

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

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

   
(3) Excludes (i) 1,250,000 shares of Common Stock issuable pursuant to the Medic
    Warrant and (ii) 483,041  shares of Common Stock  reserved for issuance upon
    exercise of stock options  outstanding under the Stock Plans, as of June 30,
    1998,  at a weighted  average  exercise  price of $4.84 per share,  of which
    212,758 are exercisable. See "Prospectus Summary -- Recent Developments" and
    "Management-Employee  Benefit Plans." Includes 66,375 shares of Common Stock
    issuable upon exercise of the Common Stock purchase warrants as contemplated
    by the Recapitalization. See "Description of Capital Stock."
    


                                       20
<PAGE>
                                   DILUTION

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

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

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

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

<TABLE>
<CAPTION>
                                      SHARES PURCHASED          TOTAL CONSIDERATION         AVERAGE
                                  ------------------------   --------------------------      PRICE
                                     NUMBER       PERCENT        AMOUNT        PERCENT     PER SHARE
                                  ------------   ---------   --------------   ---------   ----------
<S>                               <C>            <C>         <C>              <C>         <C>
Existing stockholders .........    7,932,917      68.8%      $28,325,000       36.0%      $ 3.57
New investors .................    3,600,000      31.2        50,400,000       64.0        14.00
                                   ---------     -----       -----------      -----
Total .........................   11,532,917     100.0%      $78,725,000      100.0%
                                  ==========     =====       ===========      =====
</TABLE>
     The foregoing tables assume no exercise of any outstanding stock options to
purchase  Common  Stock.  At March 31, 1998 there were 488,497  shares of Common
Stock  issuable  upon  the  exercise  of stock  options  outstanding  under  the
Company's Stock Plans, of which 212,083 were currently exercisable. Such options
have a weighted  average  exercise price of $4.83 per share.  To the extent such
options are exercised,  there will be further dilution to the new investors. See
"Capitalization,"  "Management -- Employee  Benefit Plans" and  "Description  of
Capital Stock." 

                                       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,  1997 and the nine  months  ended  March 31,  1998
include  adjustments  that give effect to (i) the acquisition of TCS in February
1997,   (ii)  the   acquisition  of  Stockton  in  November   1997,   (iii)  the
Recapitalization  and (iv) the  Offering,  as if they had occurred as of July 1,
1996.  The unaudited pro forma  consolidated  balance sheet as of March 31, 1998
gives  effect to (i) the  Recapitalization  and (ii) the Offering as if they had
occurred on such date.

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










                                       22
<PAGE>
           UNAUDITED PRO FORMA CONSOLIDATED STATEMENT OF OPERATIONS
                       FOR THE YEAR ENDED JUNE 30, 1997

                     (IN THOUSANDS, EXCEPT PER SHARE DATA)
<TABLE>
<CAPTION>
                                                                 ACTUAL
                                                ---------------------------------------
                                                    COMPANY      TCS(1)    STOCKTON(2)
                                                -------------- ---------- -------------
<S>                                             <C>            <C>        <C>
Revenues ......................................   $   35,279    $ 2,743      $ 3,802
Operating expenses:
 Operations ...................................       16,817      1,145          563
 Sales, marketing and client services .........        8,769        781          900
 Research and development .....................        3,278        132          103
 General and administrative ...................        5,263         93          160
 Depreciation and amortization ................        5,293         90          109

 Non-cash stock compensation ..................           --         --        1,280
 Contingent consideration paid to former
  owners of acquired businesses ...............        2,301         --           --
 Acquired in-process research and
  development .................................        4,354         --           --
                                                  ----------    -------      -------
Total operating expenses ......................       46,075      2,241        3,115
                                                  ----------    -------      -------
Income (loss) from operations .................      (10,796)       502          687
Other (income) expense ........................         (893)        --           --
Interest expense, net .........................        1,504         --          100
                                                  ----------    -------      -------
Income (loss) before provision for income
 taxes ........................................      (11,407)       502          587
Provision for income taxes ....................           57         --           --
                                                  ----------    -------      -------
Net income (loss) .............................      (11,464)       502          587
Preferred stock dividends .....................       (2,400)        --           --
                                                  ----------    -------      -------
Net income (loss) applicable to common
 stockholders .................................   $  (13,864)   $   502      $   587
                                                  ==========    =======      =======
Basic net loss per common share ...............   $    (2.56)
Weighted average common shares
 outstanding - Basic ..........................        5,425         --           --
</TABLE>
<PAGE>
<TABLE>
<CAPTION>
                                                 RECAPITALIZATION
                                                 AND ACQUISITIONS       PRO           OFFERING       PRO FORMA,
                                                    ADJUSTMENTS        FORMA        ADJUSTMENTS      AS ADJUSTED
                                                ------------------ ------------- ----------------- --------------
<S>                                             <C>                <C>           <C>               <C>
Revenues ......................................    $      --         $  41,824     $       --        $   41,824
Operating expenses:
 Operations ...................................           76 (3)        18,601             --            18,601
 Sales, marketing and client services .........           --            10,450             --            10,450
 Research and development .....................           --             3,513             --             3,513
 General and administrative ...................           --             5,516             --             5,516
 Depreciation and amortization ................        1,627 (4)         7,062                            7,062
                                                         (57)(5)
 Non-cash stock compensation ..................           --             1,280             --             1,280
 Contingent consideration paid to former
  owners of acquired businesses ...............           --             2,301             --             2,301
 Acquired in-process research and
  development .................................           --             4,354             --             4,354
                                                   ---------         ---------     ----------        ----------
Total operating expenses ......................       (1,646)           53,077             --            53,077
                                                   ---------         ---------     ----------        ----------
Income (loss) from operations .................       (1,646)          (11,253)            --           (11,253)
Other (income) expense ........................           --              (893)            --              (893)
Interest expense, net .........................        1,583 (6)         3,187         (2,831)(7)           356
                                                   ---------         ---------     ----------        ----------
Income (loss) before provision for income
 taxes ........................................       (3,229)          (13,547)         2,831           (10,716)
Provision for income taxes ....................           --                57             --                57
                                                   ---------         ---------     ----------        ----------
Net income (loss) .............................       (3,229)          (13,604)         2,831 (8)       (10,773)
Preferred stock dividends .....................        2,400 (9)            --             --                --
                                                   ---------         ---------     ----------        ----------
Net income (loss) applicable to common
 stockholders .................................    $    (829)        $ (13,604)    $    2,831        $  (10,773)
                                                   =========         =========     ==========        ==========
Basic net loss per common share ...............                                                      $    (1.18)
Weighted average common shares
 outstanding - Basic ..........................          106 (10)        5,531          3,600 (11)        9,131
</TABLE>
                                       23

<PAGE>
           UNAUDITED PRO FORMA CONSOLIDATED STATEMENT OF OPERATIONS
                   FOR THE NINE MONTHS ENDED MARCH 31, 1998
                     (IN THOUSANDS, EXCEPT PER SHARE DATA)

<TABLE>
<CAPTION>
                                                       ACTUAL
                                            ----------------------------
                                               COMPANY     STOCKTON(12)
                                            ------------- --------------
<S>                                         <C>           <C>
Revenues ..................................   $  30,189       $1,646
Operating expenses:
 Operations ...............................      12,485          216
 Sales, marketing and client services.            7,769          298
 Research and development .................       2,886           43
 General and administrative ...............       3,307          161
 Depreciation and amortization ............       4,846           54
Total operating expenses ..................      31,293          772
                                              ---------       ------
Income (loss) from operations .............      (1,104)         874
Other (income) expense ....................          13           --
Interest expense (income), net ............       2,470           27
                                              ---------       ------
Income (loss) before provision for
 income taxes .............................      (3,587)         847
Provision for income taxes ................          37           --
                                              ---------       ------
Net income (loss) .........................      (3,624)         847
Preferred stock dividends .................      (1,800)          --
                                              ---------       ------
Net income (loss) applicable to
 common stockholders ......................   $  (5,424)      $  847
                                              =========       ======
Basic net loss per common share ...........   $   (0.96)
Weighted average common shares
 outstanding - Basic ......................       5,677           --

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

                                       24
<PAGE>
       NOTES TO UNAUDITED PRO FORMA CONSOLIDATED STATEMENTS OF OPERATIONS

 DESCRIPTION OF ACQUISITIONS

     The  acquisitions of TCS and Stockton were accounted for using the purchase
    method of accounting  and,  accordingly,  the net assets  acquired have been
    recorded at estimated  fair value on their  respective  dates of acquisition
    and the historical  statement of operations  data of the Company reflect the
    results of operations of these  businesses  from their  respective  dates of
    acquisition.  The purchase  prices and the allocation of the purchase prices
    to the acquired assets are as follows:

<TABLE>
<CAPTION>
                                                         TCS       STOCKTON
                                                     ----------   ---------
                                                         (IN THOUSANDS)
<S>                                                  <C>          <C>
     Cash purchase price .........................    $11,645      $10,674
                                                      =======      =======
     Computer equipment ..........................    $   400      $   260
     Purchased client lists ......................         --          742
     Purchased software and technology ...........      2,619          968
     Goodwill ....................................      4,092        8,704
     In-process research and development .........      4,354           --
                                                      -------      -------
                                                      $11,645      $10,674
                                                      =======      =======
</TABLE>
      The Company is also contingently liable for additional consideration of up
     to  $2,600,000  (plus  interest at an annual  rate of 7.25%) if  Stockton's
     revenue  during the 12-month  period ending  September 30, 1998 is at least
     $5,000,000.  No accrual has been made for the  contingent  liability  as of
     March 31, 1998. Such contingent consideration will be treated as additional
     purchase  price and will,  therefore,  be added to goodwill  when and if it
     becomes accruable.

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

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

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

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

 (4) Represents adjustments for amortization expense related to the acquisitions
     of TCS and Stockton as if they had occurred July 1, 1996, as follows:
<TABLE>
<CAPTION>
                                                              YEAR ENDED               NINE MONTHS ENDED
                                                            JUNE 30, 1997               MARCH 31, 1998
                                                   --------------------------------   ------------------
                                                     TCS      STOCKTON      TOTAL          STOCKTON
                                                   -------   ----------   ---------   ------------------
                                                                      (IN THOUSANDS)
<S>                                                <C>       <C>          <C>         <C>
     Purchased client lists ....................    $ --        $ 148      $  148            $  55
     Purchased software and technology .........     509          194         703               73
     Goodwill ..................................     341          435         776              163
                                                    ----        -----      ------            -----
                                                    $850        $ 777      $1,627            $ 291
                                                    ====        =====      ======            =====
</TABLE>
 (5) Represents  the  elimination  of  depreciation  and  amortization  expenses
     relating to assets of Stockton that were not acquired.

                                       25

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

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

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

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

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


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


                                       26
<PAGE>
                 UNAUDITED PRO FORMA CONSOLIDATED BALANCE SHEET

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

                                       27
<PAGE>

            NOTES TO UNAUDITED PRO FORMA CONSOLIDATED BALANCE SHEET

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

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

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

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




                                       28
<PAGE>
                     SELECTED CONSOLIDATED FINANCIAL DATA

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

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

 Basic net loss per common share ......................    $  (3.17)        $  (4.14)        $    (2.56)(6)

 Weighted average common shares outstanding-Basic .....       5,238            5,245              5,425

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

 Basic net loss per common share ......................  $   (1.81)     $    (0.96)(6)

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

                                       29
<PAGE>
<TABLE>
<CAPTION>
                                                                                                            NINE MONTHS
                                                                 YEAR ENDED JUNE 30,                      ENDED MARCH 31,
                                                    ---------------------------------------------   ---------------------------
                                                         1995            1996            1997            1997           1998
                                                    -------------   -------------   -------------   -------------   -----------
                                                                    (IN THOUSANDS, EXCEPT PER TRANSACTION DATA)
<S>                                                 <C>             <C>             <C>             <C>             <C>
OTHER DATA:
 EBITDA (7) .....................................     $ (13,347)      $ (13,164)      $  (5,503)      $  (4,422)     $   3,742
 Adjusted EBITDA (7) ............................        (2,292)         (2,052)          2,211             922          3,742

 Cash flows from operating activities ...........        (3,561)         (1,653)         (4,020)         (2,991)        (3,842)
 Cash flows from investing activities ...........       (22,074)         (4,919)        (12,221)        (11,630)       (11,630)
 Cash flows from financing activities ...........        33,434             657          15,521          15,818         15,008

 Transactions processed(8)
  Pharmacy ......................................            --         107,032         126,201          88,463        136,685
  Medical .......................................            --          16,030          23,085          14,921         23,514
  Dental ........................................            --           6,021          12,188           8,759         10,767
                                                      ---------       ---------       ---------       ---------      ---------
   Total transactions processed .................            --         129,083         161,474         112,143        170,966
 Transactions per FTE (8)(9) ....................            --             322             415             293            478
 Revenue per FTE (9) ............................     $      48       $      79       $      91       $      65      $      84
 Operating expenses per transaction (8) .........            --             0.39            0.29            0.29           0.18
</TABLE>

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


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

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

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

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

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

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

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

                                       30
<PAGE>
                    MANAGEMENT'S DISCUSSION AND ANALYSIS OF
                 FINANCIAL CONDITION AND RESULTS OF OPERATIONS

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

OVERVIEW

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

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

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

                                       31
<PAGE>
     The following  table  summarizes  the Company's  acquisitions  and divested
products and operations:

<TABLE>
<CAPTION>
                                                        PRIMARY PRODUCTS        DIVESTED PRODUCTS
                           DATE                           OF FOUNDING/             OF FOUNDING/        DATE
FOUNDING COMPANIES       ACQUIRED         MARKET         ACQUIRED COMPANY        ACQUIRED COMPANY    DIVESTED
<S>                     <C>           <C>         <C>                         <C>                   <C>
                         4/94(1)        Medical   Eligibility Verification,   --                        --
 MedE America, Inc.                               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                         --                        --
==============================================================================================================
</TABLE>

 (1) Represents date acquired by CES.

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

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

                                       32
<PAGE>
     In October 1995, the Company acquired two commonly-owned  companies,  EC&F,
an all payor  EDI  dental  claims  processor,  and  Premier,  a dental  practice
management  software vendor.  The acquisitions  were funded with an initial cash
payment of $4,050,000,  including transaction  expenses,  and contingent earnout
payments  based on the  achievement of certain EBITDA growth targets by the EC&F
business over three  one-year  periods ending on September 30, 1998. The Company
recorded expenses of $538,000 during fiscal year 1996 relating to the first such
period and an aggregate $2,301,000 during fiscal year 1997 primarily relating to
the  second  and third such  periods.  The  Company  does not  believe  that any
additional  amounts will be payable pursuant to this earn-out  arrangement.  The
acquisitions  of EC&F and Premier were  accounted for under the purchase  method
and the Company  recorded total intangible  assets of $4,350,000,  consisting of
$764,000 of  software,  and  $3,586,000  of goodwill.  The Company  generally is
amortizing  the software over three years and is amortizing the goodwill over 20
years.  The Company sold Premier in January 1997 for a cash payment of $388,000.
There was no gain or loss on the sale of Premier.

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

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

           ESTIMATED RESEARCH AND DEVELOPMENT EXPENSE (IN THOUSANDS)

<TABLE>
<CAPTION>
                          WORKERS COMP.     HCFA 1500     PHARMACY     TOTAL
                         ---------------   -----------   ----------   ------
<S>                      <C>               <C>           <C>          <C>
Fiscal 1997 ..........         $ 58            $ 70         $ 65       $193
Fiscal 1998 ..........           80              97           90        267
                               ----            ----         ----       ----
 Total ...............         $138            $167         $155       $460
                               ====            ====         ====       ====
</TABLE>

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

                                       33

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

Revenues

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

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

Operating Expenses

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

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

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

                                       34
<PAGE>
the nine  months  ended March 31,  1998,  the  Company  capitalized  $319,000 of
software development costs on a project for which technological  feasibility had
been established but was not yet available for client release.  Prior to July 1,
1997,  the  Company did not have any  software  development  projects  for which
significant  development  costs  were  incurred  between  the  establishment  of
technological feasibility and general client release of the product. The Company
believes  that  the  development  of  enhanced  and new  product  offerings  are
essential to remaining competitive and it expects that development expenses will
increase in the future.

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

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

RESULTS OF OPERATIONS

     The following table sets forth,  for the periods  indicated,  certain items
from the  consolidated  statements of  operations of the Company  expressed as a
percentage of total revenues.

<TABLE>
<CAPTION>
                                                                                   NINE MONTHS ENDED
                                                       YEAR ENDED JUNE 30,             MARCH 31,
                                                  ------------------------------   ------------------
                                                    1995       1996       1997       1997       1998
                                                  --------   --------   --------   --------   -------
<S>                                               <C>        <C>        <C>        <C>        <C>
Revenues ......................................      100%       100%       100%       100%      100%
Operating Expenses:
 Operations ...................................       60         60         48         48        41
 Sales, marketing and client services .........       22         22         25         25        26
 Research and development .....................       13          7          9         10        10
 General and administrative ...................       19         19         15         13        11
 Depreciation and amortization ................       18         16         15         14        16

</TABLE>
NINE MONTHS ENDED MARCH 31, 1998 COMPARED TO NINE MONTHS ENDED MARCH 31, 1997

Revenues

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

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

                                       35
<PAGE>
Operating Expenses

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

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

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

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

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

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

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

Revenues

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

                                       36

<PAGE>

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

Operating Expenses

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

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

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

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

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

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

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

Revenues

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

Operating Expenses

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

                                       37

<PAGE>

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

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

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

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

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

                                       38

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

LIQUIDITY AND CAPITAL RESOURCES

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

     As of March 31, 1998, the Company had outstanding borrowings of $15,925,000
under the Credit Facility. Such borrowings currently bear interest at a weighted
average  rate of 7.07% per  annum.  The  total  availability  under  the  Credit
Facility is $20.0 million.  See "Certain  Transactions."  All indebtedness under
the Credit Facility has been, and currently is, guaranteed by the Company's four
principal stockholders.  The Company has received a letter from the lender under
the Credit Facility  committing to provide an amended credit facility with total
available  credit of $15.0  million.  This facility would be comprised of a $7.5
million  term  loan to be used for  acquisitions  and a $7.5  million  revolving
credit loan to be used for working capital purposes, each with a maximum term of
two years from  October 31, 1998.  Interest  for the term and revolver  loans is
computed at .25% above the bank's base rate,  or 1.25% above a Eurodollar  based
rate.  Such borrowing  rates are at the option of the Company for any particular
period during which  borrowings  exist.  Covenants under the existing  agreement
include:  customary  covenants and  restrictions  on additional  liabilities and
disposition  of  assets,   achieving  year  2000   compliance  by  August  1999,
maintaining financial records and reporting, a maximum quarterly leverage ratio,
a minimum interest  coverage ratio, as well as prior approval for  acquisitions.
Borrowings under the Amended Credit Facility will not be guaranteed by any third
    

                                       39

<PAGE>

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

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

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

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

YEAR 2000 COMPLIANCE

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

                                       40

<PAGE>

Year 2000 compliance and that it has sufficient resources to implement its plan.
The Company expects that the combined amount of budgeted  expenses for Year 2000
compliance  plus the ongoing product  development  and development  expenditures
will increase as a percent of revenue in future periods.  However,  there can be
no assurance that  expenditures  required to achieve  compliance  with Year 2000
requirements  will not  exceed  those  amounts.  See "Risk  Factors -- Year 2000
Compliance" and "Business -- Year 2000 Compliance."

IMPACT OF INFLATION

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

RECENT ACCOUNTING PRONOUNCEMENTS

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

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

NET OPERATING LOSSES

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

                                       41
<PAGE>
                                   BUSINESS

GENERAL

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

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

INDUSTRY OVERVIEW

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

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

                                       42

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

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

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

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

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

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

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

COMPETITIVE STRENGTHS

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

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

                                       43

<PAGE>

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

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

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

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

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

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

                                       44

<PAGE>
GROWTH STRATEGY

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

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

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

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

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

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

SUITE OF EDI PRODUCTS AND SERVICES

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

                                       45

<PAGE>
               MEDE AMERICA'S SUITE OF EDI PRODUCTS AND SERVICES
<TABLE>
<CAPTION>
- -----------------------------------------------------------------------------------------------------------------------
  NAME OF PRODUCT/SERVICE                   DESCRIPTION OF
    AND MARKETS SERVED                 PRODUCT/SERVICE FEATURES                              CLIENT BENEFITS
- -------------------------- ----------------------------------------------- --------------------------------------------
<S>                        <C>                                             <C>
HEALTHCARE CLAIM
 PROCESSING

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

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

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

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

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

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

                                       46

<PAGE>
<TABLE>
<CAPTION>
- ------------------------------------------------------------------------------------------------------------------------------------
 NAME OF PRODUCT/SERVICE                  DESCRIPTION OF
    AND MARKETS SERVED               PRODUCT/SERVICE FEATURES                                 CLIENT BENEFITS
- ------------------------------------------------------------------------------------------------------------------------------------
<S>                       <C>                                                     <C>
REAL-TIME BENEFIT
 MANAGEMENT

MEDE Select --              o Adjudicates on-line claims, incorporat-             o Accelerates cash flow through faster
  All Markets                 ing patient eligibility and benefit review.           claim reimbursement.
                                                                                  o Increases cash flow through high level of
                                                                                    payor acceptance of edited claims.
                                                                                  o Improves accounts receivables 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.
                          o Provides on-line claims adjudication.                o Improves efficiency of pharmacy
                                                                                   management and operations.

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

OTHER PRODUCTS AND
 SERVICES

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

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

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

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

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

CLIENTS

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


                                       47

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

SALES, MARKETING AND CLIENT SERVICES

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

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

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

RESEARCH AND DEVELOPMENT

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

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

TECHNOLOGY AND OPERATIONS

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

                                       48

<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

                                       49

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

GOVERNMENT REGULATION

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

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

YEAR 2000 COMPLIANCE

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

EMPLOYEES

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

                                       50

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

FACILITIES

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

<TABLE>
<CAPTION>
                                                                            ESTIMATED
                                                                             MONTHLY
                                                                           TRANSACTION        OWNED/LEASE
           FACILITY             PERSONNEL         TRANSACTION TYPE           CAPACITY       EXPIRATION DATE
- ------------------------------ ----------- ------------------------------ ------------- ----------------------
<S>                            <C>         <C>                            <C>           <C>
Ohio (Primary Medical and          152     Eligibility                      2,000,000   Owned
 Pharmacy Data Center)                     Real-Time Benefit Management     6,000,000
                                           Switching                       48,000,000
New York (Secondary Medical         33     Eligibility Enrollment           2,000,000   January 2003
 and Pharmacy Data Center)                                                     25,000
Georgia (Dental Data Center)        56     Dental Claims                    1,600,000   January 2001
Corporate Headquarters,            115     Real-Time Benefit Management     2,000,000   Various dates between
 Sales & Development                                                                    January 1999 and Feb-
 Offices (5 sites) and                                                                  ruary 2003.
 PBM Processing

</TABLE>

INTELLECTUAL PROPERTY

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

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

LEGAL PROCEEDINGS

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

                                       51

<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 be the exclusive processor (subject to
certain  exceptions) for Medic's  subscribers for medical  reimbursement  claims
submitted to payors with whom MedE has or  establishes  connectivity.  Under the
Processing  Agreement,  the Company  will be entitled to certain  revenues to be
paid by  payors as well as  certain  fees to be paid by  Medic.  The  Processing
Agreement  sets  forth  detailed   performance   criteria  and  development  and
implementation  timetables. The Processing Agreement is for a fixed term of five
years, with annual renewals thereafter.

     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
Offering. The Medic Warrant vests over a two year period and may be exercised up
to five years after  issuance.  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  affilates  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.
    






                                       52

<PAGE>
                                  MANAGEMENT

DIRECTORS AND EXECUTIVE OFFICERS

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

   
<TABLE>
<CAPTION>
               NAME                   AGE    POSITION
- ----------------------------------   -----   -----------------------------------------------------
<S>                                  <C>     <C>

Thomas E. McInerney(2) ...........    56     Chairman of the Board of Directors
Thomas P. Staudt .................    45     President and Chief Executive Officer, Director
Richard P. Bankosky ..............    55     Chief Financial Officer, Treasurer and Secretary
James T. Stinton .................    48     Chief Information Officer
William M. McManus ...............    43     Senior Vice President and General Manager -- Medical
                                             and Pharmacy
Roger L. Primeau .................    55     Senior Vice President and General Manager -- Dental
Anthony J. de Nicola(1) ..........    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.

                                       53

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

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

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

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

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

THE BOARD OF DIRECTORS

COMMITTEES OF THE BOARD OF DIRECTORS

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

COMPENSATION OF DIRECTORS

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

                                       54
<PAGE>
   
the Company or any parent,  subsidiary  or  affiliate  of the Company and is not
(and is not  affiliated  with) a  beneficial  owner of 5% or more of the  voting
stock of the Company (a "non-employee director") will be paid an annual retainer
of  $7,500,  plus  $1,000  for each  Board of  Directors  or  committee  meeting
attended,  and will receive annually a non-qualified stock option to purchase up
to 1,000  shares of Common Stock at the fair market value of the Common Stock on
the date of grant.
    

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

   
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 1997 fiscal year:

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

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

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

                                       55

<PAGE>
OPTION GRANTS IN LAST FISCAL YEAR

     The following  table sets forth  certain  information  regarding  grants of
options to purchase  Common Stock in fiscal 1997 to each of the Named  Executive
Officers:
<TABLE>
<CAPTION>
                                                                                               POTENTIAL REALIZABLE
                                                                                                VALUE AT ASSUMED
                                                                                                 ANNUAL RATES OF
                                                                                                      STOCK
                                                                                               PRICE APPRECIATION
                                                     INDIVIDUAL GRANTS                         FOR OPTION TERM(1)
                              ---------------------------------------------------------------- -------------------
                                    NUMBER OF          % OF TOTAL
                                   SECURITIES       OPTIONS GRANTED    EXERCISE
                               UNDERLYING OPTIONS   TO EMPLOYEES IN     PRICE      EXPIRATION
                                   GRANTED(#)        FISCAL YEAR(2)   ($/SHARE)       DATE       5%($)     10%($)
                              -------------------- ----------------- ----------- ------------- --------- ---------
<S>                           <C>                  <C>               <C>         <C>           <C>       <C>
Thomas P. Staudt ............         2,182               4.27%          5.73       2/14/07      7,863     19,926
Richard P. Bankosky .........         2,182               4.27%          5.73       2/14/07      7,863     19,926
William M. McManus ..........         5,455              10.68%          5.73             (3)   19,657     49,816
Roger L. Primeau ............        18,112              35.47%             (4)           (5)   65,268    165,401
James T. Stinton ............         2,182               4.27%          5.73       2/14/07      7,863     19,926
</TABLE>
- ----------
(1) Potential  realizable  value is based on the  assumption  that the price per
    share of  Common  Stock  appreciates  at the  assumed  annual  rate of stock
    appreciation  for the option  term.  The assumed 5% and 10% annual  rates of
    appreciation (compounded annually) over the term of the option are set forth
    in accordance with the rules and  regulations  adopted by the Securities and
    Exchange  Commission  and do not represent  the Company's  estimate of stock
    price appreciation.

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

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

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

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

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

SEVERANCE AGREEMENTS

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

NON-COMPETITION, NON-SOLICITATION AND CONFIDENTIALITY AGREEMENTS

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


                                       56
<PAGE>
EMPLOYEE BENEFIT PLANS

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

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

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

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

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

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

                                       57
<PAGE>
the Company, the Board of Directors may, in its discretion, take any one or more
of certain actions including  accelerating all unvested or unrealizable  awards,
terminating  all  unexercised  options and requiring  the  acquiring  company to
assume all outstanding awards.

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

   
     Under the  Company's  1998  Employee  Stock  Purchase  Plan (the  "Purchase
Plan"),  employees  of the Company,  including  directors of the Company who are
employees,  are eligible to participate  in 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.
    

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

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

                                       58
<PAGE>
                             CERTAIN TRANSACTIONS

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

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

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

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

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

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

   
     In  connection  with the 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.

     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.  The Medic
Warrant vests over a two year period and may be exercised up to five years after
issuance.  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     

                                       59

<PAGE>

   
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.
    

     In connection  with the Offering,  the terms of the Preferred Stock will be
amended to provide for  conversion  of the  aggregate  liquidation  value of the
Preferred Stock including  accrued but unpaid dividends into Common Stock at the
price per share  received by the Company  upon the  consummation  of its initial
public offering;  provided further,  however,  that cash realized by the Company
upon any exercise of the Underwriters'  overallotment option would be applied to
the payment of accrued  dividends in lieu of having such dividends  convert into
Common Stock. In addition,  in connection with the Offering,  the holders of the
outstanding  Common Stock purchase warrants agreed to exercise all such warrants
by the net issuance  exercise  method for an aggregate  shares of Common  Stock.
WCAS V, WCAS VI,  Blair V and Blair LCF are the owners of an  aggregate  193,100
shares of Preferred  Stock, and warrants to purchase 52,532 and 52,533 shares of
Common Stock at exercise prices of $4.58 and $5.73 per share, respectively.

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

   
                            PRINCIPAL STOCKHOLDERS

     The following  table sets forth certain  information  regarding  beneficial
ownership of the Company's  Common Stock as of June 30, 1998, and as adjusted to
reflect the sale of Common Stock offered hereby, by (i) each person (or group of
affiliated  persons)  known by the  Company to own  beneficially  more than five
percent of the  outstanding  shares of Common Stock,  (ii) each of the Company's
directors, (iii) each of the Named Executive Officers and (iv) all directors and
executive  officers of the  Company as a group.  The numbers of shares set forth
below (i) give effect to the  Recapitalization and the Reverse Stock Split, (ii)
assume an Offering price of $14.00 per share of Common Stock, and (iii) assume a
sale of  3,600,000  shares of Common  Stock in the  Offering.  Unless  otherwise
indicated,  the  address for each  stockholder  is c/o the  Company,  90 Merrick
Avenue, Suite 501, East Meadow, New York 11554. 
<TABLE>
<CAPTION>
                                                     SHARES BENEFICIALLY OWNED(1)
                                                --------------------------------------
                                                                PERCENTAGE OWNED(2)
                                                              ------------------------
                                                                BEFORE        AFTER
     NAME AND ADDRESS OF BENEFICIAL OWNER          NUMBER      OFFERING      OFFERING
- ---------------------------------------------   -----------   ----------   -----------
<S>                                             <C>           <C>          <C>
Welsh, Carson, Anderson & Stowe (3) .........    5,754,393       72.10%        49.69%
 320 Park Avenue, 25th Floor
 New York, NY 10019

William Blair & Co., L.L.C. (4) .............      918,465       11.51%         7.93%
 222 West Adams Street
 Chicago, Illinois 60606

Mellon Bank, as Trustee (5) .................      617,852        7.74%         5.33%
 767 Fifth Avenue, 26th Floor
 New York, NY 10153

Thomas P. Staudt (6) ........................      166,211        2.05%         1.42%
Richard P. Bankosky .........................       11,346           -             -
James T. Stinton (7) ........................       13,529           -             -
William M. McManus (8) ......................       16,147           -             -
Roger L. Primeau (9) ........................        6,982           -             -
Thomas E. McInerney (10) ....................    5,622,136       70.44%        48.55%
 320 Park Avenue, 25th Floor
 New York, NY 10019

</TABLE>
    

                                       60
<PAGE>
   
<TABLE>
<CAPTION>
<S>                                                   <C>            <C>        <C>   
Anthony J. de Nicola (11) .........................   5,598,277      70.14%     48.34%
320 Park Avenue, 25th Floor

New York, NY 10019                                    
Timothy M. Murray (12) ............................     915,319      11.47%      7.90%
222 West Adams Street
Chicago, Illinois 60606                                 

All current directors and executive officers as a     6,762,026      83.15%     57.63%
group (10 persons).................................
</TABLE>
    

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

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

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

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

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

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

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

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

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

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

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

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

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

                                       61

<PAGE>
                         DESCRIPTION OF CAPITAL STOCK
   

     The Company's  authorized  capital stock  consists of 30,000,000  shares of
Common Stock, and 5,000,000  shares of Preferred Stock.  Upon completion of this
Offering,  and after giving effect to the Recapitalization and the Reverse Stock
Split, there will be 11,581,204 shares of Common Stock (12,107,304 shares if the
Underwriters'  over-allotment  option is  exercised)  and no shares of Preferred
Stock   outstanding.   As  of  June  30,  1998,  before  giving  effect  to  the
Recapitalization  and the Reverse  Stock Split there were  26,049,938  shares of
Common Stock outstanding and 239,956 shares of Preferred Stock outstanding, held
of record by 127 stockholders.  In addition,  as of June 30, 1998, before giving
effect  to  the   Recapitalization  and  the  Reverse  Stock  Split  there  were
outstanding options to purchase 2,213,600 shares of Common Stock and warrants to
purchase 481,440 shares of Common Stock. Pursuant to the  Recapitalization,  all
such  warrants  will be exercised  (for an aggregate  66,375 post Reverse  Stock
Split  shares),  and all shares of  Preferred  Stock will be  converted  into an
aggregate  2,229,982 shares of Common Stock (based on the aggregate  liquidation
preference  of the Preferred  Stock as of June 30, 1998,  after giving effect to
the  Reverse  Stock  Split  and  assuming  no  exercise  of  the   Underwriters'
over-allotment  option) prior to the  consummation of the Offering.  On July 17,
1998, the Company issued to Medic a warrant to purchase  1,250,000 shares of the
Company's 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 2,229,982  shares of
Common Stock.

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

WARRANTS

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

                                       62

<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
issuance.
    

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 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.


                                       63
<PAGE>
                        SHARES ELIGIBLE FOR FUTURE SALE

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

   
     Upon  completion of this Offering,  the Company  expects to have 11,581,204
shares of Common  Stock  outstanding  (excluding  483,041  shares  reserved  for
issuance upon the exercise of  outstanding  stock  options and 1,250,000  shares
reserved for issuance upon the exercise of the Medic Warrant) (12,121,204 shares
of  Common  Stock  outstanding  if the  Underwriters'  over-allotment  option is
exercised in full). Of these shares, the 3,600,000 shares offered hereby will be
freely  tradable  without   restrictions  or  further   registration  under  the
Securities Act, except for any shares  purchased by "affiliates" of the Company,
as that term is  defined  in Rule 144 under the  Securities  Act,  which will be
subject to the resale limitations imposed by Rule 144, as described below.
    

     All of the remaining  7,981,204 shares of Common Stock  outstanding will be
"restricted  securities" within the meaning of Rule 144 and may not be resold in
the absence of registration  under the Securities Act, or pursuant to exemptions
from such registration  including,  among others, the exemption provided by Rule
144 under the Securities Act. Of the restricted  securities,  590,768 shares are
eligible for sale in the public market  immediately after this Offering pursuant
to Rule  144(k)  under  the  Securities  Act.  A total of  7,343,585  additional
restricted  securities  will be  eligible  for  sale  in the  public  market  in
accordance with Rule 144 or 701 under the Securities Act beginning 90 days after
the date of this Prospectus. Taking into consideration the effect of the lock-up
agreements  described  below  and  the  provisions  of  Rules  144  and  144(k),
__________  restricted  shares  will be eligible  for sale in the public  market
immediately  after this  Offering,  restricted  shares  (excluding  ______shares
issuable upon the exercise of  outstanding  stock  options) will be eligible for
sale  beginning  90 days after the date of this  Prospectus,  and the  remaining
restricted  shares will be eligible for sale upon the  expiration of the lock-up
agreements 180 days after the date of this Prospectus, subject to the provisions
of Rule 144 under the Securities Act.

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

   
     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 

                                       64

<PAGE>

Prospectus  without  the  prior  written  consent  of  Smith  Barney  Inc.  Upon
expiration  of the  lock-up  agreements,  all shares of Common  Stock  currently
outstanding will be immediately eligible for resale, subject to the requirements
of Rule 144.  The Company is unable to predict the effect that sales may have on
the then  prevailing  market  price of the  Common  Stock.  See  "Management  --
Employee Benefit Plans" and "Description of Capital Stock."



















                                       65

<PAGE>
                                 UNDERWRITING

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

<TABLE>
<CAPTION>
UNDERWRITER                                      NUMBER OF SHARES
- -----------                                      ----------------
<S>                                             <C>
Smith Barney Inc. ..........................
William Blair & Company, L.L.C. ............
Volpe Brown Whelan & Company, LLC ..........






                                                     ------------
      Total ...................................
                                                     ============

</TABLE>

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

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

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

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

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

                                       66

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

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

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

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

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

                                 LEGAL MATTERS

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

                                    EXPERTS

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

                                       67

<PAGE>

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

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

                            ADDITIONAL INFORMATION

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

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

                                       68

<PAGE>
                         INDEX TO FINANCIAL STATEMENTS

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

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

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

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

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

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

THE STOCKTON GROUP, INC.:
 Independent Auditors' Report ............................................................   F-21

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

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

</TABLE>
                                      F-1
<PAGE>
                         INDEPENDENT AUDITORS' REPORT

To the Board of Directors and Stockholders of
MEDE America Corporation

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

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

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

Jericho, New York
May 8, 1998
(July 17, 1998 as to Note 13)


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

   
DELOITTE & TOUCHE LLP
Jericho, New York
July 22, 1998
    

                                      F-2

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

<TABLE>
<CAPTION>
                                                                                                                   PRO FORMA
                                                                                                                 STOCKHOLDERS'
                                                                             JUNE 30,                               EQUITY
                                                                    ---------------------------    MARCH 31,       MARCH 31,
                                                                        1996           1997           1998           1998
                                                                    ------------   ------------   -----------   --------------
                                                                                                                  (UNAUDITED)
                                                                                                                  (NOTE 1.O.)

<S>                                                                 <C>            <C>            <C>           <C>
ASSETS
CURRENT ASSETS:
 Cash and cash equivalents ......................................    $   2,639      $   1,919      $   1,455
 Accounts receivable, less allowance for doubtful accounts of
   $1,400, $1,716, and $958, respectively........................        5,989          6,318          7,463
 Formulary receivables ..........................................           74            405          1,502
 Inventory ......................................................          136            172            240
 Prepaid expenses and other current assets ......................          661            486            489
                                                                     ---------      ---------      ---------
   Total current assets .........................................        9,499          9,300         11,149
PROPERTY AND EQUIPMENT -- Net (Notes 3 and 6) ...................        5,601          5,517          4,944
GOODWILL -- Net (Notes 1 and 2) .................................       23,059         25,177         32,408
OTHER INTANGIBLE ASSETS -- Net (Notes 1 and 4) ..................        4,340          5,014          5,247
OTHER ASSETS ....................................................          532            451            431
                                                                     ---------      ---------      ---------
TOTAL ...........................................................    $  43,031      $  45,459      $  54,179
                                                                     =========      =========      =========
LIABILITIES AND STOCKHOLDERS' (DEFICIT)
 EQUITY
CURRENT LIABILITIES:
 Accounts payable ...............................................    $   2,567      $   2,134      $   2,753
 Accrued expenses and other current liabilities (Notes 5 and
   10) ..........................................................        9,739          9,195          4,880
 Current portion of long-term debt (Note 6) .....................        1,400            538            240
                                                                     ---------      ---------      ---------
   Total current liabilities ....................................       13,706         11,867          7,873
                                                                     ---------      ---------      ---------
LONG-TERM DEBT (Note 6) .........................................       10,201         24,623         40,259
                                                                     ---------      ---------      ---------
OTHER LONG-TERM LIABILITIES (Note 10) ...........................        1,173            215            761
                                                                     ---------      ---------      ---------
REDEEMABLE CUMULATIVE PREFERRED STOCK:
 $.01 par  value;  250 shares  authorized;  240  shares  issued 
  and  outstanding (aggregate liquidation value of $23,996 plus ac-
  crued dividends) (Note 9) ....................................        26,423         28,823         30,623      $      --
                                                                     ---------      ---------      ---------      ---------
COMMITMENTS AND CONTINGENCIES (Note 11)
STOCKHOLDERS' (DEFICIT) EQUITY:
 Common stock, $.01 par value; 6,329 shares authorized; 5,280,
   5,671, and 5,680 shares issued and outstanding, respectively             53             57             57             79
 Additional paid-in capital .....................................       27,850         27,713         26,069         56,670
 Accumulated (deficit) equity ...................................      (36,375)       (47,839)       (51,463)       (51,463)
                                                                     ---------      ---------      ---------      ---------
   Total stockholders' (deficit) equity .........................       (8,472)       (20,069)       (25,337)     $   5,286
                                                                     ---------      ---------      ---------      ---------
TOTAL ...........................................................    $  43,031      $  45,459      $  54,179
                                                                     =========      =========      =========
</TABLE>
                See notes to consolidated financial statements.

                                      F-3
<PAGE>

                   MEDE AMERICA CORPORATION AND SUBSIDIARIES
                     CONSOLIDATED STATEMENTS OF OPERATIONS
                  YEARS ENDED JUNE 30, 1995, 1996 AND 1997 AND
             NINE MONTHS ENDED MARCH 31, 1997 (UNAUDITED) AND 1998
                    (IN THOUSANDS, EXCEPT PER SHARE AMOUNTS)

<TABLE>
<CAPTION>
                                                                                                        NINE MONTHS ENDED
                                                                 YEAR ENDED JUNE 30,                        MARCH 31,
                                                      ------------------------------------------   ---------------------------
                                                          1995           1996           1997           1997           1998
                                                      ------------   ------------   ------------   ------------   ------------
                                                                                                    (UNAUDITED)
<S>                                                   <C>            <C>            <C>            <C>            <C>
REVENUES ..........................................    $  16,246      $  31,768      $  35,279       $ 24,964       $ 30,189
                                                       ---------      ---------      ---------       --------       --------
OPERATING EXPENSES:
 Operations .......................................        9,753         19,174         16,817         12,104         12,485
 Sales, marketing and client services .............        3,615          7,064          8,769          6,143          7,769
 Research and development (Note 1) ................        2,051          2,132          3,278          2,455          2,886
 General and administrative .......................        3,119          6,059          5,263          3,340          3,307
 Depreciation and amortization ....................        2,995          5,176          5,293          3,502          4,846
 Contingent consideration paid to former owners of
   acquired businesses (Note 2) ...................           --            538          2,301            990             --
 Write-down of intangible assets (Note 1) .........        8,191          9,965             --             --             --
 Acquired in-process research and development
   (Note 2) .......................................           --             --          4,354          4,354             --
 Spin-off expense (Note 10) .......................        2,864             --             --             --             --
                                                       ---------      ---------      ---------       --------       --------
 Total operating expenses .........................       32,588         50,108         46,075         32,888         31,293
                                                       ---------      ---------      ---------       --------       --------

LOSS FROM OPERATIONS ..............................      (16,342)       (18,340)       (10,796)        (7,924)        (1,104)
OTHER (INCOME) EXPENSE (Note 12) ..................           --            313           (893)          (885)            13
INTEREST EXPENSE, Net .............................          189            584          1,504            779          2,470
                                                       ---------      ---------      ---------       --------       --------
LOSS BEFORE PROVISION FOR INCOME
 TAXES ............................................      (16,531)       (19,237)       (11,407)        (7,818)        (3,587)

PROVISION FOR INCOME TAXES (Note 7) ...............           70             93             57             43             37
                                                       ---------      ---------      ---------       --------       --------

NET LOSS ..........................................      (16,601)       (19,330)       (11,464)        (7,861)        (3,624)

PREFERRED STOCK DIVIDENDS .........................          (27)        (2,400)        (2,400)        (1,800)        (1,800)
                                                       ---------      ---------      ---------       --------       --------
NET LOSS APPLICABLE TO COMMON
 STOCKHOLDERS .....................................    $ (16,628)     $ (21,730)     $ (13,864)      $ (9,661)      $ (5,424)
                                                       =========      =========      =========       ========       ========
BASIC NET LOSS PER COMMON SHARE ...................    $   (3.17)     $   (4.14)     $   (2.56)      $  (1.81)      $  (0.96)
                                                       =========      =========      =========       ========       ========
WEIGHTED AVERAGE COMMON SHARES
 OUTSTANDING -- BASIC .............................        5,238          5,245          5,425          5,345          5,677
                                                       =========      =========      =========       ========       ========
</TABLE>

                See notes to consolidated financial statements.

                                      F-4
<PAGE>
                   MEDE AMERICA CORPORATION AND SUBSIDIARIES
           CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY (DEFICIT)
                  YEARS ENDED JUNE 30, 1995, 1996 AND 1997 AND
                        NINE MONTHS ENDED MARCH 31, 1998
                                 (IN THOUSANDS)

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

                See notes to consolidated financial statements.

                                      F-5

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

                                                                      NINE MONTHS ENDED
                                                                          MARCH 31,
                                                                -----------------------------
                                                                     1997           1998
                                                                -------------- --------------
                                                                  (UNAUDITED)
<S>                                                             <C>            <C>
CASH FLOWS FROM OPERATING ACTIVITIES:
 Net loss .....................................................   $ (7,861)      $ (3,624)
 Adjustments to reconcile net loss to net cash used
  in operating activities:
  Depreciation and amortization ...............................      3,543          5,096
  Provision for doubtful accounts .............................        195            265
  Write-down of intangible assets .............................         --             --
  Acquired in-process research and development ................      4,354             --
  (Gain) loss on sale of assets ...............................           (8)          13
  Non-cash compensation expense ...............................         --             18
  Changes in  operating  assets and  liabilities  net of  
    effects of  businesses acquired:
   Accounts receivable ........................................         17         (1,410)
   Formularly receivables .....................................       (105)        (1,097)
   Inventory ..................................................          9            (68)
   Prepaid expenses and other current assets ..................         94               (3)
   Other assets ...............................................         84            118
   Accounts payable and accrued expenses and other cur-
     rent liabilities .........................................     (2,368)        (3,696)
   Other long-term liabilities ................................       (945)           546
                                                                  ----------     ----------
     Net cash used in operating activities ....................     (2,991)        (3,842)
                                                                  ----------     ----------
CASH FLOWS FROM INVESTING ACTIVITIES:
 Business acquisitions, net of cash acquired ..................    (11,450)       (10,674)
 Purchases of property and equipment ..........................       (703)          (646)
 Additions to goodwill and other intangible assets ............        (83)          (492)
 Proceeds from sale of property and equipment .................        218            182
 Proceeds from sale of net assets of Premier ..................        388             --
                                                                  ----------     ----------
     Net cash used in investing activities ....................    (11,630)       (11,630)
                                                                  ----------     ----------
CASH FLOWS FROM FINANCING ACTIVITIES:
 Due to stockholders ..........................................         --             --
 Issuance of Senior Subordinated Note .........................     22,875             --
 Issuance of preferred stock ..................................         --             --
 Issuance of common stock .....................................      2,125             --
 Proceeds from intercompany debt due to CES ...................         --             --
 Net proceeds (repayments) under Credit Facility ..............     (8,250)        15,925
 Principal repayments of debt .................................       (636)          (508)
 Principal repayments of capital lease obligations ............       (336)          (449)
 Exercise of stock options ....................................         40             40
                                                                  ----------     ----------
     Net cash provided by financing activities ................     15,818         15,008
                                                                  ----------     ----------
NET INCREASE (DECREASE) IN CASH AND CASH
 EQUIVALENTS ..................................................      1,197           (464)
CASH AND CASH EQUIVALENTS, BEGINNING OF
 PERIOD .......................................................      2,639          1,919
                                                                  ----------     ----------
CASH AND CASH EQUIVALENTS, END OF PERIOD.......................   $  3,836       $  1,455
                                                                  ==========     ==========
SUPPLEMENTAL DISCLOSURES OF CASH FLOW
 INFORMATION:
 Cash paid during the period for:
  Interest ....................................................   $    368       $  1,734
                                                                  ==========     ==========
  Income taxes ................................................   $     34       $     95
                                                                  ==========     ==========
 Non-cash investing and financing activities:
 Assets acquired under capital leases or by incurring debt.....   $     14       $    120
                                                                  ==========     ==========
 Issuance of warrants .........................................   $     52       $     98
                                                                  ==========     ==========
</TABLE>
                See notes to consolidated financial statements.

                                      F-6
<PAGE>

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

1. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

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

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

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

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

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

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

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

                                      F-7
<PAGE>
                    MEDE AMERICA CORPORATION AND SUBSIDIARIES
            NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)

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

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

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

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

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

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

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

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

                                      F-8

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

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

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

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

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

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

2. ACQUISITIONS

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

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

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

                                      F-9

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

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

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

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

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

                                      F-10

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

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

<TABLE>
<CAPTION>

                                                   YEAR ENDED      NINE MONTHS ENDED
                                                 JUNE 30, 1997      MARCH 31, 1998
                                                 ---------------   ------------------
                                                          (IN THOUSANDS)

<S>                                             <C>               <C>
Revenues ....................................      $  41,824           $ 31,835
                                                   =========           ========
Loss from operations ........................      $ (11,253)          $   (515)
                                                   =========           ========
Net loss ....................................      $ (13,604)          $ (3,320)
                                                   =========           ========
Net loss applicable to common stock .........      $ (16,004)          $ (5,120)
                                                   =========           ========
Basic net loss per share ....................      $   (2.95)          $  (0.90)
                                                   =========           ========
</TABLE>

3. PROPERTY AND EQUIPMENT

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

4. OTHER INTANGIBLE ASSETS

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

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

5. ACCRUED EXPENSES AND OTHER CURRENT LIABILITIES

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

6. LONG-TERM DEBT

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

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

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

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

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

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

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

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

7. INCOME TAXES

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

                                      F-13
<PAGE>

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

The provision  for income taxes varies from the amount  computed by applying the
statutory U.S.  Federal income tax rate to the loss before  provision for income
taxes as a result of the following:

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

</TABLE>

The net deferred tax asset is comprised of the following:

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

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

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

8. STOCKHOLDERS' EQUITY

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

                                      F-14

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

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

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

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

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

   The table below summarizes the activity of the Stock Plan for the years ended
   June 30, 1995, 1996 and 1997 and the nine months ended March 31, 1998:

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

</TABLE>
                                      F-15
<PAGE>
                    MEDE AMERICA CORPORATION AND SUBSIDIARIES
            NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)

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

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

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

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

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

</TABLE>

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


                                      F-16
<PAGE>
                    MEDE AMERICA CORPORATION AND SUBSIDIARIES
            NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)

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

<TABLE>
<CAPTION>
                                                             YEAR ENDED JUNE 30,
                                    ---------------------------------------------------------------------
                                                   1995                               1996
                                    ---------------------------------- ----------------------------------
                                                            PER-SHARE                          PER-SHARE
                                         LOSS      SHARES     AMOUNT        LOSS      SHARES     AMOUNT
                                    ------------- -------- ----------- ------------- -------- -----------
                                                               (IN THOUSANDS)
<S>                                 <C>           <C>      <C>         <C>           <C>      <C>
Net loss ..........................   $ (16,601)                         $ (19,330)
Less: Preferred dividends .........         (27)                            (2,400)
                                      ---------                          ---------
Basic net loss per share ..........   $ (16,628)   5,238   $(3.17)       $ (21,730)   5,245   $(4.14)
                                      =========    =====   ======        =========    =====   ======
<CAPTION>
                                           YEAR ENDED JUNE 30,
                                    ---------------------------------
                                                  1997
                                    ---------------------------------
                                                            PER-SHARE
                                         LOSS      SHARES    AMOUNT
                                    ------------- -------- ----------
                                             (IN THOUSANDS)
<S>                                 <C>           <C>      <C>
Net loss ..........................   $ (11,464)
Less: Preferred dividends .........      (2,400)
                                      ---------
Basic net loss per share ..........   $ (13,864)   5,425   $(2.56)
                                      =========    =====   ======
</TABLE>

<TABLE>
<CAPTION>
                                                              NINE MONTHS ENDED MARCH 31,
                                      ----------------------------------------------------------------------------
                                                      1997                                    1998
                                      -------------------------------------   ------------------------------------
                                                                 PER-SHARE                               PER-SHARE
                                          LOSS        SHARES       AMOUNT         LOSS        SHARES      AMOUNT
                                      ------------   --------   -----------   ------------   --------   ----------
                                                                     (IN THOUSANDS)
<S>                                   <C>            <C>        <C>           <C>            <C>        <C>
Net loss ..........................     $ (7,861)                               $ (3,624)
Less: Preferred dividends .........       (1,800)                                 (1,800)
                                        --------                                --------
Basic net loss per share ..........     $ (9,661)     5,345     $(1.81)         $ (5,424)     5,677     $(0.96)
                                        ========      =====     ======          ========      =====     ======
</TABLE>

9. REDEEMABLE CUMULATIVE PREFERRED STOCK

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

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

10. SPIN-OFF TRANSACTIONS

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

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

                                      F-17

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

11. COMMITMENTS AND CONTINGENCIES

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

<TABLE>
<CAPTION>
YEAR ENDING JUNE 30,
- -------------------
<S>                                                                 <C>
         1998 (three months from April 1, 1998 to June 30, 1998).    $  225
         1999 ...................................................       909
         2000 ...................................................       914
         2001 ...................................................       809
         2002 ...................................................       571
         Thereafter .............................................       381
                                                                     ------
         Total minimum lease payments ...........................    $3,809
                                                                     ======
</TABLE>
   Rent  expense for the years ended June 30,  1995,  1996 and 1997 and the nine
   months  ended March 31,  1997 and 1998 was  $951,000,  $853,000,  $1,093,000,
   $800,000 and $837,000, respectively.

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

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

<TABLE>
<CAPTION>
YEAR ENDING JUNE 30,
- --------------------
<S>                                                                 <C>
         1998 (three months from April 1, 1998 to June 30, 1998).    $ 51
         1999 ...................................................     205
         2000 ...................................................      80
                                                                     ----
                                                                     $336
                                                                     ====
</TABLE>
d. Defined   Contribution   Plans  --  The  Company   maintained   four  defined
   contribution  plans (the "Plans") for all eligible  employees,  as defined by
   the Plans until April 1, 1996.  On April 1, 1996,  the Company  combined  the
   Plans  into one  defined  contribution  plan (the "New  Plan").  The  Company
   previously made matching contributions at various percentages to three of the
   Plans in accordance  with the respective  Plan documents and currently  makes
   matching contributions to the New Plan in an amount equal to fifty percent of
   the employee salary  deductions to a maximum of four percent of the employees
   salary  in  accordance  with  the New Plan  document.  The  Company  incurred
   $130,000,   $197,000,   $227,000,   $169,000   and   $148,000   for  employer
   contributions  to the Plans/New Plan for the years ended June 30, 1995, 1996,
   and 1997 and the nine months ended March 31, 1997 and 1998, respectively.

                                      F-18

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

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

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

12. OTHER INCOME

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

13. SUBSEQUENT EVENTS

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

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

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

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

                                      F-19

<PAGE>

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

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

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

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

   
g.   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 be the exclusive processor (subject to certain exceptions) for Medic's
     subscribers for medical  reimbursement claims submitted to payors with whom
     MedE has or establishes  connectivity.  Under the Processing Agreement, the
     Company  will be entitled to certain  revenues to be paid by payors as well
     as certain fees to be paid by Medic.  The  Processing  Agreement sets forth
     detailed   performance   criteria  and   development   and   implementation
     timetables.  The  Processing  Agreement  is for a fixed term of five years,
     with annual renewals thereafter.

     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 Offering.  The Medic Warrant vests over a two year period and
     may be  exercised  up to five  years  after  issuance.  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
     affilates 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-20
<PAGE>

                         INDEPENDENT AUDITORS' REPORT

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

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

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

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

DELOITTE & TOUCHE LLP

Charlotte, North Carolina
October 7, 1997

                                      F-21
<PAGE>
                           THE STOCKTON GROUP, INC.
                              STATEMENTS OF INCOME
                 YEAR ENDED JUNE 30, 1997 AND THE THREE MONTHS
                     ENDED SEPTEMBER 30, 1997 (UNAUDITED)

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

                       See notes to financial statement.

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

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

1. DESCRIPTION OF BUSINESS AND SUMMARY OF SIGNIFICANT
   ACCOUNTING POLICIES

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

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

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

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

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

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

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

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

2. NOTE PAYABLE TO STOCKHOLDER

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

3. LEASE COMMITMENTS

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

                                      F-23
<PAGE>
                            THE STOCKTON GROUP, INC.
                   NOTES TO FINANCIAL STATEMENT - (CONTINUED)

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

4. STOCK-BASED COMPENSATION ARRANGEMENTS

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

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

5. SUBSEQUENT EVENT

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

                                    ******
















                                      F-24

<PAGE>


====================================== ======================================
     NO DEALER,  SALESPERSON  OR OTHER                                       
PERSON HAS BEEN AUTHORIZED TO GIVE ANY                                       
INFORMATION    OR    TO    MAKE    ANY                                       
REPRESENTATIONS   CONTAINED   IN  THIS                                       
PROSPECTUS AND, IF GIVEN OR MADE, SUCH                                       
INFORMATION  OR  REPRESENTATIONS   NOT                                       
CONTAINED  HEREIN  MUST NOT BE  RELIED                                       
UPON AS HAVING BEEN  AUTHORIZED BY THE                                       
COMPANY, ANY OF THE UNDERWRITERS OR BY            3,600,000 SHARES           
ANY OTHER PERSON. THIS PROSPECTUS DOES                                       
NOT  CONSTITUTE AN OFFER TO SELL, OR A                                       
SOLICITATION  OF AN OFFER TO BUY,  ANY                                       
SECURITIES  OTHER  THAN THE  SHARES OF                                       
COMMON STOCK OFFERED HEREBY,  NOR DOES                                       
IT  CONSTITUTE  AN  OFFER TO SELL OR A                                       
SOLICITATION OF AN OFFER TO BUY ANY OF                 [LOGO]                
THE SECURITIES  OFFERED HEREBY, TO ANY                                       
PERSON IN ANY JURISDICTION IN WHICH IT                                       
IS  UNLAWFUL  TO MAKE SUCH AN OFFER OR                                       
SOLICITATION  TO SUCH PERSON.  NEITHER                                       
THE  DELIVERY OF THIS  PROSPECTUS  NOR                                       
ANY SALE MADE HEREUNDER  SHALL,  UNDER                                       
ANY    CIRCUMSTANCES     CREATE    ANY                                       
IMPLICATION   THAT   THE   INFORMATION                                       
CONTAINED  HEREIN IS CORRECT AS OF ANY              MEDE AMERICA             
DATE SUBSEQUENT TO THE DATE HEREOF.                  CORPORATION             
                                                                             
   ---------------------------------                                         
           TABLE OF CONTENTS                                                 
                                                                             
   
                                  PAGE                                       
                                  ----                                       
Prospectus Summary ..............   3               COMMON STOCK             
Risk Factors ....................  10                                        
Use Of Proceeds .................  19                                        
Dividend Policy .................  19                                        
Capitalization ..................  20                                        
Dilution ........................  21                                        
Unaudited Pro Forma Consolidated                                             
   Financial Information ........  22        --------------------------      
Selected Financial Data .........  29                                        
Management's    Discussion   And                     PROSPECTUS              
   Analysis     Of     Financial                                             
   Condition   And   Results  Of             --------------------------      
   Operations ...................  31                                        
Business ........................  42                                        
Management ......................  53                                        
Certain Transactions ............  59                                        
Principal Stockholders ..........  60                                        
Description Of Capital Stock ....  62                                        
Shares Eligible For Future Sale .  64                                        
Underwriting ....................  66                                        
Legal Matters ...................  67                                        
Experts .........................  67                                        
Additional Information ..........  68           SALOMON SMITH BARNEY         
Index To Financial Statements ... F-1                                        

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

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

                                    PART II
                  INFORMATION NOT REQUIRED IN THE PROSPECTUS

ITEM 13.  OTHER EXPENSES OF ISSUANCE AND DISTRIBUTION

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

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

ITEM 14.  INDEMNIFICATION OF DIRECTORS AND OFFICERS


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

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

                                      II-1

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

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

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

ITEM 15. RECENT SALES OF UNREGISTERED SECURITIES

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

(a) Issuances of Capital Stock

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

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

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

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

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

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

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

   
     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
issuance.     

(b) Certain Grants and Exercises of Stock Options

     The  MEDE  America  Corporation  and  its  Subsidiaries  Stock  Option  and
Restricted  Stock  Purchase  Plan  was  adopted  by the  Registrant's  Board  of
Directors  on March 22, 1995.  As of May 29, 1998,  options to purchase up to an
aggregate 3,349,000 shares of Common Stock, had been granted to employees of the

                                      II-2
<PAGE>
Registrant and its subsidiaries  thereunder,  of which options to purchase up to
an aggregate  2,389,600  shares of Common Stock, at a weighted  average exercise
price of $1.09 per share,  were  outstanding  as of such date.  The  Company has
issued an  aggregate  350,400  shares of Common  Stock upon the exercise of such
options.

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

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

ITEM 16.  EXHIBITS AND FINANCIAL STATEMENT SCHEDULES

(a) Exhibits

   
<TABLE>
<CAPTION>

 EXHIBIT
  NUMBER                     DESCRIPTION
  ------                     -----------
<S>   <C>  <C>
  1.1+ --   Form of Underwriting Agreement.

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

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

  3.1+ --   Certificate of Incorporation of the Registrant as amended.

  3.2+ --   Form  of  Registrant's   Amended  and  Restated  Certificate  of
            Incorporation.

  3.3+ --   Amended Bylaws of the Registrant.

  3.4+ --   Agreement and Plan of Merger,  dated as of May 17, 1995,  between
            MEDE AMERICA Corporation and GENCC Holdings Corporation.

  4.1* --   Specimen certificate for shares of Common Stock.

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

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

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

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

  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.
</TABLE>
    

                                      II-3

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

  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.

 21.1+ --   Subsidiaries of the Company.

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

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

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

 24.1+ --   Power of Attorney.

 27.1+ --   Financial Data Schedule.

</TABLE>
    
- ----------

   
 * To be filed by amendment.
** 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.

                                      II-4

<PAGE>

   (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 July 22, 1998.
    


                                              MEDE AMERICA CORPORATION

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

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

         SIGNATURES                            TITLE                         DATE
         ----------                            -----                         ----
<S>                           <C>                                       <C>
   
      THOMAS P. STAUDT        President and Chief Executive             July 22, 1998
- -------------------------     Officer (Principal executive officer);
      Thomas P. Staudt        Director


      THOMAS P. STAUDT        Chief Financial Officer (Principal        July 22, 1998
- -------------------------     financial and accounting officer)
    Richard P. Bankosky


      THOMAS P. STAUDT        Director                                  July 22, 1998
- -------------------------
     Thomas E. McInerney


     THOMAS P. STAUDT         Director                                  July 22, 1998
- -------------------------
   Anthony J. de Nicola


     THOMAS P. STAUDT         Director                                  July 22, 1998
- -------------------------
    Timothy M. Murray
    

</TABLE>

                                      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, 1995 -
 Allowance for bad debts .........      $  868          $518           $--           $    -- (1)        $1,386
                                        ======          ====           ===           ==                 ======
Year ended June 30, 1996 -

 Allowance for bad debts .........      $1,386          $406           $--           $    392 (1)       $1,400
                                        ======          ====           ===           ========           ======
Year ended June 30, 1997 -

 Allowance for bad debts .........      $1,400          $316           $--           $    -- (1)        $1,716
                                        ======          ====           ===           ========           ======
Nine months ended
 March 31, 1998 -

 Allowance for bad debts .........      $1,716          $265           $             $  1,023 (1)       $  958
                                        ======          ====           ===           ========           ======
</TABLE>
- ----------
(1)  Amounts written off.

                                      S-1
<PAGE>
                                 EXHIBIT INDEX
  EXHIBIT
   NUMBER                    DESCRIPTION
   ------                    -----------
   
  1.1+ --   Form of Underwriting Agreement.

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

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

  3.1+ --   Certificate of Incorporation of the Registrant as amended.

  3.2+ --   Form  of  Registrant's   Amended  and  Restated  Certificate  of
            Incorporation.

  3.3+ --   Amended Bylaws of the Registrant.

  3.4+ --   Agreement and Plan of Merger,  dated as of May 17, 1995,  between
            MEDE AMERICA Corporation and GENCC Holdings Corporation.

  4.1* --   Specimen certificate for shares of Common Stock.

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

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

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

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

  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.

  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 Ciroiratuib 1998 Employee Stock Purchase Plan.

 21.1+ --   Subsidiaries of the Company.

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

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

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

 24.1+ --   Power of Attorney.

 27.1+ --   Financial Data Schedule.

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






                                                                     EXHIBIT 4.6

                          REGISTRATION RIGHTS AGREEMENT

                                                               February 14, 1997

WCAS Capital Partners, II, L.P.
c/o Walsh, Carson, Anderson & Stowe
320 Park Avenue, Suite 2500

New York, New York 10022

Dear Sirs:

         This will confirm that, in consideration of your commitment to purchase
an  aggregate  1,700,000  shares  (the  "Shares")  of Common  Stock (as  defined
herein), of MedE America  Corporation,  a Delaware  corporation (the "Company"),
pursuant to the Note and Share  Purchase  Agreement,  dated the date hereof (the
"Purchase Agreement"), between the Company and you ( the "Purchaser"), and as an
inducement to you to consummate the  transactions  contemplated  by the Purchase
Agreement,  the Company  hereby  covenants  and agrees  with you,  and with each
subsequent  holder of  Restricted  Stock (as such term is  defined  herein),  as
follows:

         1. Certain Definitions.  As used herein, the following terms shall have
the following respective meanings:

         "Commission" shall mean the Securities and Exchange Commission,  or any
     other Federal agency at the tie administering the Securities Act.

         "Common  Stock"  shall mean the Common  Stock,  $.01 par value,  of the
     Company, as constituted as of the date of this Agreement.

         "Registration Expenses" shall mean the expenses so described in Section
     8 hereof.

         "Restricted  Stock"  shall  mean the  Shares  and any shares of capital
     stock of the Company  issued in respect of such  securities by way of stock
     split, stock dividend, combination or reclassification,  or through merger,
     consolidation, reorganization or recapitalization.

         "Securities  Act" shall mean the  Securities Act of 1933 or any similar
     Federal   statute,   and  the  rules  and  regulations  of  the  Commission
     thereunder, all as the same shall be in effect at the time.


<PAGE>



         "Selling  Expenses"  shall mean the  expenses so described in Section 8
     hereof.

         2. Restrictive Legend. Each certificate  representing  Restricted Stock
and, except as otherwise  provided in Section 3 hereof,  each certificate issued
upon exchange or transfer of any such  securities  shall be stamped or otherwise
imprinted with a legend substantially in the following form:

     "THE  SECURTITIES  REPRESENTED  HEREBY HAVE NOT BEEN  REGISTERED  UNDER THE
     SECURITIES ACT OF 1933 NOR UNDDER  APPLICABLE STATE SECURITIES LAWS AND MAY
     NOT BE SOLD,  TRANSFERRED  OR  OTHERWISE  DISPOSED OF UNLESS THEY HAVE BEEN
     REGISTERED UNDER SUCH LAWS OR AN EXEMPTION FROM REGISTRATION IS AVAILABLE."

         3. Notice of Proposed  Transfer.  Prior to any proposed transfer of any
Restricted  Stock  (other than under the  circumstances  described in Section 4,
Section 5 or Section 5 hereof),  the holder thereof shall give written notice to
the Company or its transfer agent of its intention to effect such transfer. Each
such notice shall describe the manner of the proposed transfer and, if requested
by the Company,  except as provided below, shall be accompanied by an opinion of
counsel reasonably  satisfactory to the Company, to the effect that the proposed
transfer  may  be  effected  without  registration  under  the  Securities  Act,
whereupon  such  holder  shall  be  entitled  to  transfer  such  securities  in
accordance  with the  terms of its  notice;  provided,  however,  that,  if such
transfer is a private sale, such transferee  agrees,  in a writing  delivered to
the  Company.  To be bound by the  terms  hereof  to the  same  extent  as if an
original  party hereto.  Such shares may be  distributed by the Purchaser to its
partners  and  may be sold in  accordance  with  Rules  144 or  144A  under  the
Securities  Act without an opinion of counsel;  provided  that, in the case of a
sale,  the  Company  shall have  received  such  information  as the Company may
request to provide it with reasonable assurance that the provisions of Rules 144
or 144A have been satisfied.  Each  certificate  for shares of Restricted  Stock
transferred  as above  provided  shall  bear the  legend set forth in Section 2,
except that such certificate  shall not hear such legend if (i) such transfer is
in  accordance  with the  provisions  of Rule 144 (or any other rule  permitting
public sale without  registration  under the Securities Act) or (ii) the opinion
of counsel  referred to above is to the further effect that the  transferees and
any  subsequent  transferee  (other than an affiliate  of the Company)  would be
entitled to transfer such securities in a public sale without registration under
the Securities Act.

         4. Required Registration.  (a) At any time the holders of a majority of
the outstanding Restricted Stock may

                                        2


<PAGE>



request the Company to register  under the  Securities Act all or any portion of
the  shares of  Restricted  Stock  held by such  holders  for sale in the manner
specified in such  notice.  Notwithstanding  anything to the contrary  contained
herein,  non request may be made under this  Section 4 within 180 days after the
effective date of a registration  statement filed by the Company covering a firm
commitment underwritten public offering in which the holders of Restricted Stock
shall have been  entitled  to join  pursuant  to this  Section  4,  Section 5 or
Section 6 hereof and in which there shall have been  effectively  registered all
shares  of  Restricted  Stock  as to  which  registration  shall  have  been  so
requested.

         (b) Promptly  following receipt of any notice under this Section 4 from
holders of Restricted Stock, the Company shall immediately notify any holders of
Restricted  Stock from whom notice has not been  received and shall use its best
efforts to register under the Securities Act for public sale in accordance  with
the method of disposition  specified in such notice from requesting  holders the
number of shares of Restricted Stock specified in such notice (and in any notice
received from other holders within 20 days after receipt of such notice from the
Company).  If  such  method  of  disposition  shall  be an  underwritten  public
offering,  the Company may designate the managing  underwriter of such offering,
subject to the  approval of a majority  in  interest  of the selling  holders of
Restricted  Stock,  which be obligated to register  Restricted Stock pursuant to
this Section 4, on one occasion  only;  provided that such  obligation  shall be
deemed  satisfied  only when a  registration  statement  covering  all shares of
Restricted  Stock  specified in the notices  received as aforesaid,  for sale in
accordance with the method of disposition  specified by the requesting  holders,
shall  have  become  effective  and,  if such  method of  disposition  is a firm
commitment  underwritten  public offering,  all such shares shall have been sold
pursuant thereto.

         (c) The  Company  shall be  entitled  to  include  in any  registration
statement  referred to in this Section 4, for sale in accordance with the method
of disposition specified by the requesting holders, shares of Common Stock to be
sold by the Company for its own account r for the account of any  stockholder of
the Company having registration rights with respect to such stock, except as and
to the extent that, in the opinion of the managing  underwriter  (if such method
of disposition shall be an underwritten  public offering),  such inclusion would
materially  adversely  affect the marketing of the Restricted  Stock to be sold.
Except as provided in this  paragraph  (c),  the Company  will not file with the
Commission  any other  registration  statement  with respect to its Common Stock
(other than a registration

                                        3


<PAGE>



statement  on Form S-4 or S-8),  whether  for its own  account  or that of other
security holders,  from the date of receipt of a notice from requesting  holders
pursuant to this Section 4 until the completion of the period of distribution of
the registration contemplated thereby.

         (d) The Company may postpone the filing of any  registration  statement
otherwise  required to be prepared  and filed by it under this  Section 4 if, at
the time it receives a request from the holders of Restricted  Stock,  the Board
of  Directors of the Company  determines  in its good faith  judgment  that such
registration would adversely interfere with any material financing, acquisition,
corporate  reorganization or other material corporate  transaction involving the
Company that is pending or imminent at the time to the material detriment of the
interests of the Company and its stockholders;  provided,  however, that, if the
Board of Directors does not make a determination to utilize this right within 30
days of the date of receipt of such  request,  this right shall be deemed waived
with  respect to such request and the Company may exercise its right to postpone
a  registration  statement  to be filed  under  this  Section 4 only once in any
period of twelve  consecutive  months.  The postponement will be for the minimum
period reasonably  required but in any event such postponement  shall not exceed
90 days. The Company will promptly give the holders of Restricted  Stock written
notice of any such  postponement  and will use all  reasonable  best  efforts to
minimize the length of the  postponement.  If the Company  shall so postpone the
filing of a registration  statement,  the holders of Restricted Stock shall have
the right to withdraw any request ynder this Section 4 by giving  written notice
of such postponement and, in the event of such withdrawal,  the request that was
withdrawn shall not be deemed to have been made.

         5.       Form S-3 Registration

         (a) If, at any time after the  Company  becomes  eligible  to  register
securities on Form S- 3, the Company shall receive from any holder or holders of
Restricted  Stock,  a written  request or  requests  that the  Company  effect a
registration  on Form S-3 with respect to Restricted  Stock owned by such holder
or holders,  the reasonably  anticipated  aggregate price to the public of which
would exceed  $1,000,000,  the Company (i) shall promptly give written notice of
the proposed  registration  to all other  holders of  Restricted  Stock and (ii)
shall as soon as  practicable,  effect  such  registration  (including,  without
limitation,  the execution of an undertaking to file post-effective  amendments,
to approve appropriate  qualifications  under applicable blue sky or other state
securities  laws and to comply  with  applicable  regulations  issued  under the
Securities Act and any other government

                                        4


<PAGE>



requirements or regulations as would permit or facilitate the requested sale and
distribution)  of all or such portion of such  holder's and holders'  Restricted
Stock as are  specified in such  requrest,  together with all or such portion of
the  Restricted  Stock of any holder or holders  joining in such  request as are
specified  in a written  request  given  within 20 days  after  receipt  of such
written  notice  from the  Company;  provided  that  the  Company  shall  not be
obligated to effect any such  registration  pursuant to this Section 5 more than
once in any 180-day period.

         6.  Incidental  Registration.  If the  Company at any time  proposes to
register any of its equity  securities  under the Securities Act for sale to the
public, whether for its own account or for the account of other security holders
or both (except with respect to  registration  statements  on Form S-4 or S-8 or
another form not  available  for  registering  Restricted  Stock for sale to the
public), each such time it will give written notice to all holders of Restricted
Stock of its  intention  so to do. Upon the written  request of any such holder,
given  within 20 days after any such notice,  to register any of its  Restricted
Stock (which request shall state the intended  method of  disposition  thereof),
the Company will use its best efforts to cause the Restricted  Stock as to which
registration shall have been so requested to be included in the securities to be
covered by the registration  statement proposed to be filed by the Company,  all
to the extent  requisite to permit the sale or other  disposition  by the holder
(in accordance with its written request) of such Restricted  Stock. In the event
that any registration  pursuant to this Section 6 shall be, in whole or in part,
an  underwritten  public  offering  of Common  Stock,  any  request  by a holder
pursuant to this  Section 6 to register  Restricted  Stock  shall  specify  that
either (i) such  Restricted  Stock is to be included in the  underwriting on the
same terms and  conditions  as the shares of Common Stock  otherwise  being sold
through underwriters undet such registration or (ii) such Restricted Stock is to
be sold in the open  market  without any  underwriting.  The number of shares of
Restricted Stock to be included in such an underwriting may be reduced (pro rata
among the holders if Restricted Stock requesting that their shares of Restricted
Stock be  registered  pursuant to this Section 6, based upon the number of share
of stock  which  they  desire to include  in such  registration),  if and to the
extent that the managing underwriter shall be of the opinion that such inclusion
would  adversely  affect  the  marketing  of the  securities  ti be  sold by the
Company;  provided,  however,  that,  if any shares are to be  included  in such
underwriting for the account of any person other than the Company or the holders
of  Restricted  Stock,  the number of shares to be  included  by any such person
shall be reduced first.  Notwithstanding  anything to the contrary  contained in
this  Section  6, in the  event  that  there is a firm  commitment  underwritten
offering

                                        5


<PAGE>



of  securities of the Company  pursuant to a  registration  covering  Restricted
Stock  and a  selling  holder  of  Restricted  Stock  does not elect to sell his
Restricted Stock to the  underwriters of the Company's  securities in connection
with such offering, such holder shall refrain from selling such Restricted Stock
so registered  pursuant to this section 6 during the period of  distribution  of
the  Company's  securities  by such  underwriters  and the  period  in which the
underwriting syndicate participates in the after market; provided, however, that
such holder shall,  in any event,  be entitled to sell its  Restricted  Stock in
connection with such registration commencing on the 90th day after the effective
date of such registration statement.

                  7.  Registration  Procedures.  If and  whenever the Company is
required by the  provisions  of Section 4,  Section 5 or Section 6 hereof to use
its best efforts to effect the  registration  of any shares of Restricted  Stock
under the Securities Act the Company will, as expeditiously as possible:

                    (a)  prepare  and file with the  Commission  a  registration
               statement (which, in the case of an underwritten  public offering
               pursuant to Section 4 hereof,  shall be on Form S-1 or other form
               of general applicability satisfactory to the managing underwriter
               selected as therein provided) with respect to such securities and
               use its best  efforts to cause  such  registration  statement  to
               become and remain  effective  for the period of the  distribution
               contemplated thereby (determined as hereinafter provided):

                    ( b) prepare and file with the  Commission  such  amendments
               and supplements to such registration statement and the prospectus
               used in  connection  therewith  as may be  necessary to keep such
               registration  statement  effective  for the period  specified  in
               paragraph  (a)  above and as comply  with the  provisions  of the
               Securities Act with respect to the  disposition of all Restricted
               Stock covered by such  registration  statement in accordance with
               the sellers'  intended  method of  disposition  set forth in such
               registration statement for such period;

                    (c)  furnish  to each  seller and to each  underwriter  such
               number of copies of the registration statement and the prospectus
               included therein (including each preliminary  prospectus) as such
               persons my reasonably  request in order to facilitate  the public
               sale or other disposition of the Restricted Stock covered by such
               registration statement;

                    (d)  use  it  best   efforts  to  register  or  qualify  the
               Restricted Stock covered by such registration statement under the
               securities or blue sky laws of such jurisdictions

                                        6


<PAGE>



               as  the  sellers  of  Restricted  Stock  or,  in the  case  of an
               underwritten  public  offering,  the managing  underwriter  shall
               reasonably request;

                    (e) immediately  notify each seller under such  registration
               statement  and each  underwriter,  at any time when a  prospectus
               relating thereto is required to be delivered under the Securities
               Act,  of the  happening  of any  event as a result  of which  the
               prospectus contained in such registration  statement,  as then in
               effect,  includes an untrue statement of a material fact or omits
               to state any  material  fact  required  to be stated  therein  or
               necessary to make the  statements  therein not  misleading in the
               light of the circumstances then existing:

                    (f) use its best efforts (if the offering is underwritten to
               furnish,  at  the  request  of  any  seller,  on  the  date  that
               Restricted  Stock  is  delivered  to the  underwriters  for  sale
               pursuant to such registration:  (i) an opinion dated such date of
               counsel  representing  the  Company  for  the  purposes  of  such
               registration,  addressed to the  underwriters and to such seller,
               stating that such  registration  statement  has become  effective
               under the  Securities  Act and that (A) to the best  knowledge of
               such counsel, no stop order suspending the effectiveness  thereof
               has been issued and no  proceedings  for that  purpose  have been
               instituted or are pending or  contemplated  under the  Securities
               Act, (B) the registration statement, the related prospectus,  and
               each  amendment or supplement  thereof,  comply ad to form in all
               material respects with the requirements of the Securities Act and
               the applicable rules and regulations of the Commission thereunder
               (except  that such  counsel  need not  express  any opinion as to
               financial  statements or other  financial data contained  herein)
               and (C) to such other  effects as may  reasonably be requested by
               counsel,  for the underwriters or by such selller or its counsel,
               based on their customary practices,  and (ii) a letter dated such
               date from the  independent  public  accountants  retained  by the
               Company,  addressed  to the  underwritiers  and to such  seller,
               stating that they are independent  public  accountants within the
               meaning of the  Securities  Act and that,  in the opinion of such
               accountants,  the financial statements of the Company included in
               the  registration  statement  or the related  prospectus,  or any
               amendment  or  supplement  thereof,  comply  as to  form  in  all
               materials respects with the applicable accounting requirements of
               the Securities Act and such letter shall  additionally cover such
               other financial matters  (including  information as to the period
               ending no more than five  business days prior to the data of such
               letter) with respect to the registration in respect of which such
               letter is being

                                        7


<PAGE>



               given as such underwriters or such seller may reasonably request,
               based on their customary practices:

                    (g)  Make  available  for  inspection  by each  seller,  any
               underwriter  participanting in any distribution  pursuant to such
               registration  statement,  and any  attorney,  accountant or other
               agent retained by such seller or  underwriter,  all financial and
               other records,  pertinent  corporate  documents and properties of
               the Company,  and cause the  Company's  officers,  directors  and
               employees to supply all information  reasonably  requested by any
               such  seller,  underwriter,  attorney,  accountant  or  agent  in
               connection with such registration statement: and

                    (h) use its best  efforts to list the  shares of  Restricted
               Stock  so  registered  upon  the  principal  national  securities
               exchange,  if any,  upon which the  outstanding  Common  Stock is
               listed at the time of such registration.

                    For purposes of paragraphs  (a) and (b) above and of Section
4 (d)  hereof,  the  period  of  distribution  of  Restricted  Stock  in a  firm
commitment  underwritten public offering shall extend until each underwriter has
completed the distribution of all securities  purchased by it, and the period of
distribution of Restricted  Stock in any other  registration  shall extend until
the earlier of the sale of all  Restricted  Stock  covered  thereby abd one year
after the effective date thereof.

                    In connection with each registration hereunder,  the selling
holders of  Restricted  Stock  will  furnish  to the  Company  in  writing  such
information with respect to themselves and the proposed  distribution by them as
shall be  reasonably  necessary in order to assure  compliance  with Federal and
applicable  state  securities  laws. No such selling holder of Restricted  Stock
shall be required to make any representation in any underwriting agreement other
than a representation as to the ownership of the shares to be registered by such
selling holder in the offering.

                    In connection eith each registration pursuant to Sections 4,
5 and 6 hereof covering an underwritten  public offering,  the Company agrees to
enter into a written  agreement  with the managing  underwriter  selected in the
manner  herein  provided  in such form and  containing  such  provisions  as are
customary in the  securities  business  for such an  arrangement  between  major
underwriters  and  companies  of the  Company's  size  and  investment  stature;
provided that such agreement shall not contain any such provision  applicable to
the Company that is inconsistent with the provisions hereof.

                                        8


<PAGE>



         8.  Expenses.  All expenses  incurred by the Company in complying  with
Sectiond 4, 5 and 6 hereof, including,  without limitation, all registration and
filing fees,  printing  expenses,  fees and  disbursements of its counsel and of
independent public accountants for the Company, reasonable fes and disbursements
of one counsel chosen to represent all selling holders of Restricted Stock, fees
of the National  Association of Securities  Dealers,  Inc.,  transfer taxes, and
fees of transfer agents and registrars,  but excluding any Selling Expenses, are
herein called  "Registration  Expenses." All underwriting  discounts and selling
commissions  applicable  to the  sale of  Restricted  Stock  are  herein  called
"Selling Expenses."

         The Company will pay all Registration  Expenses in connection with each
registration statement filed pursuant hereto. All Selling Expenses in connection
with any  registration  statement  filed  pursuant  to Section  4,  Section 5 or
Section 6 hereof shall be borne by  participating  sellers in  proportion to the
number of shares sold by each, or by such persons other than the Company (except
to the extent the Company shall be a seller) as they may agree.

         9.  Indemnification.  In  the  event  of a  registration  of any of the
Restricted  Stock under the  Securities  Act pursuant to Section 4, Section 5 or
Section 6 hereof,  the Company will  indemnify  and hold harmless each seller of
such  Restricted  Stock  thereunder and each other person,  if any, who controls
such seller or underwriter within the meaning of the Securities Act, against any
and all losses, claims, damages or liabilities,  joint or several, to which such
seller or  underwriter  or  controlling  person  may  become  subject  under the
Securities  Act or  otherwise,  insofar  as  such  losses,  claims,  damages  or
liabilities  (or actions in respect  thereof) arise out of or are based upon any
untrue  statement or alleged untrue  statement of any material fact contained in
any  registration  statement  under which such  Restricted  Stock was registered
under the  Securities  Act  pursuant  to Section 4,  Section 5 or Section 6, any
preliminary  prospectus or final prospectus  contained therein, or any amendment
or supplement thereof, or arise out of or are based upon the omission or alleged
omission  to state  therein a material  fact  required  to be stated  therein or
necessary to make the statements therein not misleading, and will reimburse each
such seller,  each such  underwriter  and each such  controlling  person for any
legal  or  other  expenses  reasonably  incurred  by  them  in  connection  with
investigating or defending any such loss,  claim,  damage,  liability or action,
provided,  however,  that the Company will not be liable in any such case if and
to the extent that any such loss, claim, damage or liability arises out of or is
based upon an untrue statement or alleged untrue statement or mission or



                                        9


<PAGE>



alleged  omission  so made in  conformity  with  information  furnished  by such
seller, such underwriter or such controlling person in writing  specifically for
use in such registration statement or prospectus; and provided further, however,
that the  Company  will not be liable in any such case if and to the extent that
any such loss,  claim,  damage,  or liability  arises out of or is based upon an
untrue  statement or alleged  untrue  statement or omission or alleged  omission
made  in  (i)  any  preliminary  prospectus  if  such  seller,   underwriter  or
controlling  person  failed to send or  deliver  a copy of the final  prospectus
prior to or concurrently  with the delivery of written  confirmation of the sale
of Restricted  Stock and the final  prospectus  would have completely  corrected
such  untrue  statement  or  omission  or (ii)  the  prospectus  if such  untrue
statement  or alleged  untrue  statement  ot  omission  or alleged  omission  is
completely  corrected in an amendment or  supplement to the  prospectus  and if,
having  previously  been furnished by or on behalf of the Company with copies of
the  prospectus,  as so amended or  supplemented,  such seller,  underwriter  or
controlling person thereafter fails to deliver such prospectus, as so amended or
supplemented, prior to or concurrently with the delivery of written confirmation
of the sale of  Restricted  Stock to the  person  asserting  such  loss,  claim,
damage, liability or expense.

         In the event of a registration of any of the Restricted Stock under the
Securities Act pursuant to Section 4, Section 5 or Section 6 hereof, each seller
of such Restricted Stock thereunder,  severally and not jointly,  will indemnify
and hold harmless the Company and each person,  if any, who controls the Company
within the meaning of the Securities  Act, each officer of the Company who signs
the registration  statement,  each director of the Company, each underwriter and
each person who controls any  underwriter  within the meaning of the  Securities
Act,  against  any and all  losses,  claims,  damages or  liabilities,  joint or
several,  to which the Company or such  officer or director  or  underwriter  or
controlling  person may become  subject under the  Securities  Act or otherwise,
insofar as such losses,  claims,  damages or liabilities  (or actions in respect
thereof)  arise out of or are based upon any untrue  statement or alleged untrue
statement of any material fact  contained in the  registration  statement of any
material  fact  contained  in  the  registration   statement  under  which  such
Restricted  Stock was registered under the Securities Act pursuant to Section 4,
Section 5 or Section 6, any preliminary prospectus or final prospectus contained
therein,  or any amendment or supplement  thereof,  or arise out of or are based
upon the omission or alleged  omission to state therein a material fact required
to be stated therein or necessary to make the statements therein not misleading,
and will reimburse the Company and each such officer, director,  underwriter and
controlling person for any legal or other expenses  reasonably  incurred by them
in connection with investigating or defending any such loss, claim,

                                       10


<PAGE>


damage, liability or action; provided,  however, that such seller will be liable
hereunder in any such case if and only to the extent that any such loss,  claim,
damage  or  liability  arises  out of or is based  upon an untrue  statement  or
alleged untrue statement or omission or alleged omission made in conformity with
information  pertaining  to such seller  furnished  in writing to the Company by
such seller  specifically for use in such registration  statement or prospectus;
and provided further,  however,  that (x) the liability of each seller hereunder
shall be  limited  to the  proceeds  received  by such  seller  from the sale of
Restricted Stock covered by such registration  statement and (y) the seller will
not be liable in any such case if and to the extent  that any such loss,  claim,
damage  or  liability  arises  out of or is based  upon an untrue  statement  or
alleged  untrue  statement  or  omission  or  alleged  omission  made in (i) any
preliminary prospectus if the Company, such officer,  director or underwriter or
controlling  person  failed to send or  deliver  a copy of the final  prospectus
prior to or concurrently  with the delivery of written  confirmation of the sale
of  Restricted  Stock (or,  with respect to the company,  shares of Common Stock
included in such  registration)  and the final  prospectus would have completely
corrected  such untrue  statement  or omission  or (ii) the  prospectus  if such
alleged  omission is  completely  corrected in an amendment or supplement to the
prospectus  and  if  the  Company,  such  officer,   director,   underwriter  or
controlling  person  fails  to  deliver  such  prospectus,   as  so  amended  or
supplemented, prior to or concurrently with the delivery of written confirmation
of the sale of Restricted  Stock (or, the case of the Company,  shares of Common
Stock included in such  registration) to the person asserting such loss,  claim,
damage, liability or expense.

         Promptly after receipt by an indemnified  party  hereunder of notice of
the  commencement  of any action,  such  indemnified  party shall, if a claim in
respect thereof is to be made against the indemnifying  party hereunder,  notify
the  indemnifying  party in writing  thereof,  but the omission so to notify the
indemnifying  party shall not relieve it from any liability which it may have to
any  indemnified  party other than under this Section 9. In case any such action
shall  be  brought  against  any  indemnified  party  and it  shall  notify  the
indemnifying party of the commencement  thereof, the indemnifying party shall be
entitled  to  participate  in and,  to the extent it shall  wish,  to assume and
undertake  the defense  thereof with  counsel  reasonably  satisfactory  to such
indemnified  party,  and,  after  notice  from  the  indemnifying  party to such
indemnified  party of its  election  so to  assume  and  undertake  the  defense
thereof,  the indemnifying  party shall not undertake the defense  thereof,  the
indemnifying  party  shall not be leable to such  indemnified  party  under this
Section 9 for any legal expenses subsequently incurred by such indemnified party
in  connection  with  the  defense  thereof  other  than  reasonable   costs  of
investigation; provided, however, that if the defendants in

                                       11


<PAGE>

any such action include both the indemnified  party and the  indemnifying  party
and counsel to the indemnified party shall have reasonably  concluded that there
may  be  reasonable  defenses  available  to it  which  are  different  from  or
additional to those available to the  indemnifying  party or if the interests of
the indemnified party reasonably may be deemed to conflict with the interests of
the indemnifying  party, the indemnified  party shall have the right to select a
separate  counsel and to assume such legal defenses and otherwise to participate
in the  defense of such  action,  with the  expenses  and fees of such  separate
counsel and other expenses related to such participation to be reimbursed by the
indemnifying party as incurred.

     The  indemnifying  party shall not be liable to indemnify  any  indemnified
party for any settlement of any such action  effected  without the  indemnifying
party's consent.  Furthermore, the indemnifying party shall not, except with the
approval of each  indemnified  party,  consent to entry of any judgment or enter
into any settlement which does not include as an unconditional  term thereof the
giving by the claimant or plaintiff to each indemnified  party of a release from
all  liability  in respect to such claim or  litigation  without  any payment or
consideration provided by each such indemnified party.

         If the indemnification provided for in this Section 9 is unavailable to
an indemnified  party under the first or second  paragraphs hereof in respect of
any  losses,   claims,  damages  or  liabilities  referred  therein,  then  each
indemnifying  party,  in lieu of  indemnifying  such  indemnified  party,  shall
contribute to the amount paid or payable by such  indemnified  party as a result
of such losses,  claims,  damages or  liabilities  (i) in such  proportion as is
appropriate to reflect the relative  benefits received by the Company on the one
hand and the sellers of Restricted Stock and any other sellers  participating in
the registration  statement on the other from the sale of shares pursuant to the
registered offering of securities as to which indemnity is sought or (ii) if the
allocation  provided by clause (i) above is not permitted by applicable  law, in
such  proportion  as is  appropriate  to reflect not only the relative  benefits
referred  to in clause (i) above but also the  relative  fault of the Company on
the one hand and of the  sellers  of  Restricted  Stock  and any  other  sellers
participating in the registration  statement on the other in connection with the
statement  or  omissions  that  resulted  in such  losses,  claims,  damages  or
liabilities,  as  well  as any  other  relevant  equitable  considerations.  The
relative  benefits  received  by the  Company on the one hand and the sellers of
Restricted  Stock  and  any  other  sellers  participating  in the  registration
statement on the other shall be deemed to be in the same proportion as the total
net  proceeds  from the offering  (before  deducting  expenses),  if any, to the

                                       12

<PAGE>



Company  bear to the total net  proceeds  from the  offering  (before  deducting
expenses)  to  the  sellers  of the  Restricted  Stock  and  any  other  sellers
participating in the registration  statement.  The relative fault of the Company
on the hand  and of the  sellers  of  Restricted  Stock  and any  other  sellers
participating in the registration  statement on the other shall be determined by
reference to, among other things, whether the untrue or alleged untrue statement
of a material fact or the omission or alleged  omission to state a material fact
relates to  information  supplied by the Company or by the sellers of Restricted
Stock or other  sellers  participating  in the  registration  statement  and the
parties'  relative intent,  knowledge,  access to information and opportunity to
correct or prevent such statement or omission.

     The Company and the sellers of Restricted  Stock agree that it would not be
just and equitable if contribution pursuant to this Section 9 were determined by
pro rata allocation (even if the sellers of Restricted Stock were treated as one
entity for such purpose) or by any other method of allocation that does not take
account of the equitable considerations referred to in the immediately preceding
paragraph. The amount paid or payable by an indemnified party as a result of the
losses, claims, damages and liabilities referred to in the immediately preceding
paragraph  shall be deemed to  include,  subject  to the  limitations  set forth
above, any legal or other expenses reasonably incurred by such indemnified party
in  connection  with  investigating  or  defending  any such  action  or  claim.
Notwithstanding  the provisions of this Section 9, no seller of Restricted Stock
shall be required to contribute any amount in excess of the proceeds received by
such  seller  from the sale of  Restricted  Stock  covered  by the  registration
statement   filed   pursuant   hereto.    No   person   guilty   of   fraudulent
misrepresentation  (within the meaning of Section 11(f) of the  Securities  Act)
shall be  entitled  to  contribution  from any person who was not guilty of such
fraudulent misrepresentation.

     10. Changes in Common Stock. If, any as often as, there are any changes in
the Common Stock by way of stock split, stock dividend, combination r
reclassification,   or  through   merger,   consolidation,   reorganization   or
recapitalization  (including any three-party transaction in which the holders of
Common  Stock  receive  securities  of the parent or  affiliate  of a merging or
acquiring entity), or by any other means,  appropriate  adjustment shall be made
in the provisions hereof, as may be required,  so that the rights and privileges
granted hereby shall continue with respect to the Common Stock as so changed.

     11.  Availability  of Rule  144.  So  long as  there  is  Restricted  Stock
outstanding,  the Company will file the reports required to be filed by it under
the  Securities  Act and the

                                       13

<PAGE>



Securities  Exchange  Act of 1934 and the rules and  regulations  adopted by the
Commission  thereunder,  to the extent  required form time to time to enable any
holder of Restricted  Stock to sell such Restricted  Stock without  registration
under the  Securities Act within the  limitations  of the exemption  provided by
Rule 144 under the  Securities  Act or any similar rule or  regulation  allowing
such holders to sell without registration under the Securities Act, as such Rule
may be amended from time to time;  provided;  however,  that so long as there is
Restricted Stock outstanding, the Company shall continue to file such reports as
outstanding,  the Company shall continue to file such reports as may be required
to  satisfy  the  requirements  of Rule  144(c)  even if not  required  to do so
pursuant to the Securities Exchange Act of 1934.

     12. Subsequent  Registration  Rights Agreements.  After the date hereof, so
long as there is any Restricted Stock  outstanding,  the Company shall not enter
into any registration  rights  agreement that would materially  adversely affect
the  rights  of the  holder or  holders  of such  Restricted  Stock  under  this
Agreement without the consent of holders of 66 2/3% of the Restricted Stock then
outstanding.

     13.  Miscellaneous.  (a) All  covenants  and  agreements  contained in this
Agreement  by or on behalf of any of the parties  hereto shall bind the inure to
the  benefits of the  respective  successors  , assigns and  transferees  of the
parties hereto whether so expressed or not.  Without  limiting the generality of
the  foregoing,  the  registration  rights  conferred  herein on the  holders of
Restricted  Stock shall inure to the benefit of any and all  subsequent  holders
from time to time of the Restricted Stock.

     (b) All  notices,  requests,  consents and other  communications  hereunder
shall be in writing and shall be sent by telecopier,  national overnight courier
service or certified mail, return receipt  requested,  in each case with postage
prepaid, addressed as follows:

       if to the Company, to it at its offices at 90 Merrick Avenue, Suite 501,
   East Meadow, New York 11554, attention: President;

       if to the Purchaser, to it at the address set forth in the Purchase
   Agreement;

       if to any subsequent holder of Restricted Stock, to it at such address
   as may have been furnished to the Company in writing by such holder;

   or, in any case,  at such  other  address  or  addresses  as shall  have been
   furnished  in writing to the Company  (in the case of a holder

                                       14

<PAGE>


     of Restricted  Stock) or to the holders of Restricted Stock (in the case of
     the Company).

     (c) This  Agreement  shall be governed by and construed in accordance  with
the laws of the State of New York.

     (d) 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.

     (e) 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.

     Please  indicate your  acceptance of the foregoing by signing and returning
the enclosed counterpart of this letter, whereupon this letter (herein sometimes
called "this  Agreement")  shall be a binding  agreement between the Company and
you.

                                        Very truly yours,

                                        MEDE AMERICA CORPORATION

                                        By /s/ Thomas P. Staudt
                                          ------------------
                                          Thomas P. Staudt
                                          President and Chief
                                          Executive Officer

AGREED TO AND ACCEPTED
as of the date first
above written.
WCAS CAPITAL PARTNERS II, L.P.

By WCAS CP II Partners, General


By /s/
 ------------------------------




                                                            EXHIBIT 4.7


THE SECURITIES  REPRESENTED BY THIS  CERTIFICATE  HAVE NOT BEEN REGISTERED UNDER
EITHER THE  SECURITIES  ACT OF 1933, AS AMENDED (THE "1933 ACT"),  OR APPLICABLE
STATE  SECURITIES  LAWS (THE  "STATE  ACTS") , AND  SHALL NOT BE SOLD,  PLEDGED,
HYPOTHECATED,   DONATED   OR   OTHERWISE   TRANSFERRED   (WHETHER   OR  NOT  FOR
CONSIDERATION)  BY THE HOLDER EXCEPT BY REGISTRATION OR PURSUANT TO AN EXEMPTION
FROM  REGISTRATION  UPON THE  ISSUANCE TO THE ISSUER OF A  FAVORABLE  OPINION OF
COUNSEL OR OTHER EVIDENCE  REASONABLY  SATISFACTORY  TO THE ISSUER TO THE EFFECT
THAT ANY SUCH  TRANSFER  SHALL NOT BE A VIOLATION  OF THE 1933 ACT AND THE STATE
ACTS.

                                                                New York, N.Y.
                                                                July 17, 1998

                                     WARRANT

                                   to Purchase

                                    1,250,000

                                     Shares

                                       of

                    Common Stock (par value $0.01 per share)

                                       of

                            MEDE AMERICA CORPORATION

       at a price per share equal to the Warrant Price (as defined herein)




<PAGE>




                  MEDE  AMERICA   CORPORATION.,   a  Delaware  corporation  (the
"Issuer"),  certifies that, for value received,  MEDIC COMPUTER SYSTEMS, INC., a
North  Carolina  corporation,   or  an  affiliated  entity  (collectively,   the
"Investor"),  is  entitled  to  purchase,  until  the close of  business  on the
Termination Date (as defined in Section 1) 1,250,000 shares of common stock, par
value $0.01 per share,  of the Issuer (the "Common  Stock") at a price per share
equal to the Warrant Price (as defined in Section 1); subject,  however,  to the
provisions and upon the terms and conditions hereinafter set forth.

                  1.  Definitions.  Capitalized  terms  used  and not  otherwise
defined herein shall have the respective  meanings ascribed to such terms in the
Investment  Agreement,  dated as of July 17,  1998,  between  the Issuer and the
Investor  (the  "Investment  Agreement").  The  following  terms  shall have the
following meanings:

                           "affiliate"  shall have the meaning ascribed to it in
                  Rule  12b-2  under the  Securities  Exchange  Act of 1934,  as
                  amended.

                           "Average  Market Price" shall mean the average of the
                  daily reported closing sales prices, regular way, per share of
                  the Common Stock on the Nasdaq National Market ("Nasdaq"),  or
                  if the Common Stock is not principally traded on Nasdaq,  such
                  other   market  on  which  the  Common   Stock  is  listed  or
                  principally traded, for the ten (10) days prior to the date of
                  determination; provided that if the Common Stock is not traded
                  on any market or exchange,  the "Average  Market  Price" shall
                  mean the fair market value of the Common  Stock as  determined
                  by an independent  investment banking firm mutually acceptable
                  to  the   Issuer  and  the   Investor,   the  costs  of  which
                  determination  shall be borne  equally  by the  Issuer and the
                  Investor.

                           "Change of Control"  shall have occurred when (a) any
                  person or group of  affiliated  persons  shall have  acquired,
                  directly or  indirectly,  beneficial  ownership of thirty-five
                  percent (35%) or more of the then outstanding voting shares or
                  share  equivalents  of the Issuer,  provided that none of such
                  persons  and  no   combination   of  such  persons  and  their
                  respective  affiliates  beneficially owns thirty-five  percent
                  (35%)  or more  of the  outstanding  voting  shares  or  share
                  equivalents  of the Issuer as of the date of this Warrant;  or
                  (b) any person or group of affiliated persons[2]

                                       2

<PAGE>




                  commences a tender offer or an exchange offer for  thirty-five
                  percent  (35%) or more of the  outstanding  voting  shares  or
                  share equivalents.

                           "Final Date" shall mean March 31, 1999.

                           "IPO"  shall mean an initial  public  offering by the
                  Issuer of the Common Stock.

                           "Processing  Agreement"  shall  mean the  Transaction
                  Processing  Agreement,  dated  the date  hereof,  between  the
                  Issuer and the Investor.

                           "Termination  Date"  shall mean (a) in the event that
                  the IPO has been  completed by the Final Date,  July 17, 2003,
                  and (b) in the event  that the IPO has not been  completed  by
                  the Final Date,  July 17,  2005;  provided,  that in the event
                  that the  Processing  Agreement  is  terminated  by the Issuer
                  pursuant  to clause  (iv),  (vi) or (viii)  of  Section  18(a)
                  thereof,   then  notwithstanding   anything  to  the  contrary
                  contained herein,  the "Termination Date" shall be the date of
                  termination of the Processing  Agreement,  and thereafter this
                  Warrant shall be void and of no effect..

                           "Transaction"  shall  mean a  merger,  consolidation,
                  sale  of all or  substantially  all  of the  Issuer's  assets,
                  recapitalization   of  the  Common  Stock  or  other   similar
                  transaction, in each case if the previously outstanding Common
                  Stock is acquired for cash or changed  into or  exchanged  for
                  different   securities  of  the  Issuer  or  changed  into  or
                  exchanged  for  common  stock or other  securities  of another
                  corporation  or interests in a  non-corporate  entity or other
                  property  (including  cash) or any  combination  of any of the
                  foregoing.

                           "Warrant  Price" shall mean (a) in the event that the
                  IPO has been  completed by the Final Date, the price per share
                  at which the Issuer's  shares were sold to the public pursuant
                  to such IPO,  and (b) in the  event  that the IPO has not been
                  completed by the Final Date, $8.00,  subject in either case to
                  the adjustments set forth in Section 6 hereof.

                  2.  Exercisability  of  Warrant.  (a) Subject to the terms and
conditions  set forth herein,  this Warrant may be exercised (i) with respect to
up to 50% of the shares

                                       3


<PAGE>


of Common Stock subject to this Warrant,  at any time on or after July 17, 1999,
and before the Termination  Date, and (ii) with respect to the remaining  shares
of Common Stock subject to this Warrant,  at any time on or after July 17, 2000,
and before the Termination  Date, by presentation  and surrender of this Warrant
as specified in Section 3 below.

                           (b)  Notwithstanding  anything in this Warrant to the
contrary, in the event of a Change of Control, this Warrant shall be immediately
exercisable  with respect to all of the shares of Common  Stock  subject to this
Warrant,  and shall be  exercisable  at any time  before the  Termination  Date;
provided that in the event of a Change of Control specified in clause (b) of the
definition  of  "Change of  Control,"  if the  tender or  exchange  offer is not
consummated,  the  Issuer  and  the  Investor  will  take  such  action  that is
reasonably necessary (including,  without limitation,  refunding to the Investor
an amount equal to the payment made pursuant to Section 3(a)(i)) to exchange the
shares of Common  Stock  issued upon  exercise  of the Warrant  pursuant to this
Section 2(b) for a warrant identical to this Warrant.

                  3.       Method of Exercise; Payment; Issuance of New Warrant.

                           (a) This Warrant may be exercised by the Investor, in
whole or in part,  subject to the  provisions  of Section 2, by the surrender of
this Warrant,  with the form of  subscription at the end hereof (or a reasonable
facsimile thereof) (the "Subscription Notice") duly executed by the Investor, to
the Issuer at its principal office,  and by (i) the payment to the Issuer of the
then  applicable  Warrant  Price of the Common  Stock  being  purchased  or (ii)
notification  of Cashless  Exercise by the  Investor as provided in Section 3(d)
below.

                           (b) Each  exercise of this Warrant shall be deemed to
have been  effected  immediately  prior to the close of business on the business
day on which this Warrant shall have been  surrendered to the Issuer as provided
in this Section 3, and at such time the Investor  shall be deemed to have become
the holder of record thereof.


 
                                        4

<PAGE>


                           (c)  In  the  event  of any  exercise  of the  rights
represented  by this  Warrant,  certificates  for the shares of Common  Stock so
purchased shall be delivered at the Issuer's  expense  (including the payment by
the Issuer of any  applicable  issuance  taxes) to the Investor  within five (5)
business  days after the rights  represented  by this Warrant shall have been so
exercised,  and unless  this  Warrant has  expired,  a new Warrant of like tenor
representing the number of shares of Common Stock, if any, with respect to which
this  Warrant  shall not then have been  exercised,  shall also be issued to the
Investor within such time.

                           (d) Upon any exercise of this  Warrant,  the Investor
may, at its option,  instruct the Issuer, by appropriate designation in the Form
of Subscription  accompanying  the surrender of this Warrant at the time of such
exercise, to apply to the payment of the aggregate Warrant Price to be paid upon
such  exercise such number of shares of Common Stock  otherwise  issuable to the
Investor upon such exercise as shall be specified in such Form of  Subscription,
in which case an amount  equal to the  excess of the  aggregate  Average  Market
Price of such  specified  number of  shares of Common  Stock on the date of such
exercise  over the portion of the  aggregate  Warrant Price to be paid upon such
exercise  which is  attributable  to such  specified  number of shares of Common
Stock  shall be deemed to have been paid to the  Issuer and the number of shares
of Common Stock  issuable upon such exercise  shall be reduced by such specified
number (a "Cashless Exercise").

                  4.  Stock  Fully  Paid;  Reservation  of  Shares.  The  Issuer
covenants  and agrees that all shares  which may be issued upon the  exercise of
the rights represented by this Warrant will, upon issuance,  be duly authorized,
validly issued, fully paid and nonassessable and free from all liens. The Issuer
further  covenants  and agrees  that during the period  within  which the rights
represented by this Warrant may be exercised,  the Issuer will at all times have
authorized,  and  reserved  for the  purpose of the issue upon  exercise  of the
purchase rights evidenced by this Warrant, at least the maximum number of shares
of its  Common  Stock  as are then  issuable  upon the  exercise  of the  rights
represented  by this  Warrant.  The Issuer  further  agrees that it will not, by
amendment  of  its  Certificate  of  Incorporation  or  through  reorganization,
consolidation,  merger, dissolution or sale of assets, or by any other voluntary
act,  avoid  or  seek to  avoid  the  observance  or  performance  of any of the
covenants,  stipulations or conditions to be observed or performed  hereunder by
the Issuer. Without limiting the generality of the foregoing,  the Issuer agrees
that  before  taking any action  that would  cause an  adjustment  reducing  the
Warrant  Price below the then par value of Common Stock  issuable  upon 

                                       5

<PAGE>

exercise  hereof,  the  Issuer  will  from  time to time  take all  such  action
necessary in order that the Issuer may validly and legally  issue fully paid and
nonassessable shares of such Common Stock at the Warrant Price as so adjusted.

                  5.  Fractional  Shares.  No fractional  shares of Common Stock
will be issued in connection  with any exercise  hereunder,  but in lieu of such
fractional  shares, the Issuer shall make a cash payment therefor upon the basis
of the Average Market Price of the Common Stock.

                  6. Antidilution Provisions.  The number and price of shares of
Common  Stock  receivable  upon the  exercise  of this  Warrant  is  subject  to
adjustment upon the happening of certain events specified in this Section 6. The
holder of this Warrant shall,  upon exercise hereof,  be entitled to receive the
number of shares of Common Stock  determined by multiplying the number of shares
of Common Stock which would otherwise (but for the provisions of this Section 6)
be issuable  upon such  exercise by a fraction of which (A) the numerator is the
Warrant  Price  specified  in  Section  1  (but  without  giving  effect  to any
adjustments)  and (B) the denominator is the Warrant Price in effect at the time
of such  exercise.  The price to be paid for each such share of Common  Stock by
the Investor shall be the Warrant Price as adjusted  pursuant to this Section 6,
provided  that the price paid by the holder for any shares of Common  Stock upon
exercise of this Warrant shall never be less than the par value per share of the
Common Stock,  and provided  further that in no event will any adjustments  made
pursuant to this Section 6 cause any increase or decrease the aggregate price to
be paid for all shares of Common  Stock  subject to this  Warrant.  The  Warrant
Price shall be subject to adjustment as follows:

                           (a) Stock Dividends, Stock Splits, Etc. If the Issuer
at any time or from time to time after the date hereof  shall  issue  additional
shares of Common Stock as a result of the  declaration  or payment of a dividend
on the Common Stock payable in Common Stock,  or as a distribution to holders of
Common  Stock,  or as a result of a  subdivision  of the  outstanding  shares of
Common   Stock   into  a  greater   number   of  shares  of  Common   Stock  (by
reclassification  or otherwise than by payment of a dividend in shares of Common
Stock),  then,  and in each such case, the Warrant Price then in effect shall be
reduced,  concurrently  with the issuance of such shares, to a price (calculated
to the nearest cent)  determined by multiplying such Warrant Price by a fraction
(i) the  numerator  of which  shall be the  number of  shares  of  Common  Stock
outstanding  immediately  prior to such issuance of additional  shares of Common
Stock, and (ii) the denominator of which shall be the number of shares of Common
Stock outstanding  immediately after such issuance,  provided that, for purposes
of this Section 6(a), (x)  additional  shares of Common Stock shall be deemed to
have  been  issued  (A) in  the  case  of any  such  dividend  or  distribution,
immediately after the close of business on

                                       6


<PAGE>


and (ii) the  denominator of which shall be the number of shares of Common Stock
outstanding immediately after such issuance, provided that, for purposes of this
Section 6(a), (x) additional shares of Common Stock shall be deemed to have been
issued (A) in the case of any such dividend or distribution,  immediately  after
the close of business on the record date for the determination of holders of any
class of securities  entitled to receive such dividend or distribution or (B) in
the  case  of any  such  subdivision,  at the  close  of  business  on the  date
immediately prior to the day upon which such corporate action becomes effective,
(y) immediately  after any additional  shares of Common Stock are deemed to have
been  issued,  such  additional  shares  of Common  Stock  shall be deemed to be
outstanding, and (z) treasury shares shall be deemed not to be outstanding.

                           (b) Extraordinary Dividends and Distributions. If the
Issuer shall distribute to all holders of its outstanding Common Stock evidences
of indebtedness of the Issuer,  cash (other than a cash  distribution  made as a
dividend payable or to be payable at regularly  scheduled  intervals and payable
out of earnings or earned surplus legally available for the payment of dividends
under  the  laws of the  State of  Delaware,  but  only to the  extent  that the
aggregate of all such  dividends paid or declared after the date hereof does not
exceed the consolidated  net income of the Issuer earned  subsequent to the date
hereof,  as  determined  in  accordance  with  generally   accepted   accounting
principles,  consistently applied) or assets or securities other than its Common
Stock  (including  stock  of a  subsidiary  or  securities  convertible  into or
exercisable for such stock but excluding dividends or distributions  referred to
in Section 6(a) above) (any such  evidences  of  indebtedness,  cash,  assets or
securities,  the "assets or securities"),  then, in each case, the Warrant Price
shall be adjusted by subtracting from the Warrant Price then in effect the value
of the assets or securities  that the holder would have been entitled to receive
as a result of such distribution had the Warrant been exercised and the relevant
shares of Common Stock issued in the name of the holder immediately prior to the
record date for such distribution; provided that if, after giving effect to such
adjustment,  the  Warrant  Price  would be less  than the then par  value of the
Common  Stock,  the Issuer shall  distribute  such assets or  securities  to the
holder as if the holder had exercised the Warrant and the shares of Common Stock
had been issued in the name of the holder  immediately  prior to the record date
for such  distribution.  Any  adjustment  required by this Section 6(b) shall be
made whenever any such  distribution is made, and shall become  effective on the
date of  distribution  retroactive to the record date for the  determination  of
stockholders entitled to receive such distribution.


                                       7

<PAGE>

                           (c)  Combinations,  Etc. If the Issuer at any time or
from  time to time  after the date  hereof  shall  combine  or  consolidate  the
outstanding  shares of Common Stock, by  reclassification  or otherwise,  into a
lesser  number of  shares of Common  Stock,  then,  and in each such  case,  the
Warrant  Price  then  in  effect  shall  be  increased,  concurrently  with  the
effectiveness of such combination or  consolidation,  to a price  (calculated to
the nearest one cent) determined by multiplying such Warrant Price by a fraction
(i) the  numerator  of which  shall be the  number of  shares  of  Common  Stock
outstanding  immediately  prior  to the  effectiveness  of such  combination  or
consolidation and (ii) the denominator of which shall be the number of shares of
Common Stock outstanding  immediately after such  effectiveness,  provided that,
for purposes of this Section 6(c), (x) such combination or  consolidation  shall
be deemed to have  occurred  at the close of  business  on the date  immediately
prior to the day upon which such combination or consolidation  becomes effective
and (y) treasury shares shall be deemed not to be outstanding.

                           (d) Issuance of Additional Shares of Common Stock. In
case the  Issuer at any time or from time to time  after the date  hereof  shall
issue or sell  additional  shares of Common  Stock  ("Additional  Shares") for a
consideration per share less than 90% of the Average Market Price (or if the IPO
has not occurred by the time of  determination,  less than the Warrant Price) in
effect on the  earlier  of (i) the date on which the Issuer  enters  into a firm
contract  for the  issuance  and sale of such  Additional  Shares  (unless  such
contract  specifies  that the sale  price  for such  Additional  Shares  will be
determined at a later date, then such later date shall apply to this clause (i))
or (ii) the date of actual issuance or sale of such Additional Shares,  then, in
each such case, the Warrant Price in effect immediately prior to such date shall
be reduced,  concurrently  with such issuance or sale, to a price (calculated to
the nearest one cent) determined by multiplying such Warrant Price by a fraction
(x) the  numerator  of which  shall be the sum of (A) the  number  of  shares of
Common Stock  outstanding  immediately prior to such issue or sale, plus (B) the
number of shares of Common Stock which the aggregate  consideration  received by
the  Issuer  for the total  number of such  Additional  Shares so issued or sold
would purchase at such Average  Market Price or Warrant  Price,  as the case may
be,  and (y) the  denominator  of which  shall be the number of shares of Common
Stock  outstanding  immediately  after  such  issue or sale,  provided  that (a)
treasury  shares  shall not be deemed to be  outstanding  for  purposes  of this
Section  6(d) and (b) the shares of Common Stock then  issuable  pursuant to the
terms of this Warrant shall be deemed to be outstanding immediately prior to and
after  such  issue or sale.  Notwithstanding  anything  contained  herein to the
contrary,  no  adjustment  to the Warrant  Price shall be 

                                       8

<PAGE>

made pursuant to this Section 6(d)  following the issuance of Additional  Shares
pursuant  to (I)  Section  6(a)  hereof,  (II) the  exercise  of any  options or
issuance of any shares  under any  options or purchase or other  rights that are
outstanding on or prior to the date hereof and that were issued  pursuant to any
of the Issuer's  employee  stock option,  appreciation  or purchase right plans,
(III) the exercise of any options or purchase or other rights or the issuance of
any shares  under any options or rights that are granted  after the date hereof,
whether  in  accordance  with the terms of any of the  Issuer's  employee  stock
option,  appreciation  or  purchase  right  plans or  otherwise,  so long as the
exercise price of any such option,  warrant,  subscription  or purchase right is
not less than the Average  Market  Price on the date that such grant is approved
by the Issuer's Board of Directors or a duly authorized committee thereof or, if
later,  the date that such exercise price is  established,  (IV) the exercise of
any other options, warrants or other subscription or purchase rights outstanding
on or prior to the date hereof, including without limitation,  this Warrant, (V)
the exercise of any conversion or exchange rights outstanding on or prior to the
date  hereof  issued by the  Issuer,  (VI) the  exercise  of any  conversion  or
exchange  rights  issued by the  Issuer  after the date  hereof,  so long as the
conversion  or exchange  price is not less than the Average  Market Price on the
date  that  such  issuance  is  approved  by the  Board of  Directors  or a duly
authorized  committee  thereof or, if later,  the date that such  conversion  or
exchange price is established or (VII) the issuance or sale of Additional Shares
pursuant to a firmly underwritten public offering of such shares.

                           (e)  Accountants'  Report as to Adjustments.  In each
case of any adjustment or readjustment  in the Warrant Price,  the Issuer at its
expense will promptly compute such adjustment or readjustment in accordance with
the terms hereof and, upon the reasonable request of the holder of this Warrant,
cause independent public accountants of recognized national standing selected by
the Issuer  (which may be the  regular  auditors  of the  Issuer) to verify such
computation  and  prepare  a  calculation   setting  forth  such  adjustment  or
readjustment and showing in reasonable detail the method of calculation  thereof
and the facts upon which such adjustment or  readjustment is based,  including a
statement of (i) the number of shares of Common Stock  outstanding  or deemed to
be outstanding  and (ii) the Warrant Price in effect  immediately  prior to such
adjustment  or  readjustment  and as adjusted  and  readjusted  (if  required by
Section 6) on account  thereof.  The Issuer will  forthwith  mail a copy of each
such report to the holder of this  Warrant.  The Issuer will also keep copies of
all  such  reports  at its  principal  office,  and  will  cause  the same to be
available for  inspection at such office  during  normal  business  hours by any
holder of this Warrant.


                                       9
<PAGE>


                           (f) No Dilution or  Impairment.  The Issuer will not,
by amendment of its Certificate of Incorporation  or through any  consolidation,
merger,  reorganization,  transfer  of  assets,  dissolution,  issue  or sale of
securities or any other voluntary action,  avoid or seek to avoid the observance
or performance  of any of the terms hereof,  but will at all times in good faith
assist  in the  carrying  out of all such  terms  and in the  taking of all such
action as may be necessary or  appropriate in order to protect the rights of the
Investor against dilution,  or to accord to the Investor the protections against
dilution, as provided herein.  Without limiting the generality of the foregoing,
the  Issuer  (i) will not  permit  the par value of any  shares of Common  Stock
receivable  upon the  exercise of any Warrant to be  increased to an amount that
exceeds the amount payable therefor upon such exercise,  (ii) will take all such
action as may be necessary or  appropriate  in order that the Issuer may validly
and legally issue fully paid and nonassessable  shares upon the exercise of this
Warrant  from time to time and (iii) will not take any action  which  results in
any  adjustment  of the  Warrant  Price if the total  number of shares of Common
Stock  issuable after such action upon the exercise of this Warrant would exceed
the total  number of shares of Common  Stock  then  authorized  by the  Issuer's
Certificate  of  Incorporation  and available for the purpose of issue upon such
exercise.

                           (g) Additional  Reductions.  The Issuer may make such
reductions in the Warrant Price, in addition to those required by Sections 6(a),
(b), (c) and (d) hereof, as it considers to be advisable in order that any event
treated for Federal  income tax  purposes as a dividend of stock or stock rights
shall not be taxable to the recipients.

                  7.  Preemptive  Rights.  If at any time after the date of this
Warrant but prior to the IPO the Issuer shall  propose to sell or issue for cash
in a transaction, the principal purpose of which is to raise capital, any equity
securities or options, warrants (other than the Warrant being issued on the date
hereof),  rights or other securities  exercisable for or convertible into equity
securities of the Issuer,  the Issuer shall offer to sell or issue to the holder
of this  Warrant,  on the same  terms and condi  tions as the  proposed  sale or
issuance,  the  respective  numbers  of  such  securities  which,  if  all  such
securities  were  purchased,  would result in the holder of this Warrant and its
affiliates holding that percentage of such securities equal to the percentage of
Common Stock on a fully  diluted  basis owned by such holder and its  affiliates
immediately prior to such sale or issuance.  In the event the Issuer proposes to
issue two or more  securities as a unit, the preemptive  rights  available under
this Section 7 may only be 

                                       10
<PAGE>


exercised to purchase such units. The Issuer shall deliver to the holder of this
Warrant a written  notice (a "Purchase  Notice") of a proposed  sale pursuant to
this Section 7 no later than 10 days prior to the proposed closing thereof. Such
notice shall make reference to the holders' rights  hereunder and shall describe
in  reasonable  detail (i) the total amount of equity  securities to be sold and
(ii) the terms and conditions of the purchase, including the consideration to be
paid  therefor.  The  holder  of  this  Warrant  shall  exercise  its  right  to
participate in the purchase of equity  securities  pursuant to this Section 7 by
delivering to the Issuer a written notice (a  "Subscription  Response")  stating
its election to do so and  specifying  the amount of equity  securities  it will
purchase no later than 30 days after receipt of the Purchase Notice.  Failure to
provide  a  Subscription  Response  in such  30-day  period  shall be  deemed to
constitute an election by such holder not to participate, and the holder's right
to elect to purchase  equity  securities  in  connection  with the proposed sale
shall terminate at the end of the thirtieth day.

                  8.  Exercise  of  Warrant  in the  Event  of a  Consolidation,
Merger, Sale of Assets, Reorganization, Etc.

                  (a) In case at any  time  the  Issuer  shall be a party to any
Transaction,  then (i) upon the  consummation  thereof this Warrant shall become
exercisable  with respect to all shares of Common Stock covered hereby  (whether
or not it has otherwise become  exercisable with respect to such shares pursuant
to Section 2) and shall be deemed to have been exercised by the Investor without
any act on the part of the  Investor and without any  obligation  on the part of
the  Investor to pay the  exercise  price  until  presentation  of this  Warrant
pursuant to clause (ii) below,  and (ii) this Warrant shall  represent the right
of the  Investor  to receive  (upon  presentation  of this  Warrant on or within
twenty (20) days after the date of such  consummation  together  with payment of
the  aggregate  exercise  price  payable  at the  time of such  consummation  in
accordance  with  Section 3 for all shares of Common  Stock  issuable  upon such
exercise  immediately prior to such  consummation),  in lieu of the Common Stock
issuable  upon exercise of this Warrant  prior to such  consummation,  the cash,
securities  and other  property to which the Investor  would have been  entitled
upon the  consummation  of the  Transaction  if the Investor had exercised  this
Warrant immediately prior thereto.

                  (b) The Issuer will not effect any Transaction  unless,  prior
to the consummation  thereof, each corporation or entity (other than the Issuer)
which may be required to deliver any cash, securities or other property upon the
exercise of this 

                                       11
<PAGE>


Warrant as provided herein shall assume, by written instrument  delivered to the
Investor,  the  obligation to deliver to the Investor  such cash,  securities or
other property as, in accordance with the foregoing provision,  the Investor may
be entitled to receive.

                  9.  Notices  of  Corporate   Action.   In  the  event  of  any
anticipated  (i) taking by the Issuer 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  on such  securities,  or (ii)
Transaction,  or (iii)  voluntary or  involuntary  dissolution,  liquidation  or
winding-up  of the Issuer,  the Issuer will mail to the holder of this Warrant a
notice  specifying  (A) the date or expected date on which any such record is to
be taken for the  purpose of such  dividend or  distribution  or (B) the date or
expected  date on  which  any  such  Transaction,  dissolution,  liquidation  or
winding-up is to take place and the time, if any such time is to be fixed, as of
which the holders of record of Common Stock shall be entitled to exchange  their
shares of Common Stock for the  securities or other  property  deliverable  upon
such Transaction,  dissolution,  liquidation or winding-up. Such notice shall be
mailed at least  twenty (20) days prior to the date  therein  specified,  in the
case of any date referred to in the foregoing  clause (A), and at least ten (10)
days prior to the date therein specified, in the case of the date referred to in
the foregoing clause (B).

                  10.  Amendments  and Waivers.  Any term of this Warrant may be
amended or modified or the  observance of any term of this Warrant may be waived
(either generally or in a particular  instance) only with the written consent of
the Issuer and the holder of this Warrant.

                  11. Successors and Assigns;  Transfers. The provisions of this
Warrant  shall be binding upon and inure to the benefit of the  original  holder
hereof, its successors and assigns by way of merger,  consolidation or operation
of law, and any  affiliate of the Investor to whom this Warrant is  transferred.
This Warrant shall not be  transferable  by the Investor except to any affiliate
of the original holder hereof,  or otherwise by way of merger,  consolidation or
operation of law.

                  12.  Exchange of Warrant.  Upon surrender for exchange of this
Warrant,  properly endorsed, for registration of transfer or for exchange at the
principal office of the Issuer, the Issuer at its expense will issue and deliver
to or upon the order of the Investor a new Warrant or Warrants of like tenor, in
the name of the Investor or, subject to Section 11 above,  as the Investor (upon
payment by the Investor of any 

                                       12

<PAGE>

applicable  transfer taxes) may direct,  calling in the aggregate on the face or
faces thereof for the number of shares of Common Stock called for on the face of
this Warrant.

                  13.   Replacement   of  Warrant.   Upon  receipt  of  evidence
reasonably  satisfactory  to the  Issuer  of the  loss,  theft,  destruction  or
mutilation  of any  Warrant  and,  in  the  case  of any  such  loss,  theft  or
destruction  of  any  Warrant,  upon  delivery  of an  indemnity  bond  in  such
reasonable  amount as the Issuer may  determine  (or, in the case of any Warrant
held by the original holder hereof or any affiliate thereof,  of an affidavit of
an authorized officer of such holder, setting forth the fact of such loss, theft
or  destruction,  which shall be  satisfactory  evidence  thereof and no further
indemnity  shall be required as a condition of the  execution  and delivery of a
new Warrant), or, in the case of any such mutilation, upon the surrender of such
Warrant for  cancellation to the Issuer at its principal  office,  the Issuer at
its expense will execute and deliver,  in lieu thereof,  a new Warrant,  of like
tenor.  Any  Warrant in lieu of which any such new  Warrant has been so executed
and delivered by the Issuer shall not be deemed to be an outstanding Warrant for
any purpose.

                  14. Remedies.  The Issuer  stipulates that the remedies at law
of the holder of this  Warrant in the event of any  default by the Issuer in the
performance  of or in  compliance  with any of the terms of this Warrant are not
and will not be adequate,  and that such terms may be specifically enforced by a
decree for the specific  performance of any agreement  contained herein or by an
injunction  against a violation of any of the terms hereof or otherwise  without
the requirement of the posting of a bond.

                  15. No Rights or Liabilities as Stockholder. Nothing contained
in this  Warrant  shall be construed as  conferring  upon the holder  hereof any
rights as a  stockholder  of the Issuer  (except to the  extent  that  shares of
Common Stock are issued to such holder  pursuant to this Warrant) or as imposing
any liabilities on such holder to purchase any securities or as a stockholder of
the Issuer,  whether such liabilities are asserted by the Issuer or by creditors
or stockholders of the Issuer or otherwise.

                  16. Notices.  All notices and other  communications under this
Warrant shall be in writing and shall be mailed by registered or certified mail,
return receipt requested, or by facsimile transmission,  addressed (a) if to the
holder, at the registered  address or the facsimile number of such holder as set
forth in the register kept at the principal office of the Issuer,  and (b) if to
the Issuer, to the attention of the Secretary at 

                                       13
<PAGE>


its principal office, or to its facsimile number, Attention: Secretary, provided
that the  exercise  of any Warrant  shall be effected in the manner  provided in
Section 2.

                  17. Legends.  The shares of Common Stock issuable  pursuant to
the terms of this Warrant shall  contain the legend set forth in Section  3.4(d)
of the Investment Agreement.

                  18.  Miscellaneous.   THIS  WARRANT  SHALL  BE  CONSTRUED  AND
ENFORCED IN  ACCORDANCE  WITH AND GOVERNED BY THE LAWS OF THE STATE OF DELAWARE.
The headings in this  Warrant are for  purposes of reference  only and shall not
limit or otherwise affect the meaning hereof.

                  DATED as of July 17, 1998.

                                            MEDE AMERICA CORPORATION

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

                                       14


<PAGE>




                              FORM OF SUBSCRIPTION

                [To be signed only upon exercise of the Warrant]

TO MEDE AMERICA CORPORATION

                  The  undersigned,  the  holder of the within  Warrant,  hereby
irrevocably  elects to exercise the purchase  right  represented by such Warrant
for,  and to  purchase  thereunder,  _________*  shares of Common  Stock of MEDE
AMERICA  CORPORATION and herewith makes payment of $______  therefor or elects a
Cashless  Exercise **, and  requests  that the  certificates  for such shares be
issued in the name of, and delivered to, ________________________________, whose
address is ________________________________________________________________.


Dated:  _________________

                                                -----------------------------
                                                (Signature must conform in all
                                                respects to name of holder as
                                                specified on the face of the
                                                Warrant)


                                                -----------------------------
                                                   (Address)

- --------------------
*        Insert here the number of shares  called for on the face of the Warrant
         (or, in the case of a partial exercise, the portion thereof as to which
         the  Warrant is being  exercised),  in either case  without  making any
         adjustment for additional shares of the Common Stock or any other stock
         or  other  securities  or  property  or  cash  which,  pursuant  to the
         adjustment  provisions  referred to in the Warrant,  may be deliverable
         upon exercise. In the case of a partial exercise, a new Warrant or


                                       15
<PAGE>

         Warrants will be issued and  delivered,  representing  the  unexercised
         portion of such Warrant, all as provided in the Warrant.

**       Indicate  here the  election  of a  Cashless  Exercise  of the  Warrant
         pursuant to _______.


                                       16

<PAGE>



                               FORM OF ASSIGNMENT

                [To be signed only upon transfer of the Warrant]

                  For value received,  the undersigned hereby sells, assigns and
transfers unto  _____________________________________  the rights represented by
the within  Warrant to purchase  _______  shares of Common Stock of MEDE AMERICA
CORP.    to    which    the    within    Warrant    relates,     and    appoints
__________________________________ Attorney to transfer such rights on the books
of MEDE AMERICA CORP. with full power of substitution in the premises.


Dated:  _________________

                                               ------------------------------
                                               (Signature must conform in all
                                               respects to name of holder as
                                               specified on the face of the
                                               Warrant)

                                               ------------------------------
                                                     (Address)

Signed in the presence of:


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


                                       17


                                                                 EXHIBIT 4.8


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



                          REGISTRATION RIGHTS AGREEMENT

                                     between

                            MEDE AMERICA CORPORATION

                                       and

                          MEDIC COMPUTER SYSTEMS, INC.

                            Dated as of July 17, 1998





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




                                TABLE OF CONTENTS
                             (Not Part of Agreement)

<TABLE>
<CAPTION>
                                                                                Page
<S>                                                                              <C>
1.  Background....................................................................1

2.  Definitions...................................................................1

3.  Registration..................................................................5
       3.1  Demand Registration...................................................5

               (a)  Requests......................................................5
               (b)  Obligation to Effect Registration.............................5
               (c)  Shelf Registration............................................6
               (d)  Effective Registration Statement..............................6
               (e)  Pro Rata Allocation...........................................6
               (f)  Inclusion of Other Securities in Demand Registration..........6
       3.2  Piggyback Registration................................................7
       3.3  Registration Procedures...............................................9
       3.4  Underwritten Offerings...............................................15
               (a)  Underwritten Offerings Exclusive.............................15
               (b)  Underwriting Agreement.......................................15
               (c)  Selection of Underwriters....................................15

       3.5  Lock-Up Agreements...................................................16
       3.6  Preparation; Reasonable Investigation................................16
       3.7  Other Registrations..................................................17
       3.8  Indemnification......................................................17
               (a)  Indemnification by the Issuer................................17
               (b)  Indemnification by the Seller................................18
               (c)  Notices of Claims, etc.......................................18
               (d)  Other Indemnification........................................19
               (e)  Other Remedies...............................................20
               (f)  Officers and Directors.......................................20
       3.9 Expenses..............................................................20

4.  Miscellaneous................................................................20
       4.1  Rule 144; Legended Securities; etc...................................20
       4.2  Amendments and Waivers...............................................21
       4.4  Successors, Assigns and Transferees..................................21
       4.5  Notices..............................................................22
       4.6  No Inconsistent Agreements...........................................22
</TABLE>



                                       i



<PAGE>


<TABLE>
<S>                                                                             <C>
       4.7   Enforcement of Agreement............................................22
       4.8   Severability........................................................23
       4.9.  Headings............................................................23
       4.10. Counterparts........................................................23
       4.11. Governing Law.......................................................23
       4.12  No Third Party Beneficiaries........................................23
</TABLE>



                                       ii

<PAGE>

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


                          REGISTRATION RIGHTS AGREEMENT

                  REGISTRATION  RIGHTS AGREEMENT (the "Agreement"),  dated as of
July 17,  1998,  among MEDE AMERICA  CORPORATION,  a Delaware  corporation  (the
"Issuer"),  and MEDIC COMPUTER SYSTEMS,  INC. a North Carolina  corporation (the
"Investor").

                  1.  Background.   (a)  Concurrently  with  the  execution  and
delivery of this Agreement,  the Investor is receiving a Warrant (the "Warrant")
to purchase an aggregate of 1,250,000  shares (the  "Shares") of Common Stock of
the  Issuer,  pursuant  to an  Investment  Agreement  dated the date hereof (the
"Investment Agreement").

                  (b) This Agreement shall become  effective with respect to any
Registrable  Securities  upon the  issuance  or sale of  Registrable  Securities
pursuant to the  Warrant,  provided  that any holder of the Warrant may exercise
its rights hereunder to demand or request registration of Registrable Securities
prior to the exercise of such  Warrant.  This  Agreement  shall remain in effect
upon the assignment or transfer of  Registrable  Securities by the Investor or a
Holder to an  Affiliate  of the  Investor  or such  Holder or to any  successor,
assign or  transferee  by merger or  consolidation  or otherwise by operation of
law, in each case pursuant to Section 4.4.

                  2. Definitions.  For purposes of this Agreement, the following
terms have the following respective meanings:

                  "Additional  Shares" means shares of Common Stock  acquired by
the Investor other than by the exercise of the Warrant initially issued pursuant
to the  Investment  Agreement,  provided such shares of Common Stock are, at the
time of such  acquisition,  "restricted  securities"  as such term is defined in
Rule 144.

                  "Affiliate"  means,  with  respect  to any  Person,  any other
Person directly or indirectly Controlling, Controlled by or under common Control
with  such  first  Person.  "Control"  means  the  power to  direct or cause the
direction  of  management  or policies of such Person,  directly or  indirectly,
whether  through the ownership of voting  securities,  by contract or otherwise.
Any director, member of management or other employee of the Issuer or any of its
Subsidiaries  who would not otherwise be an Affiliate of the Investor  shall not
be deemed to be an Affiliate of the Investor.

                  "Agreement"  is  defined  in  the  first   paragraph  of  this
Agreement.

                  "Business  Day" means a day other than a  Saturday,  Sunday or
other day on which  commercial banks in New York City are authorized or required
to close.


<PAGE>


                  "Closing Date" means the date hereof.

                  "Common  Stock"  means the  common  stock,  par value $.01 per
share, of the Issuer.

                  "Exchange Act" means the  Securities  Exchange Act of 1934, as
amended,  or any  successor  federal  statute,  and the  rules  and  regulations
thereunder  which shall be in effect at the time.  Any reference to a particular
section thereof shall include a reference to the corresponding  section, if any,
of any such successor federal statute, and the rules and regulations thereunder.

                  "Holder"  means any holder of  Registrable  Securities  or the
Warrant,  including  an  Affiliate  of  the  Investor  or a  Holder  (or  to any
successor,  assign or  transferee  by merger or  consolidation  or  otherwise by
operation of law) that has received  Registrable  Securities pursuant to Section
4.4.

                  "Investment Agreement" is defined in Section 1(a).

                  "Investor"   is  defined  in  the  first   paragraph  of  this
Agreement.

                  "Issuer" is defined in the introduction to this Agreement.

                  "Majority  Holders"  means,   initially,   the  Investor,  and
subsequent  to any  transfer,  shall  mean  Holders  of a  majority  of the then
outstanding Registrable Securities.

                  "NASD" means the National  Association of Securities  Dealers,
Inc.

                  "Person"  means  any  natural   person,   firm,   partnership,
association, corporation, company, trust, business trust, governmental entity or
other entity.

                  "Prospectus" means the prospectus included in any Registration
Statement   (including,   without   limitation,   a  prospectus  that  discloses
information  previously  omitted from a prospectus filed as part of an effective
registration  statement in reliance upon Rule 430A),  as amended or supplemented
by any prospectus  supplement,  with respect to the terms of the offering of any
portion of the Registrable Securities covered by such Registration Statement and
all other amendments and supplements to the prospectus, including post-effective
amendments,  and  all  material  incorporated  by  reference  or  deemed  to  be
incorporated by reference in such prospectus.


                                       2
<PAGE>


                  "Registrable   Securities"  means  (a)  the  Shares,  (b)  the
Additional  Shares,  (c) any  securities  issued or issuable with respect to any
Shares or Additional  Shares  referred to in the foregoing  clauses (a) and (b),
(i) upon any  conversion or exchange  thereof,  (ii) by way of stock dividend or
other  distribution,  stock split or reverse stock split, or (iii) in connection
with a combination of shares, recapitalization,  merger, consolidation, exchange
offer or other reorganization. As to any particular Registrable Securities, once
issued such  securities  shall  cease to be  Registrable  Securities  when (A) a
Registration  Statement with respect to the sale of such  securities  shall have
become  effective under the Securities Act and such  securities  shall have been
disposed of in accordance with such Registration Statement,  (B) such securities
shall have been distributed to the public in reliance upon Rule 144, (C) subject
to the  provisions  of Sec tion  4.1(b)(ii),  such  securities  shall  have been
otherwise transferred, new certificates for such securities not bearing a legend
restricting  further  transfer  shall  have been  delivered  by the  Issuer  and
subsequent  disposition of such  securities  shall not require  registration  or
qualification  of such securities  under the Securities Act or any similar state
law then in force or (D) such securities shall have been acquired by the Issuer.
In determining the number of Registrable  Securities  outstanding at any time or
whether the Holders of the requisite number of Registrable Securities have taken
any action hereunder and in calculating the number of Registrable Securities for
all other  purposes  under this  Agreement,  the Warrant shall be deemed to have
been  exercised  (to the  fullest  extent then  determinable  without a cashless
exercise)  and such  calculation  shall  include  the number of shares of Common
Stock then  deliverable upon the exercise of such Warrant (to the fullest extent
then determinable without a cashless exercise).

                  "Registration  Expenses" All fees and expenses incident to the
performance of or compliance with the provisions of this  Agreement,  whether or
not any registration statement is filed or becomes effective, including, without
limitation, all (i) registration and filing fees (including, without limitation,
(A) fees with respect to filings required to be made with the NASD in connection
with an  underwritten  offering,  (B) fees and expenses of compliance with state
securities  or  blue  sky  laws  (including,   without   limitation,   fees  and
disbursements  of counsel for the underwriter or underwriters in connection with
blue sky  qualifications of the Registrable  Securities and determination of the
eligibility of the Registrable  Securities for investment under the laws of such
jurisdictions  as provided in Section  3.3(e)),  and (C) fees and other expenses
associated  with the  listing  of the Shares  and any  Additional  Shares on the
Nasdaq National Market and any other applicable exchange, (ii) printing expenses
(including,   without   limitation,   expenses  of  printing   certificates  for
Registrable   Securities   and  of  printing   prospectuses),   (iii)  fees  and
disbursements  of all independent  certified public  accountants  referred to in
Section 3.3  (including,  without  limitation,  the  reasonable  expenses of any
special  audit  and "cold  comfort"  letters  required  by or  incident  to such
performance), (iv) the fees and expenses of any "qualified independent


                                       3
<PAGE>


underwriter"  or  other  independent  appraiser  participating  in  an  offering
pursuant to Rule 2720 of the NASD Rules of Conduct, (v) fees and expenses of all
attorneys,  advisers, appraisers and other persons retained by the Issuer or any
Subsidiary  of  the  Issuer,  (vi)  the  expenses  relating  to  printing,  word
processing  and   distributing   all   registration   statements,   underwriting
agreements,  securities  sales  agreements,  indentures and any other  documents
necessary  in order to comply  with  this  Agreement  and  (vii) the  reasonable
out-of-pocket  expenses  of the  Holders  of the  Registrable  Securities  being
registered  in such  registration  incurred in connection  therewith  including,
without  limitation,  the reasonable fees and disbursements of not more than one
counsel  (together with  appropriate  local counsel)  chosen by the Holders of a
majority of the  Registrable  Securities  to be  included  in such  Registration
Statement.  "Registration Expenses" shall not include any underwriting discounts
or  commissions  or any  transfer  taxes  payable  in  respect  of the  sale  of
Registrable Securities by the Holders thereof.

                  "Registration  Statement" means any registration  statement of
the  Issuer  that  covers  any of the  Registrable  Securities  pursuant  to the
provisions of this  Agreement,  and all amendments  and  supplements to any such
registration  statement,  including  post-effective  amendments,  in  each  case
including  the  Prospectus,  all  exhibits  and  all  material  incorporated  by
reference  or  deemed  to be  incorporated  by  reference  in such  registration
statement.

                  "Rule 144" means Rule 144 (or any successor  provision)  under
the Securities Act.

                  "Rule 145" means Rule 145 (or any successor  provision)  under
the Securities Act.

                  "Securities Act" means the Securities Act of 1933, as amended,
or any successor federal statute, and the rules and regulations thereunder which
shall be in effect at the time.  Any reference to a particular  section  thereof
shall  include a reference  to the  corresponding  section,  if any, of any such
successor federal statute, and the rules and regulations thereunder.

                  "SEC" means the  Securities  and  Exchange  Commission  or any
other  federal  agency  at the  time  administering  the  Securities  Act or the
Exchange Act.

                  "Shares" is defined in Section 1(a).

                  "Special  Registration"  means the  registration  of shares of
equity  securities  and/or  options  or other  rights in  respect  thereof to be
offered solely to



                                       4
<PAGE>


directors,  members  of  management,  employees,  consultants  or sales  agents,
distributors or similar  representatives of the Issuer or its direct or indirect
Subsidiaries, solely on Form S-8 or any successor form.

                  "Subsidiary"   means,   with   respect  to  any  Person,   any
corporation  or Person,  a majority  of the  outstanding  voting  stock or other
equity interests of which is owned, directly or indirectly, by that Person.

                  "underwritten registration" or "underwritten offering" means a
registration  in  which   securities  of  the  Issuer   (including   Registrable
Securities) are sold to an underwriter for reoffering to the public.

                  "Warrant" means the warrant issued pursuant to the Investment
Agreement.

                  3.  Registration.

                           3.1  Demand Registration.

                  (a) Requests. Subject to the provisions of Section 3.7, at any
time or from time to time after 180 days following the initial  public  offering
of the Common Stock,  the Majority  Holders shall have the right to make written
requests that the Issuer effect up to three  registrations  under the Securities
Act of all or part of the  Registrable  Securities  of the  Holders  making such
request, which requests shall specify the intended method of disposition thereof
by  such  Holders,  including  whether  the  registration  requested  is  for an
underwritten  offering.  The Issuer  shall not be  required  to effect more than
three  registrations  under this Section 3.1.  Nothing in this  Agreement  shall
prevent  any  Holder  from  making a request  under  this  Section  3.1 prior to
exercising the Warrant.

                  (b)  Obligation to Effect  Registration.  Within 10 days after
receipt  by the  Issuer of any  request  for  registration  pursuant  to Section
3.1(a),  the  Issuer  shall  promptly  give  written  notice  of such  requested
registration to all Holders,  and there upon will use its best efforts to effect
the registration under the Securities Act of

                  (i) the  Registrable  Securities  which the Issuer has been so
         requested to register pursuant to Section 3.1(a), and

                  (ii) all other  Registrable  Securities  which the  Issuer has
         been  requested to register by the Holders  thereof by written  request
         given to the  Issuer  within 10 days  after the  Issuer  has given such
         written notice (which request shall


                                       5
<PAGE>



         specify  the  intended  method  of  disposition  of  such   Registrable
         Securities),  all to the extent  required to permit the disposition (in
         accordance  with the  intended  methods  thereof as  aforesaid)  of the
         Registrable Securities so to be registered.

                  (c) Shelf Registration.  If requested by Holders of a majority
of the  Registrable  Securities  as to which  registration  has  been  requested
pursuant  to this  Section  3.1,  and if the  Issuer  is  eligible  to file such
Registration  Statement on Form S- 3, the Registration  Statement  covering such
Registrable  Securities shall provide for the sale by the Holders thereof of the
Registrable  Securities  from time to time on a delayed  or a  continuous  basis
under Rule 415 under the Securities Act. If more than one underwritten  offering
is requested  under any  particular  shelf  registration,  each such  additional
underwritten  offering shall  constitute a separate  "demand"  registration  for
purposes of Section 3.1(a).

                  (d) Effective Registration Statement. A registration requested
pursuant to Section  3.1(a) shall not be deemed to have been effected  unless it
is declared  effective by the SEC and remains effective for the period specified
in Section  3.3(b).  Notwithstanding  the  preceding  sentence,  a  registration
requested  pursuant to Section 3.1(a) that does not become  effective  after the
Issuer has filed a Registration  Statement with respect thereto by reason of the
refusal to  proceed of the  Holders of  Registrable  Securities  requesting  the
registration,  or by reason of a request by the  Holders  of a  majority  of the
Registrable  Securities  for which  registration  is being  requested  that such
registration  be withdrawn,  shall be deemed to have been effected by the Issuer
at the request of such Holders.

                  (e) Pro Rata  Allocation.  If the Holders of a majority of the
Registrable  Securities for which  registration is being  requested  pursuant to
Section 3.1(a) deter mine, based on consultation with the managing  underwriters
or, in an offering which is not underwritten,  with an investment  banker,  that
the number of securities  to be sold in any such offering  should be limited due
to market conditions or otherwise,  Holders of Registrable  Securities proposing
to sell their securities in such registration shall share pro rata in the number
of securities  being offered (as determined by the Holders holding a majority of
the  Registrable  Securities  for  which  registration  is being re  quested  in
consultation  with the managing  underwriters or investment  banker, as the case
may be) and registered for their account, such sharing to be based on the number
of  Registrable  Securities  as to  which  registration  was  requested  by such
Holders.

                  (f)  Inclusion of Other Securities in Demand Registration.

                  (i) The Issuer may,  subject to the  remainder of this Section
3.1(f), elect to include in any Registration  Statement made pursuant to Section
3.1(a), authorized


                                       6
<PAGE>



but  unissued  shares of Common Stock or shares of Common Stock held as treasury
stock.

                  (ii) Notwithstanding any other provision of this Section 3(f),
the Issuer shall not register securities (other than Registrable Securities) for
sale for the  account of any  Person  (other  than the  Issuer and WCAS  Capital
Partners II, L.P. to the extent that it  exercises  its  piggyback  registration
rights  granted  by  the  Issuer  as of the  date  hereof)  in any  registration
requested  pursuant to Section  3.1(a) unless  permitted to do so by the written
consent of the Holders holding at least a majority of the Registrable Securities
proposed to be sold in such registration.

                  (iii) If any  Registration  Statement made pursuant to Section
3.1(a)  involves an underwritten  offering and the managing  underwriter of such
offering  (or, in  connection  with an  offering  that is not  underwritten,  an
investment  banker)  shall  advise the Issuer that,  in its view,  the number of
securities  requested  to be included in such  registration  exceeds the largest
number  that can be sold in an orderly  manner in such  offering  within a price
range  acceptable  to the  selling  Holders,  the Issuer  shall  include in such
registration.

                           (A) first, all shares of Common Stock requested to be
included  in such  registration  by the  selling  Holders as provided in Section
3.1(e); and

                           (B)  second,   to  the  extent  that  the  number  of
securities  to be  registered  pursuant  to clause (A) is less than the  largest
number  that can be sold in an orderly  manner in such  offering  within a price
range acceptable to the selling Holders,  securities that the Issuer proposes to
register; and

                           (C) third,  to the  extent  that the number of shares
registered  pursuant to clauses (A) and (B) is less than the largest number that
can be  sold in an  orderly  manner  in  such  offering  within  a  price  range
acceptable to the selling  Holders,  the securities  requested to be included by
any other holders (if permitted by the Holders or otherwise  pursuant to Section
3.1(f)(ii)).

The  securities to be included in any such  registration  pursuant to clause (C)
shall be  allocated  on a pro rata  basis  among  all  holders  requesting  that
securities be included in such registration pursuant to such clause on the basis
of the number of securities requested to be included by such holders.

                  3.2 Piggyback Registration. If the Issuer at any time proposes
to register any Common Stock under the  Securities Act (other than pursuant to a
Registration Statement relating solely to the sale of securities to participants
in a Issuer

                                       7

<PAGE>


stock  plan,  on  Form  S-4  with  respect  to  any  merger,   consolidation  or
acquisition,  pursuant to Section  3.1 or  pursuant to a Special  Registration),
whether or not for sale for its own  account,  and the  registration  form to be
used may be used for the registration of Registrable  Securities,  it shall each
such time give prompt written notice to all Holders of Registrable Securities of
its  intention  to do so  and,  upon  the  written  request  of  any  Holder  of
Registrable  Securities  given to the Issuer within 10 days after the Issuer has
given any such notice (which  request shall specify the  Registrable  Securities
intended to be disposed of by such Holder and the intended method of disposition
thereof),  the Issuer will use its best efforts to effect the registration under
the Securities Act of all  Registrable  Securities  which the Issuer has been so
requested to register by the Holders  thereof,  to the extent required to permit
the disposition  (in accordance with the intended  methods thereof as aforesaid)
of the Registrable Securities so to be registered, provided that:

                  (a)  if,  at any  time  after  giving  written  notice  of its
         intention to register any securities and prior to the effective date of
         the Registration  Statement filed in connection with such registration,
         the  Issuer  shall  determine  for  any  reason  not to  register  such
         securities,  the Issuer may, at its  election,  give written  notice of
         such determination to each Holder that was previously  notified of such
         registration  and,  thereupon,   shall  not  register  any  Registrable
         Securities in connection with such registration (but shall nevertheless
         pay  the  Registration  Expenses  in  connection  therewith),   without
         prejudice,  however,  to the rights of any  Holders  to request  that a
         registration be effected under Section 3.1; and

                  (b) if the Issuer  shall be advised in writing by the managing
         underwriters   (or,  in  connection  with  an  offering  which  is  not
         underwritten, by an investment banker) that in their or its opinion the
         number of  securities  requested  to be included  in such  registration
         (whether by the Issuer, pursuant to this Section 3.2 or pursuant to any
         other  rights  granted  by the  Issuer  to a holder or  holders  of its
         securities to request or demand such  registration  or inclusion of any
         such  securities in any such  registration)  exceeds the number of such
         securities  which can be sold in such  offering  in an  orderly  manner
         within a price range that is acceptable to the Issuer, the Issuer shall
         include in such registration:

                           (i) first,  all shares  requested to be registered by
         WCAS  Capital  Partners II pursuant to its demand  registration  rights
         granted by the Issuer as of the date hereof; and

                           (ii)  second,  all  shares of Common  Stock  that the
                  Issuer proposes to register for its own account; and

                                       8

<PAGE>




                           (iii) third,  to the extent that the number of shares
                  registered  pursuant  to clauses (i) and (ii) is less than the
                  largest  number that can be sold in an orderly  manner in such
                  offering  within a price range  acceptable to the Issuer,  (x)
                  the  Registrable  Securities  requested  to be included by the
                  Holders  and  (y)  in the  case  of a  registration  initially
                  requested  or  demanded  by a holder or holders of  securities
                  other than the Registrable Securities (other than WCAS Capital
                  Partners  II),  the  securities  requested  or  demanded to be
                  registered by such other holders; and

                           (iv) fourth,  to the extent that the number of shares
                  registered  pursuant  to clauses  (i),  (ii) and (iii) is less
                  than the largest  number that can be sold in an orderly manner
                  in such  offering  within  a  price  range  acceptable  to the
                  Issuer,  the securities  requested to be included by any other
                  holders,

         and  the  Issuer  shall  so  provide  in  any  registration   agreement
         hereinafter entered into with respect to any of its securities.

                  The  securities  to  be  included  in  any  such  registration
pursuant to clause  (iii) or (iv) shall be  allocated  on a pro rata basis among
all holders requesting that securities be included in such registration pursuant
to such clause on the basis of the number of securities requested to be included
by such holders.

                  No registration  effected under this Section 3.2 shall relieve
the Issuer  from its  obligation  to effect  registrations  upon  request  under
Section  3.1.  The  Issuer  shall  not be  obligated  to cause  any  "piggyback"
registration  to be  underwritten.  Nothing in this Agreement  shall prevent any
Holder from making a request  under this  Section  3.2 prior to  exercising  the
Warrant.

                  3.3  Registration  Procedures.  If and  whenever the Issuer is
required to use its best efforts to effect the  registration  of any Registrable
Securities  under the  Securities  Act as provided in Sections  3.1 and 3.2, the
Issuer shall:

                  (a) prepare and file with the SEC, as soon as  practicable,  a
         Registration  Statement  with  respect  to such  securities,  make  all
         required  filings  with the NASD and use  best  efforts  to cause  such
         Registration  Statement to become  effective  at the earliest  possible
         date;

                                       9

<PAGE>



                  (b)  prepare  and  file  with  the  SEC  such  amendments  and
         supplements to such  Registration  Statement and the Prospectus used in
         connection  therewith  and such other  documents as may be necessary to
         keep such Registration  Statement effective until the earlier of (i) 30
         days after the effective date of such Registration  Statement (360 days
         in the case of a shelf registration pursuant to Section 3.1(c)) or (ii)
         the  consummation  of  the  disposition  by  the  Holders  of  all  the
         Registrable  Securities  covered  by such  Registration  Statement  and
         otherwise comply with the provisions of the Securities Act with respect
         to the  disposition  of all  securities  covered  by such  Registration
         Statement;

                  (c) furnish to counsel  (if any)  selected by the Holders of a
         majority of the  Registrable  Securities  covered by such  Registration
         Statement  and to  counsel  for the  underwriters  in any  underwritten
         offering  copies of all documents  proposed to be filed with the SEC in
         connection  with  such  registration  a  reasonable  time  prior to the
         proposed filing thereof and give reasonable consideration in good faith
         to any comments of such Holders,  counsel and underwriters.  The Issuer
         shall  not  file  any  Registration  Statement  or  Prospectus  or  any
         amendments or  supplements  thereto  pursuant to a  registration  under
         Section  3.1(a)  if  the  Holders  of a  majority  of  the  Registrable
         Securities covered by such Registration  Statement,  their counsel,  or
         the underwriters, if any, shall reasonably object in writing;

                  (d) furnish to each seller of Registrable Securities,  without
         charge, such reasonable number of conformed copies of such Registration
         Statement and of each such  amendment and  supplement  thereto (in each
         case,  including  all exhib its  (including  exhibits  incorporated  by
         reference),   financial   statements,   schedules   and  all  documents
         incorporated therein, deemed to be incorporated therein by reference or
         filed  therewith,  except  that the Issuer  shall not be  obligated  to
         furnish  any  seller of  securities  with more than two  copies of such
         exhibits  and  documents),  such  number of  copies  of the  Prospectus
         included in such  Registration  Statement  (including each  preliminary
         prospectus  and  any  summary   prospectus)  in  conformity   with  the
         requirements of the Securities Act, and such other  documents,  as such
         seller may reasonably request in order to facilitate the disposition of
         the securities owned by such seller;

                  (e) use its best efforts to register or qualify and  cooperate
         with the Holders of Registrable Securities,  the underwriters and their
         respective   counsels   in   connection   with  the   registration   or
         qualification (or exemption from such registration or qualification) of
         the securities covered by such Registration  Statement under such other
         securities or blue sky laws of such  jurisdictions as each seller shall
         request; provided, however, that where Registrable Securities


                                       10
<PAGE>



         are offered  other than through an  underwritten  offering,  the Issuer
         agrees to cause its counsel to perform blue sky investigations and file
         registrations and qualifications  required to be filed pursuant to this
         Section  3.3(e);  keep  each such  registration  or  qualification  (or
         exemption  therefrom)  effective  during the period  such  Registration
         Statement  is required  to be  effective  hereunder  and do any and all
         other acts and things  which may be  necessary  or  advisable to enable
         such seller to consummate the disposition in such  jurisdictions of the
         securities  owned by such seller,  except that the Issuer shall not for
         any such  purpose be required to qualify  generally to do business as a
         foreign corporation in any jurisdiction wherein it is not so qualified,
         subject  itself to  taxation in any  jurisdiction  wherein it is not so
         subject,  or take any action which would subject it to general  service
         of process in any jurisdiction wherein it is not so subject;

                  (f) in connection with an underwritten public offering only,

                           (i) furnish to each seller of Registrable  Securities
                  a signed coun terpart, addressed to the sellers, of an opinion
                  of  counsel  for the  Issuer  experienced  in  securities  law
                  matters,   dated  the  effective  date  of  the   Registration
                  Statement, and

                           (ii) if and to the  extent  permitted  by  applicable
                  accounting standards, use its reasonable efforts to furnish to
                  each seller of  Registrable  Securities,  addressed to them, a
                  "cold  comfort"  letter  signed  by  the  independent   public
                  accountants   who  have   certified  the  Issuer's   financial
                  statements included in such Registration  Statement,  covering
                  substantially   the  same   matters   with   respect  to  such
                  Registration  Statement (and the Prospectus included therein),
                  and with  respect  to  events  subsequent  to the date of such
                  financial   statements,   as  are   customarily   covered   in
                  accountants' letters delivered to underwriters in underwritten
                  public  offerings of securities  and such other matters as the
                  Investors may reasonable request;

                  (g) (i) notify each Holder of Registrable  Securities  subject
         to such Registration Statement if such Registration  Statement,  at the
         time it or any amendment  thereto  became  effective,  (x) contained an
         untrue statement of a material fact or omitted to state a material fact
         required  to be stated  therein  or  necessary  to make the  statements
         therein not  misleading  upon  discovery by the Issuer of such material
         misstatement  or  omission or (y) upon  discovery  by the Issuer of the
         happening of any event as a result of which the Issuer  believes  there
         would be such a material misstatement or omission,  and, as promptly as
         practicable,  prepare and file with the SEC a post-effective  amendment
         to such


                                       11
<PAGE>



         registration   statement   and  use  best   efforts   to   cause   such
         post-effective   amend  ment  to  become   effective   such  that  such
         registration  statement,  as so  amended,  shall not  contain an untrue
         statement of a material  fact or omit to state a material fact required
         to be stated  therein or necessary to make the  statements  therein not
         misleading,  and (ii)  notify  each  Holder of  Registrable  Securities
         subject to such Registration  Statement,  at any time when a Prospectus
         relating  thereto is required to be delivered under the Securities Act,
         if the Prospectus in cluded in such Registration  Statement, as then in
         effect,  includes an untrue  statement  of a material  fact or omits to
         state a material  fact  required to be stated  therein or  necessary to
         make the statements  therein, in light of the circumstances under which
         they were made,  not  misleading  upon  discovery by the Issuer of such
         material  misstatement  or omission or upon  discovery by the Issuer of
         the  happening  of any event as a result of which the  Issuer  believes
         there  would be such a  material  misstatement  or  omission,  and,  as
         promptly  as is  practicable,  prepare  and  furnish  to such  Holder a
         reasonable number of copies of a sup plement to or an amendment of such
         Prospectus as may be necessary so that, as thereafter  delivered to the
         purchasers of such  securities,  such  Prospectus  shall not include an
         untrue  statement of a material  fact or omit to state a material  fact
         required  to be stated  therein  or  necessary  to make the  statements
         therein,  in light of the circumstances under which they were made, not
         misleading;

                  (h)  otherwise  use  its  best  efforts  to  comply  with  all
         applicable  rules and regulations of the SEC, and make available to its
         security  holders,  as  soon as  reasonably  practicable,  an  earnings
         statement of the Issuer  complying with the provisions of Section 11(a)
         of the Securities Act and Rule 158 promulgated under the Securities Act
         (or any similar rule  promulgated  under the  Securities  Act) no later
         than 45 days after the end of any 12-month period (or 90 days after the
         end of any  12-month  period  if such  period  is a  fiscal  year)  (i)
         commencing  at the  end of any  fiscal  quarter  in  which  Registrable
         Securities  are sold to an  underwriter  or to  underwriters  in a firm
         commitment or best efforts  underwritten  offering and (ii) if not sold
         to an underwriter or to underwriters in such an offering, commencing on
         the first day of the  first  fiscal  quarter  of the  Issuer  after the
         effective date of the relevant Registration Statement, which statements
         shall cover said 12-month periods;

                  (i) promptly notify each Holder of any Registrable  Securities
         covered  by  such  Registration   Statement,   their  counsel  and  the
         underwriters   (i)   when   such   Registration   Statement,   or   any
         post-effective  amendment to such  Registration  Statement,  shall have
         become  effective,  or any amendment of or supplement to the Prospectus
         used in connection therewith shall have been filed, (ii) of any request
         by the SEC to amend such Registration Statement or to amend or


                                       12
<PAGE>


         supplement such Prospectus or for additional information,  (iii) of the
         issuance by the SEC of any stop order  suspending the  effectiveness of
         such  Registration  Statement or of any order  preventing or suspending
         the use of any preliminary  prospectus or the initiation or threatening
         of any proceedings for any of such purposes,  (iv) of the suspension of
         the  qualification  of  such  securities  for  offering  or sale in any
         jurisdiction,  or of the institution of any proceedings for any of such
         purposes and (v) if at any time when a Prospectus  is to be required by
         the Securities  Act to be delivered in connection  with the sale of the
         Registrable  Securities,  the  representations  and  warranties  of the
         Issuer contained in any agreement (including the underwriting agreement
         contemplated in Section 3.4(b) below),  to the knowledge of the Issuer,
         cease to be true and correct in any material respect;

                  (j) use its best  efforts to prevent the issuance of any order
         suspending the  effectiveness of the  Registration  Statement or of any
         order  preventing or  suspending  the use of a Prospectus or suspending
         the  qualification  (or  exemption  from  qualification)  of any of the
         Registrable  Securities  covered thereby for sale in any  jurisdiction,
         and, if any such order is issued,  to obtain the withdrawal of any such
         order at the earliest possible moment;

                  (k) prior to the effective date of the Registration Statement,
         (i)  provide  the   registrar  for  the  Common  Stock  or  such  other
         Registrable Securities with printed certificates for such securities in
         a form  eligible  for deposit  with DTC and (ii) provide a CUSIP number
         for such securities;

                  (l) have the right,  if the Board of  Directors of the Issuer,
         in its good faith judgment,  determines that any registration of shares
         of Common Stock  should not be made or  continued  because (x) it would
         materially   interfere  with  any  material   financing,   acquisition,
         corporation reorganization,  merger, or other transaction involving the
         Issuer  or  any of  its  Subsidiaries  or  (y)  it  would  require  the
         disclosure of material  nonpublic  information,  which disclosure would
         have a material adverse effect on the Issuer's  business (each a "Valid
         Business  Reason"),  (i) to postpone  filing a  Registration  Statement
         until such Valid Business Reason no longer exists,  but in no event for
         more than 90 days,  and (ii) to cause any  Registration  Statement that
         has already been filed to be withdrawn and its effectiveness terminated
         or to postpone amending or supplementing  such  Registration  Statement
         until such Valid Business Reason no longer exists,  but in no event for
         more than 90 days (the "Postponement Period");  provided, however, that
         in no event  shall the Issuer be  permitted  to  postpone or withdraw a
         Registration  Statement  within  180 days after the  expiration  of the
         Postponement Period; and

                                       13

<PAGE>



                  (m)  participate  in marketing any  Registrable  Securities in
         connection  with  the   registration  of  such  securities  under  this
         Agreement  (including,  but not limited to, making available reasonably
         necessary  personnel  and  participating  in a road  show)  as would be
         customary for public offerings of this nature.

                  The  Issuer  may  require  each  Holder  of  any   Registrable
Securities  as to which any  registration  is being  effected  to furnish to the
Issuer  such  information  regarding  such Holder and the  distribution  of such
securities as the Issuer may from time to time reasonably request in writing and
as shall be required by law in connection therewith.  Each such Holder agrees to
furnish promptly to the Issuer all information required to be disclosed in order
to make the  information  previously  furnished to the Issuer by such Holder not
materially misleading.

                  The  Issuer  agrees not to file or make any  amendment  to any
Registration  Statement  with  respect  to any  Registrable  Securities,  or any
amendment  of or supple ment to the  Prospectus  used in  connection  therewith,
which  refers to any  seller  of any  securities  covered  thereby  by name,  or
otherwise  identifies such seller as the holder of any securities of the Issuer,
without  the  consent  of  such  seller,  such  consent  not to be  unreasonably
withheld,  except that no such consent shall be required for any disclosure that
is required by law.

                  By the  acquisition  of  Registrable  Securities,  each Holder
shall be deemed to have agreed  that upon  receipt of any notice from the Issuer
pursuant to Sec tion 3.3(g) or (l), such Holder will promptly  discontinue  such
Holder's  disposition of  Registrable  Securities  pursuant to the  Registration
Statement  covering  such  Registrable  Securities  until such Holder shall have
received,  in the case of clause (i) of Section  3.3(g),  notice from the Issuer
that such  Registration  Statement has been amended,  as contemplated by Section
3.3(g); in the case of clause (ii) of Section 3.3(g), copies of the supplemented
or amended Prospectus contemplated by Section 3.3(g); or, in the case of Section
3.3(l), the time period specified has elapsed or such Holder has received notice
from the Issuer that the Postponement Period has been terminated. If so directed
by the Issuer,  each Holder will deliver to the Issuer (at the Issuer's expense)
all copies, other than permanent file copies, in such Holder's possession of the
Prospectus  covering such Registrable  Securities at the time of receipt of such
notice.  In the event that the Issuer  shall  give any such  notice,  the period
mentioned  in Section  3.3(b) shall be extended by the number of days during the
period from and including the date of the giving of such notice to and including
the  date  when  each  seller  of any  Registrable  Securities  covered  by such
Registration  Statement  shall have received the copies of the  supplemented  or
amended Prospectus contemplated by Sec tion 3.3(g).


                                       14
<PAGE>



                  3.4 Underwritten Offerings. The provisions of this Section 3.4
do not establish additional registration rights but instead set forth procedures
applicable,  in addition to those set forth in Sections  3.1 through 3.3, to any
registration that is an underwritten offering.

                  (a) Underwritten Offerings Exclusive.  Whenever a registration
requested  pursuant  to  Section  3.1  is  for an  underwritten  offering,  only
securities that are to be distributed by the underwriters may be included in the
registration.

                  (b) Underwriting  Agreement.  If requested by the underwriters
for any underwritten  offering by Holders  pursuant to a registration  requested
under Section 3.1, the Issuer shall enter into an  underwriting  agreement  with
such   underwriters   for  such  offering,   such  agreement  to  be  reasonably
satisfactory  in  substance  and  form  to  the  Holders  of a  majority  of the
Registrable   Securities  to  be  covered  by  such   registration  and  to  the
underwriters  and to contain such  representations  and warranties by the Issuer
and such other terms and provisions as are  customarily  contained in agreements
of this type,  including,  but not limited to,  indemnities to the effect and to
the extent  provided in Section  3.8,  provisions  for the delivery of officers'
certificates,  opinions of counsel and accountants' "cold comfort" letters,  and
lock-up arrangements. The Holders of Registrable Securities to be distributed by
such underwriters  shall be parties to such  underwriting  agreement and may, at
their option,  require that any or all of the representations and warranties by,
and the  agreements  on the part of, the  Issuer to and for the  benefit of such
underwriters  be made to and for the benefit of such Holders and that any or all
of the conditions  precedent to the obligations of such underwriters  under such
underwriting  agreement shall also be conditions precedent to the obligations of
such  Holders.  No such  Holder  shall be  required  by the  Issuer  to make any
representa  tions or  warranties  to,  or  agreements  with,  the  Issuer or the
underwriters  other  than as set forth in Section  3.8(d)  and  representations,
warranties or agreements regarding such Holder and such Holder's intended method
of distribution.

                  (c)  Selection  of   Underwriters.   Whenever  a  registration
requested  pursuant to Section 3.1 is for an underwritten  offering,  the Issuer
shall  have the right to  select  one or more  underwriters  to  administer  the
offering, subject to the consent of the Holders of a majority of the Registrable
Securities  to be  registered  pursuant  to such  offering,  which  shall not be
unreasonably withheld. If the Issuer at any time proposes to register any of its
securities  under  the  Securities  Act for  sale for its own  account  and such
securities  are to be distributed  by or through one or more  underwriters,  the
Issuer shall have the right to select one or more underwriters to administer the
offering,  subject,  in the event the  Registrable  Securities  to be registered
pursuant to such  offering  represent at least 10% of the total number of shares
to be so registered (not including any over-allotment  options),  to the consent
of the Holders of a majority of Registrable


                                       15
<PAGE>


Securities to be registered  pursuant to such offering,  which consent shall not
be unreasonably  withheld.  In all cases in this Section 3.4(c), at least one of
the  underwriters  chosen by the Issuer shall be an  underwriter  of  nationally
recognized standing.

                  3.5 Lock-Up Agreements. If and whenever the Issuer proposes to
register any of its equity  securities  under the Securities Act, whether or not
for its own account  (other  than  pursuant  to a Special  Registration),  or is
required to use its best efforts to effect the  registration  of any Registrable
Securities  under the Securities Act pursuant to Section 3.1 or 3.2, each of the
Holders,  if required by the managing  underwriter in an underwritten  offering,
agrees by acquisition of such  Registrable  Securities not to effect (other than
pursuant to such registration) any public sale or dis tribution,  including, but
not limited to, any sale  pursuant to Rule 144, of any Regist rable  Securities,
any other equity securities of the Issuer or any securities  convertible into or
exchangeable or exercisable  for any equity  securities of the Issuer during the
10 days prior to, and for 90 days (or 180 days in the case of an initial  public
offering) after, the effective date of such  registration,  to the extent timely
notified in writing by the Issuer or the  managing  underwriter,  and the Issuer
agrees to use its best efforts to cause each holder of any equity  security,  or
of any security  convertible  into or exchangeable or exercisable for any equity
security,  of the Issuer  purchased  from the Issuer at any time other than in a
public  offering  to enter  into a similar  agreement  with the  Issuer.  If and
whenever  the  Issuer  is  required  to use  its  best  efforts  to  effect  the
registration of any Registrable  Securities under the Securities Act pursuant to
Sections 3.1 or 3.2, the Issuer,  if required by the managing  underwriter in an
underwritten   offering,   shall  not  effect   (other  than  pursuant  to  such
registration or a Special  Registration)  any public sale or distribution of any
other equity  securities  of the Issuer or any  securities  convertible  into or
exchangeable  or exercisable for any equity securi ties of the Issuer during the
10 days prior to, and for 90 days (or 180 days in the case of an initial  public
offering) after, the effective date of such  registration,  to the extent timely
notified  in  writing  by  the  managing  underwriter.   In  addition,  in  such
circumstances,  the Issuer shall use its best efforts to cause its directors and
officers and all holders of 5% or more of its equity  securities (other than the
Holders) not to effect  (other than  pursuant to such  registration)  any public
sale or distribution,  including,  but not limited to, any sale pursuant to Rule
144, of any equity  securities of the Issuer or any securities  convertible into
or exchangeable  or exercisable  for any equity  securities of the Issuer during
the 10 days  prior  to,  and for 90 days (or 180 days in the case of an  initial
public offering) after, the effective date of such  registration,  to the extent
timely notified in writing by the managing underwriter

                  3.6 Preparation;  Reasonable Investigation. In connection with
the  preparation  and  filing  of  each   Registration   Statement   registering
Registrable Securities


                                       16
<PAGE>



under the Securities Act, the Issuer shall give the Holders of such  Registrable
Securities  so to be  registered  and  their  underwriters,  if any,  and  their
respective  counsel and  accountants,  the  opportunity  to  participate  in the
preparation of such Registration Statement,  each Prospectus included therein or
filed with the SEC, and each amendment thereof or supplement thereto,  and shall
give each of them such access to all  pertinent  financial,  corporate and other
documents  and  properties  of  the  Issuer  and  its  Subsidiaries,   and  such
opportunities  to  discuss  the  business  of  the  Issuer  with  its  officers,
directors,  employees and the  independent  public  accountants  who have issued
audit reports on its financial statements as shall be necessary,  in the opinion
of such  Holders'  and such  underwriters'  respective  counsel,  to  conduct  a
reasonable investigation within the meaning of the Securities Act.

                  3.7  Other  Registrations.  If  and  whenever  the  Issuer  is
required to use its best efforts to effect the  registration  of any Registrable
Securities under the Securi ties Act pursuant to Section 3.1 or 3.2, and if such
registration shall not have been withdrawn or abandoned, the Issuer shall not be
obligated to and shall not file any  Registration  Statement with respect to any
of its securities  (including  Registrable  Securities) under the Securities Act
(other than a Special Registration), whether of its own accord or at the request
or demand of any holder or holders of such securities, until a period of 90 days
shall  have  elapsed  from the  effective  date of such  previous  registration,
provided  that the Issuer  shall not be  prohibited  from filing a  registration
statement by virtue of this Section 3.7 more than once in a 360 day period.

                  3.8  Indemnification.

                  (a)  Indemnification  by  the  Issuer.  In  the  event  of any
registration of any Registrable  Securities under the Securities Act pursuant to
Section 3.1 or 3.2, the Issuer shall  indemnify  and hold harmless the seller of
such securities,  its directors,  officers, and employees, each other person who
participates as an underwriter, broker or dealer in the offering or sale of such
securities  and each other person,  if any, who controls such seller or any such
participating  person within the meaning of either Sec tion 15 of the Securities
Act or Section 20 of the  Exchange  Act,  against  any and all  losses,  claims,
damages or  liabilities,  joint or  several,  to which  such  seller or any such
director,  officer,  employee,  participating  person or controlling  person may
become subject under the  Securities  Act or otherwise,  insofar as such losses,
claims,  damages or liabilities  (or actions or proceedings in respect  thereof)
arise  out of or are based  upon (i) any  untrue  statement  or  alleged  untrue
statement of a material fact contained in any Registration Statement under which
such  securities  were  registered  under the Securities  Act, any Prospectus or
preliminary prospectus included therein, or any amendment or supplement thereto,
or (ii) any omission or alleged omission to state a material fact required to be
stated in any such Registration Statement, Prospectus, preliminary

                                       17

<PAGE>


prospectus,  amendment or supplement or necessary to make the statements therein
not  misleading;  and the  Issuer  shall  reimburse  such  seller  and each such
director, officer, employee, participating person and controlling person for any
legal or any other  expenses  reasonably  incurred  by them in  connection  with
investigating or defending any such loss, claim, liability, action or proceeding
as such expenses are  incurred;  provided that the Issuer shall not be liable in
any such case to the extent  that any such loss,  claim,  damage,  liability  or
expense  arises out of or is based upon an untrue  statement or omission made in
any such Registration Statement,  Prospectus,  preliminary prospectus, amendment
or  supplement  in reliance  upon and in  conformity  with  written  information
furnished to the Issuer by such seller or participating person expressly for use
in the preparation thereof.

                  (b)  Indemnification  by  the  Seller.  In  the  event  of any
registration of any Registrable  Securities under the Securities Act pursuant to
Section 3.1 or 3.2, each of the  prospective  sellers of such  securities,  will
indemnify  and hold  harmless  the Issuer,  each  director  of the Issuer,  each
officer of the Issuer who shall sign such Registration Statement, and each other
person, if any, who controls the Issuer or any such participating  person within
the meaning of Section 15 of the  Securities  Act or Section 20 of the  Exchange
Act,  against  any and all  losses,  claims,  damages or  liabilities,  joint or
several,  to  which  the  Issuer  or  any  such  director,   officer,  employee,
participating  person  or  controlling  person  may  become  subject  under  the
Securities  Act or  otherwise,  insofar  as  such  losses,  claims,  damages  or
liabilities  (or actions or proceedings in respect  thereof) arise out of or are
based upon any untrue  statement or alleged untrue  statement of a material fact
contained  in any  Registration  Statement  under  which  such  securities  were
registered  under the Securities  Act, any Prospectus or preliminary  prospectus
included  therein,  or any amendment or supplement  thereto,  or any omission or
alleged  omission to state a material fact with respect to such seller  required
to be  stated  in  any  such  Registration  Statement,  Prospectus,  preliminary
prospectus,  amendment or supplement or necessary to make the statements therein
not  misleading  if such  statement or omission was made in reliance upon and in
conformity  with  written  information  furnished  to the Issuer by such  seller
expressly  for  use  in the  preparation  of any  such  Registration  Statement,
Prospectus,  preliminary prospectus,  amendment or supplement; provided that the
liability of each such seller shall be in  proportion  to and limited to the net
amount received by such seller (after  deducting any  underwriting  discount and
expenses) from the sale of Registrable  Securities pursuant to such Registration
Statement.

                  (c)  Notices  of Claims,  etc.  Promptly  after  receipt by an
indemnified  party of notice of the  commencement  of any  action or  proceeding
involving a claim re ferred to in the preceding  paragraphs of this Section 3.8,
such  indemnified  party  shall,  if a claim in  respect  thereof  is to be made
against an indemnifying party hereunder,


                                       18
<PAGE>


give prompt  written  notice to the latter of the  commencement  of such action,
provided  that the failure of any  indemnified  party to give notice as provided
therein shall not relieve the  indemnifying  party of its obligations  under the
preceding  paragraphs  of this Section 3.8 unless the failure to provide  prompt
written notice shall cause actual prejudice to the  indemnifying  party. In case
any such action is brought  against an  indemnified  party and it  notifies  the
indemnifying  party of the commencement  thereof,  the indemnifying  party shall
have the right to retain counsel  reasonably  satisfactory  to such  indemnified
party to defend against such  proceeding  and shall pay the reasonable  fees and
disbursements  of  such  counsel  related  to  such  proceeding.   In  any  such
proceeding,  any  indemnified  party  shall  have the  right to  retain  its own
counsel,  but the fees and expenses of such  counsel  shall be at the expense of
such  indemnified  party unless (i) the  indemnifying  party and the indemnified
party  shall have  mutually  agreed to the  retention  of such  counsel  and the
payment of such fees by the indemnifying  party or (ii) the named parties to any
such proceeding  (including any impleaded parties) include both the indemnifying
party and the indemnified  party and  representation of both parties by the same
counsel would be inappropriate  due to actual or potential  differing  interests
between them or (iii) the indemnifying  party has not retained counsel to defend
such proceeding, in which case (under any of such clauses (i), (ii) or (iii)) it
is understood that (x) the indemnifying  party shall not, in connection with any
proceeding or related  proceedings in the same  jurisdiction,  be liable for the
reasonable  fees  and  expenses  of more  than  one  separate  firm for all such
indemnified  parties  and (y) such firm  shall be  designated  in writing by the
Holders  of  a  majority  of  the  Registrable   Securities   included  in  such
Registration  Statement in the case of parties  indemnified  pursuant to Section
3.8(a) and by the Issuer in the case of parties indemnified  pursuant to Section
3.8(b).  No indemnifying  party, in the defense of any such claim or litigation,
shall,  except with the consent of such indemnified  party,  which consent shall
not be unreasonably withheld, consent to entry of any judgment or enter into any
settlement  of any  pending  or  threatened  action  in  respect  of  which  any
indemnified  party is or could have been a party and  indemnity  could have been
sought  hereunder by such  indemnified  party unless such judgment or settlement
includes  as an  unconditional  term  thereof  the  giving  by the  claimant  or
plaintiff to such  indemnified  party of a release from all liability in respect
to such claim or litigation.

                  (d) Other  Indemnification.  Indemnification  similar  to that
specified in the  preceding  paragraphs  of this  Section 3.8 (with  appropriate
modifications)  shall be given by the  Issuer  and each  seller  of  Registrable
Securities with respect to any required  registration or other  qualification of
such  Registrable  Securities  under any federal or state law or  regulation  of
governmental authority other than the Securities Act.


                                       19
<PAGE>


                  (e) Other Remedies.  If for any reason the foregoing indemnity
is unavailable,  or is insufficient to hold harmless an indemnified party, other
than by reason of the exceptions  provided therein,  then the indemnifying party
shall  contribute  to the amount paid or payable by the  indemnified  party as a
result  of  such  losses,  claims,  damages,  liabilities  or  expenses  in such
proportion as is appropriate  to reflect the relative fault of the  indemnifying
party on the one hand and of the  indemnified  party on the other in  connection
with the statements or omissions which resulted in such losses,  claims, damages
or  liabilities,  as well as any other relevant  equitable  considerations.  The
relative fault shall be determined by reference to, among other things,  whether
the untrue or alleged  untrue  statement  of a material  fact or the omission or
alleged omission to state a material fact relates to information supplied by the
Issuer or the  Holders of  Registrable  Securities  covered by the  Registration
Statement in question and the parties'  relative  intent,  knowledge,  access to
information and opportunity to correct or prevent such statement or omission.

                  The Issuer and the Holders agree that it would not be just and
equitable if  contribution  pursuant to this Section 3.8 were  determined by pro
rata allocation or by any other method of allocation which does not take account
of  the  equitable  considerations  referred  to in  the  immediately  preceding
paragraph. The amount paid or payable by an indemnified party as a result of the
losses, claims, damages and liabilities referred to in the immediately preceding
paragraph  of this  Section  3.8  shall be  deemed to  include,  subject  to the
limitations set forth above, any legal or other expenses  reasonably incurred by
such  indemnified  party in connection with  investigating or defending any such
action or claim.  No person guilty of fraudulent  misrepresentation  (within the
meaning  of  Section  11(f)  of  the  Securities   Act)  shall  be  entitled  to
contribution   from  any  person   who  was  not   guilty  of  such   fraudulent
misrepresentation.  No party shall be liable for contribution under this Section
3.8(e)  except to the extent and under such  circumstances  as such party  would
have been liable to  indemnify  under this  Section 3.8 if such  indemnification
were enforceable under applicable law.

                  (f) Officers and  Directors.  As used in this Section 3.8, the
terms "officers" and "directors" shall include the partners of Holders which are
partnerships and the members of Holders which are limited liability companies.

                  3.9 Expenses.  The Issuer shall pay all Registration  Expenses
in connection with each registration of Registrable  Securities pursuant to this
Section 3.

                  4.  Miscellaneous.

                  4.1 Rule 144; Legended  Securities;  etc. (a) The Issuer shall
file the  reports  required to be filed by it under the  Securities  Act and the
Exchange Act and the


                                       20
<PAGE>


rules and  regulations  adopted by the SEC thereunder  (or, if the Issuer is not
required to file such reports,  it shall,  upon the request of any Holder,  make
publicly  available  such  information  as necessary to permit sales pursuant to
Rule 144 or Rule  145),  and shall  take such  further  action as any Holder may
reasonably request,  all to the extent required from time to time to enable such
holder to sell shares of Registrable  Securities without  registration under the
Securities Act within the  limitation of the exemptions  provided by Rule 144 or
Rule 145.  Upon the  request of any  Holder,  the Issuer  shall  deliver to such
Holder a written statement as to whether it has complied with such requirements.

                  (b) The Issuer shall issue new  certificates  for  Registrable
Securities without a legend restricting  further transfer if (i) such securities
have been sold to the public  pursuant to an  effective  Registration  Statement
under the Securities Act (other than Form S-8 if the Holder of such  Registrable
Securities  is an Affiliate) or Rule 144, or (ii) (x) such issuance is otherwise
permitted  under the Securities Act, (y) the Holder of such shares has delivered
to the  Issuer an  opinion  of  counsel,  which  opinion  and  counsel  shall be
reasonably satisfactory to the Issuer, to such effect and (z) the Holder of such
shares expressly requests the issuance of such certificates in writing.

                  4.2  Amendments  and Waivers.  This  Agreement may be amended,
modified or supplemented,  and the Issuer may take any action herein prohibited,
or omit to perform any act herein  required to be  performed  by it, only if the
Issuer shall have  obtained  the written  consent to such  amendment,  action or
omission  to act,  of the  Holders  of at least a  majority  of the  Registrable
Securities.  Notwithstanding  the foregoing,  a waiver or consent to depart from
the provisions  hereof with respect to a matter that relates  exclusively to the
rights of Holders whose  securities  are being sold  pursuant to a  Registration
Statement  and that does not directly or  indirectly  affect,  impair,  limit or
compromise  the  rights of other  Holders  may be given by Holders of at least a
majority of the Registrable  Securities  being sold by such Holders  pursuant to
such  Registration  Statement;  provided,  however,  that the provisions of this
sentence may not be amended,  modified or supplemented except in accordance with
the provisions of the immediately preceding sentence. No amendment, modification
or dis  charge of this  Agreement,  and no waiver  hereunder,  shall be valid or
binding unless set forth in writing.  Any such waiver shall  constitute a waiver
only with respect to the specific matter  described in such writing and shall in
no way impair the rights of the party or  parties  granting  such  waiver in any
other respect or at any other time.

                  4.3      [Reserved]

                  4.4 Successors,  Assigns and Transferees. This Agreement shall
be binding  upon and shall inure to the benefit of the parties  hereto and their
respective


                                       21

<PAGE>


permitted successors,  assigns and transferees. Any Holder may assign its rights
hereunder to an Affiliate or to other  successors,  assigns and  transferees  by
merger or  consolidation  or otherwise by operation of law of such Holder.  This
Agreement  shall  survive any transfer of  Registrable  Securities  to and shall
inure to the  benefit of an  Affiliate  or such other  successors,  assigns  and
transferees  by merger or  consolidation  or  otherwise  by  operation of law of
Investor or such Holder. In addition,  and whether or not any express assignment
shall have been made, the provisions of this Agreement which are for the benefit
of the parties hereto other than the Issuer shall also be for the benefit of and
enforceable by any subsequent Holder of Registrable  Securities,  subject to the
provisions  respecting  the minimum  numbers or  percentages  of shares of Regis
trable  Securities  required in order to be entitled to certain rights,  or take
certain actions,  contained herein,  and subject to the provisions in the second
preceding sentence.

                  4.5 Notices.  Any notice  required to be given hereunder shall
be  sufficient  if in  writing,  and  sent  by  facsimile  transmission  (with a
confirmatory copy sent by overnight courier),  by courier service (with proof of
service),  hand  delivery  or  certified  or  registered  mail  (return  receipt
requested and first-class postage prepaid), addressed as indicated in Exhibit I.
Any party may give any  notice or other  communication  in  connection  herewith
using any other means (including,  but not limited to, messenger service,  telex
or ordinary mail), but no such notice or other  communication shall be deemed to
have been duly given unless and until it is actually  received by the individual
for whom it is intended.

                  4.6 No Inconsistent Agreements. The Issuer shall not hereafter
enter into any agreement,  or amend any existing agreement,  with respect to its
securities if such agreement  would be  inconsistent  with the rights granted to
the Holders by this Agreement.

                  4.7    Enforcement of Agreement.

                  (a) The parties  hereto  agree that  irreparable  damage would
         occur in the event that any of the  provisions of this  Agreement  were
         not  performed in accordance  with its specific  terms or was otherwise
         breached.  It is accordingly  agreed that the parties shall be entitled
         to an injunction or injunctions  to prevent  breaches of this Agreement
         and to enforce  specifically the terms and provisions hereof in any New
         York Court,  this being in  addition to any other  remedy to which they
         are entitled at law or in equity.


                                       22
<PAGE>


                  (b) The  prevailing  party  in any  judicial  action  shall be
         entitled  to  receive  from  the  other  party  reimbursement  for  the
         prevailing  party's reasonable  attorneys' fees and disbursements,  and
         court costs.

                  4.8  Severability.  Any term or  provision  of this  Agreement
which  is  invalid  or  unenforceable  in any  jurisdiction  shall,  as to  that
jurisdiction,   be   ineffective   to  the   extent   of  such   invalidity   or
unenforceability  without rendering invalid or unenforceable the remaining terms
and provisions of this Agreement or affecting the validity or  enforceability of
any of the terms or provisions of this Agreement in any other  jurisdiction.  If
any  provision  of  this  Agreement  is so  broad  as to be  unenforceable,  the
provision shall be interpreted to be only so broad as is enforceable.

                  4.9.  Headings.  Headings of the Articles and Sections of this
Agreement are for the  convenience  of the parties  only,  and shall be given no
substantive or interpretive effect whatsoever.

                  4.10.  Counterparts.  This  Agreement  may be  executed by the
parties  hereto in separate  counterparts,  each of which when so  executed  and
delivered  shall  be an  original,  but all  such  counterparts  shall  together
constitute one and the same instrument. Each counterpart may consist of a number
of copies  hereof each signed by less than all, but  together  signed by all, of
the parties hereto.

                  4.11.  Governing Law. This Agreement  shall be governed by and
construed in accordance with the laws of the State of New York without regard to
its rules of  conflict  of laws.  Each of the  Issuer  and the  Investor  hereby
irrevocably and unconditionally consents to submit to the exclusive jurisdiction
of the  courts of the  State of New York and of the  United  States  of  America
located  in the State of New York (the "New  York  Courts")  for any  litigation
arising out of or relating to this Agreement and the  transactions  contemplated
hereby (and agrees not to commence any  litigation  relating  thereto  except in
such courts), waives any objection to the laying of venue of any such litigation
in the New York  Courts  and  agrees not to plead or claim in any New York Court
that such litigation brought therein has been brought in an inconvenient forum.

                  4.12 No Third  Party  Beneficiaries.  Except  as  provided  in
Section 3.8,  nothing in this Agreement  shall confer any rights upon any person
or entity other than the parties hereto, each such party's respective successors
and permitted assigns.


                                       23
<PAGE>


                  IN WITNESS WHEREOF,  each of the undersigned has executed this
Agreement  or caused this  Agreement to be executed on its behalf as of the date
first written above.

                                            MEDE AMERICA CORPORATION

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

                                            MEDIC COMPUTER SYSTEMS, INC.

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

                                       24
<PAGE>


                                    EXHIBIT I

                        Designated Addresses for Notices

If to the Issuer:                              If to the Investor:
Mede America Corporation                       Medic Computer Systems, Inc.
90 Merrick Avenue                              8601 Six Forks Road
Suite 501                                      Suite 300
East Meadow, New York 11554                    Raleigh, North Carolina 27615

Telephone:  (516) 542-4500                     Telephone:   (919) 847-8102
Facsimile:  (516) 542-4508                     Facsimile:   (919) 847-7110
Attention:  David M. Goldwin, Esq.             Attention:   Alan Winchester
            General Counsel

With a copy to:                                With a copy to:

Reboul, MacMurray, Hewitt, Maynard & Kristol   Misys plc
45 Rockefeller Plaza                           Burleigh House
New York, New York  10111                      Chapel Oak
Telephone:  (212) 841-5700                     Salford Priors, England
Facsimile:  (212) 841-5725                     Worcs WR11 5SH

Attention:  Mark J. Tannenbaum, Esq.

                                               Tel: 011 44 1386 871-373
                                               Fax: 011 44 1386 871-045
                                               Attention: Ross Graham

                                       and

                                               Debevoise & Plimpton
                                               875 Third Avenue
                                               New York, New York 10022
                                               Telephone: (212) 909-6000
                                               Facsimile: (212) 909-6836
                                               Attention: Paul H.Wilson,Jr.,Esq.





                                                                EXHIBIT 4.9


                             STOCKHOLDERS AGREEMENT

                  STOCKHOLDERS  AGREEMENT,  dated as of July 17,  1998,  between
MEDIC COMPUTER SYSTEMS,  INC., a North Carolina  corporation  (together with its
affiliates, the "Investor"), 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"),  WCAS CAPITAL  PARTNERS II, L.P., a
Delaware limited  partnership  ("WCAS CP II"), WILLIAM BLAIR CAPITAL PARTNERS V,
L.P., a Delaware  limited  partnership  ("WBCP V"), and WILLIAM BLAIR  LEVERAGED
CAPITAL FUND LIMITED PARTNERSHIP, a Delaware limited partnership ("WBLCF") (WCAS
V, WCAS VI, WCAS CP II, WBCP V and WBLCF each a "Stockholder" and together,  the
"Stockholders"). Capitalized terms are defined in the text or in Section 12.

                                    RECITALS

                  WHEREAS,  the Issuer  desires that the Investor  enter into an
ongoing   commercial   relationship  with  the  Issuer  and  that  the  Investor
participate in the development of the Issuer's business on an ongoing basis.

                  WHEREAS,  the Issuer wishes to issue to the Investor,  and the
Investor wishes to accept, the Warrant.

                  WHEREAS,  the  Stockholders  are existing  stockholders of the
Issuer.

                  WHEREAS,  the Investor and each of the Stockholders  desire to
make  certain   arrangements  among  themselves  and  to  declare  their  mutual
intentions with respect to the matters set forth herein.

                  NOW  THEREFORE,  in  consideration  of the  foregoing  and the
respective representations, warranties, covenants and agreements hereinafter set
forth, and for other good and valuable consideration the receipt and sufficiency
of which are hereby  acknowledged  by the parties  hereto,  the parties  hereto,
intending to be legally bound hereby, agree as follows:

                  1. Representations and Warranties of the Stockholders. Each of
the  Stockholders  severally  represents  and warrants to the Investor as of the
date hereof as follows:




<PAGE>



                  (a) Authority. Such Stockholder has the power and authority to
         execute,  deliver and perform its obligations  under, and to consummate
         the  transactions  contemplated  by, this Agreement,  and has taken all
         necessary  action to authorize the execution,  delivery and performance
         by such  Stockholder of, and  consummation  by such  Stockholder of the
         transactions  contemplated by, this Agreement.  This Agreement has been
         duly  and  validly  executed  and  delivered  by such  Stockholder  and
         constitutes  the  valid and  binding  obligation  of such  Stockholder,
         enforceable  against such  Stockholder  in  accordance  with its terms,
         subject,  as to  enforcement  of remedies,  to  applicable  bankruptcy,
         insolvency, moratorium and other similar laws and to general principles
         of equity.

                  (b)  No  Conflicts.   Neither  the  execution,   delivery  nor
         performance by such  Stockholder of this  Agreement,  nor compliance by
         such  Stockholder  with  the  terms  and  provisions  hereof,  nor  the
         consummation  by  such  Stockholder  of the  transactions  contemplated
         herein,  will  (a)  contravene  any  applicable  provision  of any law,
         statute, rule or regulation.  or any applicable order, writ, injunction
         or decree of any court or  governmental  instrumentality,  (b) conflict
         with or result in any material breach of any term, covenant,  condition
         or other provision of, or constitute a material default under the terms
         of any contractual  obligation to which such  Stockholder is a party or
         by which it or any of its  properties  or assets  are bound or to which
         they may be subject,  or (c) violate or conflict  with any provision of
         the constituent documents of such Stockholder.

                  (c) The Subject  Shares.  Such  Stockholder  is the record and
         beneficial owner of the shares (the "Existing  Shares") of common stock
         of the Issuer,  par value  $0.01 per share (the  "Common  Stock"),  set
         forth  opposite the name of such  Stockholder on Schedule I hereto and,
         upon the  consummation  of the  initial  public  offering of the Common
         Stock,  will be the record  and  beneficial  owner of the  shares  (the
         "Convertible  Preferred Shares", and together with the Existing Shares,
         the  "Shares")  of Common  Stock set  forth  opposite  the name of such
         Stockholder on Schedule I hereto under the caption  "Shares  Underlying
         Convertible  Preferred."  Each  Stockholder  has (or in the case of the
         Convertible  Preferred Shares,  will have) good and marketable title to
         the Shares  owned (or to be owned) by it, free and clear of any claims,
         liens, encumbrances and security interests whatsoever, and has (or will
         have) the sole right to vote such  Shares,  and none of such  Shares is
         (or  will  be)  subject  to  any  voting  trust  or  other   agreement,
         arrangement or restrictions  with respect to the voting of such Shares,
         except as contemplated by this Agreement.

                                       2

<PAGE>



         2.  Representations  and  Warranties  of  the  Investor.  The  Investor
represents and warrants to the Stockholders as of the date hereof as follows:

                  (a)  Authority.  The  Investor  has the  corporate  power  and
         authority to execute, deliver and perform its obligations under, and to
         consummate the transactions  contemplated  by, this Agreement,  and has
         taken all  necessary  corporate  action  to  authorize  the  execution,
         delivery and  performance by the Investor of, and  consummation  by the
         Investor of the  transactions  contemplated  by, this  Agreement.  This
         Agreement  has been duly and  validly  executed  and  delivered  by the
         Investor,  and  constitutes  the valid and  binding  obligation  of the
         Investor,  enforceable  against  the  Investor in  accordance  with its
         terms,   subject,   as  to  enforcement  of  remedies,   to  applicable
         bankruptcy,  insolvency,  moratorium  and  other  similar  laws  and to
         general principles of equity.

                  (b)  No  Conflicts.   Neither  the  execution,   delivery  nor
         performance  by the Investor of this  Agreement,  nor compliance by the
         Investor with the terms and provisions  hereof, nor the consummation by
         it of the  transactions  contemplated  herein,  will (a) contravene any
         applicable  provision of any law, statute,  rule or regulation.  or any
         applicable  order,   writ,   injunction  or  decree  of  any  court  or
         governmental  instrumentality,  (b)  conflict  with  or  result  in any
         material breach of any term, covenant, condition or other provision of,
         or  constitute a material  default  under the terms of any  contractual
         obligation  to which the  Investor  is a party or by which it or any of
         its  properties  or assets are bound or to which it may be subject,  or
         (c) violate or conflict with any provision of the constituent documents
         of the Investor.

                  3. Board Designee.  In the event that the Issuer has nominated
an  Investor  Designee to the Board  pursuant  to Section 4.1 of the  Investment
Agreement,  or a  stockholder  vote is  otherwise  required to elect an Investor
Designee  to the  Board in  accordance  with the  terms  of  Section  4.1 of the
Investment Agreement, each Stockholder shall, and, if applicable,  shall use its
best  efforts to cause its  affiliates  to, vote all Shares then held by it (and
its  affiliates)  in favor of the election of such Investor  Designee.  Any vote
cast in  accordance  with this  Section  3 shall be cast in such  manner as will
insure that such vote is duly  counted for  purposes  of  determining  whether a
quorum is present and for purposes of determining the result of such vote.


                                       3

<PAGE>



                  4.  Optional Participation in Stock Sales.

                  (a) If any Stockholder or  Stockholders  (for purposes of this
         Section  4, the  "Selling  Stockholders")  shall at any time  desire to
         transfer  any  Shares,  the  Investor  shall be  permitted,  subject to
         subsection  (e) of this Section 4, to  participate  in such transfer on
         the same terms and conditions  applicable to such Selling Stockholders,
         at a price per share equal to the quotient obtained by dividing (x) the
         total  consideration  that a purchaser  provides to purchase all of the
         Subject  Shares that it is purchasing by (y) the total number of Shares
         (the "Subject  Shares") being sold by the Selling  Stockholders and the
         Investor.  The terms of such transfer  shall provide that the liability
         of the Investor and the Selling  Stockholders shall be several, and not
         joint,  in proportion to the proceeds  received by each, and limited in
         the aggregate to the proceeds received by the Investor and each Selling
         Stockholder, respectively, in the transfer.

                  (b) The Selling  Stockholders  intending  to  transfer  Shares
         shall deliver to the Investor a written notice (a "Transfer Notice") of
         a proposed  transfer  subject  to this  Section 4 no later than 30 days
         prior to the proposed closing thereof. Such notice shall make reference
         to the  Investor's  rights  hereunder and shall  describe in reasonable
         detail (i) the total number of Subject  Shares to be transferred by the
         Selling  Stockholders,  (ii) the person to whom such Subject Shares are
         proposed to be  transferred  and (iii) the terms and  conditions of the
         transfer, including the con sideration to be paid therefor.

                  (c) The Investor  shall exercise its right to participate in a
         transfer of Shares  pursuant  to this  Section 4 by  delivering  to the
         Selling  Stockholders  a  written  notice  (a  "Participation  Notice")
         stating its election to do so and  specifying the number of Shares held
         by it to be  transferred  no later  than 15 days  after  receipt of the
         Transfer Notice.  Failure to provide a Participation Notice within such
         15-day period shall be deemed to constitute an election by the Investor
         not to exercise its rights  pursuant to this Section 4, and the Selling
         Stockholders shall have 60 days following the expiration of such 15-day
         period  in  which to sell or  otherwise  dispose  of not more  than the
         number of Subject Shares described in the Transfer Notice, on terms not
         more favorable to such Selling  Stockholders than were set forth in the
         Transfer  Notice.  If, at the end of the 60- day period  following  the
         expiration of such 15-day period,  such Selling  Stockholders  have not
         completed  the proposed  transfer,  such Selling  Stockholders  may not
         transfer such Subject  Shares  without again fully  complying  with the
         provisions  of this Section 4. At any closing  pursuant to this Section
         4, the  Investor  shall be  required  to  deliver  the  certificate  or
         certificates representing the


                                       4

<PAGE>



         Shares to be transferred  by it, duly endorsed for transfer,  and shall
         be entitled to receive the net proceeds  allocable to the sale thereof,
         after deduction of the Investor's proportionate share of the reasonable
         expenses of sale, which share shall not exceed an amount  proportionate
         to the amount of such expenses allocated to the Selling Stockholders.

                  (d) The  Investor  shall  have the right to sell an  aggregate
         number of Shares in the same  proportion  to the total number of Shares
         being  transferred as (i) the total number of Shares then  beneficially
         owned by the  Investor  or subject to  issuance  upon  exercise  of the
         Warrant  bears to (ii) the total  number of  Shares  then  owned by the
         Investor and the  Stockholders or issuable upon the immediate  exercise
         of the  Warrant  then owned by the  Investor.  If the  Investor  in its
         capacity  as  Warrantholder  elects to  exercise  its right  under this
         Section 4 to sell  Shares,  it shall only be required  to exercise  its
         Warrant  upon,  and only upon,  the actual sale or  disposition  of the
         Shares to the buyer of such Shares.

                  (e) The obligations of each  Stockholder and the rights of the
         Investor  pursuant  to this  Section 4 shall not apply (i) in the event
         that a Stockholder  that is a limited  partnership  transfers Shares to
         its limited  partners,  (ii) to any transfer of Shares by a Stockholder
         to an  affiliate  and (iii) to any  transfer  of Shares  pursuant  to a
         registered  public  offering  or a public  distribution  under Rule 144
         under the Securities Act.

                  5.  Mandatory Participation in Stock Sales.

                  (a) In the event that any  Stockholder  proposes  to  transfer
         Shares in an arms'-length  transaction,  the  Stockholder  intending to
         transfer Shares shall have the right, subject to subsection (d) of this
         Section  5,  to  require  the  participation  by the  Investor  in such
         transfer,  in the manner set forth in this Section 5, on the same terms
         and conditions  applicable to such Stockholder.  The terms of such sale
         shall provide that the  liability of the Investor and such  Stockholder
         (or Stockholders,  as the case may be) shall be several, and not joint,
         in  proportion  to the  proceeds  received by each,  and limited in the
         aggregate   to  the   proceeds   received  by  the  Investor  and  each
         Stockholder, respectively, in the sale.

                  (b)  The  relevant   Stockholder  shall  exercise  its  rights
         pursuant  to this  Section 5 by  delivering  to the  Investor a written
         notice of such  proposed  transfer  no later  than 30 days prior to the
         proposed  closing  thereof.  Such notice  shall make  reference  to the
         obligations of the Investor  hereunder and shall describe in reasonable
         detail (i) the number of Shares to be transferred by such Stockholder


                                       5

<PAGE>



         (or Stockholders, as the case may be), (ii) the person to whom or which
         such  Shares  are  proposed  to be  transferred,  (iii)  the  terms and
         conditions of the  transfer,  including  the  consideration  to be paid
         therefor,  and (iv) the proposed date, time and location of the closing
         of the transfer. The Investor shall thereupon be required to deliver at
         such closing the certificate or certificates representing the Shares to
         be transferred by it, duly endorsed for transfer, and shall be entitled
         to  receive  the net  proceeds  allocable  to the sale  thereof,  after
         deduction  of the  Investor's  proportionate  share  of the  reasonable
         expenses of sale, which share shall not exceed an amount  proportionate
         to the amount of such expenses  allocated to the  Stockholders  selling
         Shares pursuant to this Section 5.

                  (c) The  Investor  shall be  obligated  to sell in a  transfer
         subject to this  Section 5 an  aggregate  number of Shares equal to the
         product of (i) the total  number of Shares then  beneficially  owned by
         the  Investor  or subject to  issuance  upon  exercise  of the  Warrant
         multiplied by (ii) a fraction, the numerator of which equals the number
         of Shares being sold by the  Stockholders  and the denominator of which
         equals the total number of Shares then owned by the  Stockholders.  The
         foregoing  obligation  shall  include  requiring  the  Investor  in its
         capacity as a  Warrantholder  to exercise the Warrant.  Notwithstanding
         the foregoing,  the Investor shall in no event be obligated  under this
         Section 5 to sell Shares in excess of the number of Shares owned by the
         Investor  plus the  number of Shares  for  which  the  Warrant  is then
         exercisable,  taking  into  account  the  application  of the  cashless
         exercise provisions of the Warrant.

                  (d) The  obligations  of the  Investor  and the rights of each
         Stockholder pursuant to this Section 5 shall not apply (i) in the event
         that a Stockholder  that is a limited  partnership  transfers Shares to
         its  limited  partners,  or to a  Competitor,  (ii) to any  transfer of
         Shares by a  Stockholder  to an affiliate  and (iii) to any transfer of
         Shares   pursuant  to  a  registered   public   offering  or  a  public
         distribution under Rule 144 under the Securities Act.

                  6.       Further Assurances.

                  (a) Each  Stockholder  will,  from time to time,  execute  and
         deliver,  or cause to be executed and  delivered,  such  additional  or
         further  consents,  documents and other instruments as the Investor may
         reasonably  request for the  purpose of  effectively  carrying  out the
         transactions contemplated by this Agreement.


                                       6

<PAGE>



                  (b) The obligations of the Issuer  contained in Section 3.5 of
         the   Registration   Rights   Agreement  shall  apply  equally  to  the
         Stockholders, mutatis mutandis.

                  (c) In the event that a  Stockholder,  on the one hand, or the
         Investor, on the other hand, intends to transfer a 5% or greater equity
         interest  in  the  Issuer  (in a  single  transaction  or a  series  of
         transactions), the Stockholder intending to effect such transfer or the
         Investor,  as the case may be, shall use its best efforts to notify the
         Investor  or the  Stockholders,  as the case may be,  of such  proposed
         transfer as soon as practicable.

                  7.  Limited  Right to  Repurchase  Shares.  In the  event  the
Transaction  Processing Agreement is terminated by the Issuer pursuant to clause
(iv),  (vi) or (viii) of Section 18(a)  thereof,  then the Issuer shall have the
right,  exercisable  within  30 days  after  the  date of such  termination,  to
repurchase  all (but not less than all)  shares  of Common  Stock  issued to the
Investor  upon any  prior  exercises  of the  Warrant,  to the  extent  that the
Investor  continues  to hold  such  shares  of  Common  Stock  as of the date of
termination.  The per  share  purchase  price for any such  shares  shall be the
Warrant Price (as defined in the Warrant) at which such shares were purchased by
the Investor.  Upon delivery by the Issuer of the aggregate  purchase  price for
such  shares  to the  Investor,  (i)  the  Investor  will  promptly  return  the
certificate or certificates  evidencing such shares,  duly endorsed for transfer
and (ii) regardless of whether or not such  certificates  are so returned,  such
shares shall be deemed to be no longer issued and outstanding.

                  8. Termination. This Agreement, and all rights and obligations
of the  parties  hereunder  shall  terminate  on the earlier to occur of (a) the
mutual written consent of each of the Stockholders and the Investor, and (b) the
date on which the Investor  and its  affiliates  collectively  no longer own any
Registrable  Securities  (as  defined  in the  Registration  Rights  Agreement).
Further, this Agreement, and all rights and obligations of the parties hereunder
shall  terminate  (x) with respect to WCAS V, WCAS VI and WCAS CP II (the "Welsh
Carson  Group") on the date on which the Welsh  Carson  Group no longer  owns at
least twenty  percent  (20%) of the fully  diluted  equity of the Issuer that it
held as of the  date  hereof,  and (y) with  respect  to WBCP V and  WBLCF  (the
"William  Blair  Group") on the date on which the William  Blair Group no longer
owns at least twenty  percent  (20%) of the fully  diluted  equity of the Issuer
that it held as of the date hereof.


                                       7

<PAGE>



                  9.       General Provisions.

                  (a) Amendments. This Agreement may not be amended except by an
         instrument in writing signed by each of the parties hereto.

                  (b) Notice.  All notices  and other  communications  hereunder
         shall be in writing and shall be deemed given if hand delivered or sent
         by overnight courier  (providing proof of delivery) to the Stockholders
         or the Investor at their  respective  addresses  set forth below (or at
         such other address for a party as shall be specified by like notice):

If to the Stockholders:                        If to the Investor:
Welsh, Carson, Anderson & Stowe                Medic Computer Systems, Inc.
320 Park Avenue                                8601 Six Forks Road
Suite 2500                                     Suite 300
New York, New York 10022-6815                  Raleigh, North Carolina 27615

Telephone:  (212) 893-9500
Facsimile:  (212) 893-9575                     Telephone:   (919) 847-8102
Attention:  Anthony de Nicola                  Facsimile:   (919) 847-7110
                                               Attention:   Alan Winchester

With a copy to:                                With a copy to:

Reboul, MacMurray, Hewitt, Maynard & Kristol   Misys plc
45 Rockefeller Plaza                           Burleigh House
New York, New York 10111                       Chapel Oak
Telephone:  (212) 841-5700                     Salford Priors, England
Facsimile:  (212) 841-5725                     Worcs WR11 5SH

Attention:  Mark J. Tannenbaum, Esq.           Telephone:   011 44 1386 871-373
                                               Facsimile:   011 44 1386 871-045
                                               Attention:   Ross Graham

and:                                           and:


                                       8

<PAGE>




William Blair & Company                        Debevoise & Plimpton
22 West Adams Street                           875 Third Avenue
Chicago, Illinois 60606                        New York, New York 10022
Telephone:  (312) 364-8250                     Telephone: (212) 909-6000
Facsimile:  (312) 236-1042                     Facsimile: (212) 909-6836
Attention:  Timothy M. Murray                  Attention: Paul H.Wilson,Jr.,Esq.

                  (c) Interpretation. When a reference is made in this Agreement
         to Sections,  such  reference  shall be to a Section to this  Agreement
         unless otherwise  indicated.  The headings  contained in this Agreement
         are for  reference  purposes  only and shall not  affect in any way the
         meaning  or  interpretation  of  this  Agreement.  Wherever  the  words
         "include",  "includes" or "including" are used in this Agreement,  they
         shall be deemed to be followed by the words "without limitation".

                  (d)  Counterparts.  This  Agreement  may be executed in one or
         more  counterparts,  all of which shall be considered  one and the same
         agreement,  and  shall  become  effective  when  one  or  more  of  the
         counterparts  have been signed by each of the parties and  delivered to
         the other party, it being  understood that each party need not sign the
         same counterpart.

                  (e)  Entire  Agreement;  No  Third-Party  Beneficiaries.  This
         Agreement  (including the documents and instruments referred to herein)
         (i)  constitutes   the  entire   agreement  and  supersedes  all  prior
         agreements and understandings, both written and oral, among the parties
         with respect to the subject  matter  hereof and (ii) is not intended to
         confer  upon any  person  other than the  parties  hereto any rights or
         remedies hereunder.

                  (f)  Governing  Law. This  Agreement  shall be governed by and
         construed in accordance  with the laws of the State of New York without
         regard to its rules of  conflict  of laws.  Each of the  Issuer and the
         Investor hereby irrevocably and  unconditionally  consents to submit to
         the exclusive  jurisdiction  of the courts of the State of New York and
         of the United  States of America  located in the State of New York (the
         "New York  Courts")  for any  litigation  arising out of or relating to
         this Agreement and the transactions contemplated hereby (and agrees not
         to commence any  litigation  relating  thereto  except in such courts),
         waives any  objection to the laying of venue of any such  litigation in
         the New York  Courts  and  agrees not to plead or claim in any New York
         Court  that such  litigation  brought  therein  has been  brought in an
         inconvenient forum.


                                       9

<PAGE>



                  10.  Assignability.  The  Investor  may  transfer  its  rights
hereunder  to any  affiliate to which all or any portion of the Warrant has been
transferred.

                  11.  Enforcement.  The parties agree that  irreparable  damage
would occur in the event that any of the  provisions of this  Agreement were not
performed in accordance with their specific terms or were otherwise breached. It
is  accordingly  agreed that the parties  shall be entitled to an  injunction or
injunctions to prevent  breaches of this  Agreement and to enforce  specifically
the terms and provisions of this Agreement in any New York Court,  this being in
addition to any other remedy to which they are entitled at law or in equity.

                  12.      Definitions

                  "Competitor"  means (a) any entity that engages in any line of
business, or is affiliated with any entity that engages in any line of business,
that is in competition  with the Investor's core business or (b) any entity that
has publicly announced its intention,  or is affiliated with any entity that has
publicly  announced its intention,  to engage in any line of business that is in
competition with the Investor's core business.

                  "Investment  Agreement"  means that the Investment  Agreement,
dated as of the date hereof, between the Issuer and the Investor.

                  "Investor"   is  defined  in  the  first   paragraph  of  this
Agreement.

                  "Issuer"   means  MedE   American   Corporation,   a  Delaware
Corporation.

                  "New York Courts" is defined in Section 10(f).

                  "Participation Notice" is defined in Section 4(c).

                  "Registrable Securities" is defined in the Registration Rights
Agreement.

                  "Registration  Rights Agreement" means the Registration Rights
Agreement, dated as of the date hereof, between the Issuer and the Investor.

                  "Securities Act" means the Securities Act of 1933, as amended.

                  "Selling Stockholders" is defined in Section 4.

                  "Shares" is defined in Section 1(c).


                                       10

<PAGE>



                  "Stockholders"  is  defined  in the  first  paragraph  of this
Agreement.

                  "Subject Shares" is defined in Section 4(a).

                  "Transaction   Processing  Agreement"  means  the  Transaction
Processing  Agreement between the Issuer and the Investor,  dated as of the date
hereof.

                  "Transfer Notice" is defined in Section 4(b).

                  "Warrant"  means the warrant  issued by the Issuer to purchase
1,250,000 Shares,  identical to the form attached as Exhibit C to the Investment
Agreement.

                  "WBCP V" is defined in the first paragraph of this Agreement.

                  "WBLCF V" is defined in the first paragraph of this Agreement.

                  "WCAS V" is defined in the first paragraph of this Agreement.

                  "WCAS VI" is defined in the first paragraph of this Agreement.

                  "WCAS  CP II"  is  defined  in the  first  paragraph  of  this
Agreement.


                                       11

<PAGE>




                  IN WITNESS WHEREOF, this Stockholders  Agreement has been duly
executed and delivered as of the day and year first written above.

                                      MEDIC COMPUTER SYSTEMS, INC.

                                      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

                                      WCAS CAPITAL PARTNERS II, L.P.
                                      By:  WCAS CP II Partners, L.P., General
                                           Partner

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


                                       12

<PAGE>



                                      WILLIAM BLAIR CAPITAL PARTNERS
                                       V, L.P.
                                      By: William Blair Capital Partners, LLC,
                                          General Partner

                                      By:
                                         -------------------------------------
                                                Timothy M. Murray


                                      WILLIAM BLAIR LEVERAGED
                                       CAPITAL FUND LIMITED
                                       PARTNERSHIP
                                      By: William Blair & Company, LLC,
                                          General Partner

                                      By:
                                         -------------------------------------
                                                Timothy M. Murray
Acknowledged and confirmed
with respect to Section 7 hereof,

MEDE AMERICA CORPORATION

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


                                       13

<PAGE>


                       STOCKHOLDERS AGREEMENT - SCHEDULE I
<TABLE>
<CAPTION>

Stockholder                                                                   Pre-Split Common   Post Split         Shares
- -----------                                                                   ----------------   ----------         ------
                                                                                                     Common     Underlying
                                                                                                     ------     ----------
                                                                                                               Convertible
                                                                                                               -----------
                                                                                                                 Preferred
                                                                                                                 ---------

<S>                                                                                  <C>          <C>             <C>    
Welsh, Carson, Anderson & Stowe V                                                    8,205,728    1,790,748       762,600

Welsh, Carson, Anderson & Stowe VI, L.P.                                             8,205,728    1,790,748       762,600

WCAS Capital Partners II, L.P.                                                       1,700,000      370,993

William Blair Capital Partners V, L.P.                                               1,900,000      414,639       176,577

William Blair Leveraged Capital Fund Limited Partnership                               998,662      217,939         92,805
</TABLE>

NOTE: The Issuer expects to approve a one-for-4.5823  reverse stock split of its
Common Stock.  Accordingly,  this Schedule  reflects  shares of Common Stock now
owned by the  Stockholders  on a  pre-split  and  post-split  basis.  The Shares
underlying convertible preferred column reflects the post-split figures.


                                       14


                                                               EXHIBIT 4.10

                              INVESTMENT AGREEMENT

                  INVESTMENT AGREEMENT, dated as of July 17, 1998, between MEDIC
COMPUTER SYSTEMS, INC., a North Carolina corporation ("Medic"; and together with
its  affiliates,  the  "Investor"),  and MEDE  AMERICA  CORPORATION,  a Delaware
corporation  (the  "Issuer").  Capitalized  terms are  defined in the text or in
Section  6.7,  and  a  cross-reference   table  of  defined  terms  is  provided
immediately preceding the signature page hereto.

                                    RECITALS

                  WHEREAS,  the Issuer  desires that the Investor  enter into an
ongoing   commercial   relationship  with  the  Issuer  and  that  the  Investor
participate in the development of the Issuer's business on an ongoing basis.

                  WHEREAS,  the Issuer wishes to issue to the Investor,  and the
Investor wishes to accept, the Warrant.

                  NOW  THEREFORE,  in  consideration  of the  foregoing  and the
respective representations, warranties, covenants and agreements hereinafter set
forth, and for other good and valuable consideration the receipt and sufficiency
of which are hereby  acknowledged  by the parties  hereto,  the parties  hereto,
intending to be legally bound hereby, agree as follows:

                                    ARTICLE I

                          ISSUANCE OF WARRANTS; CLOSING

                  1.1.  Investment.  Upon the terms set forth in this Agreement,
and in reliance upon the  representations  and warranties  contained herein, the
Issuer is  issuing to the  Investor,  and the  Investor  is  accepting  from the
Issuer, the Warrant (the "Issuance").

                  1.2.  Closing.  Subject  to the terms and  conditions  of this
Agreement,  the  closing  of  the  Issuance  (the  "Closing")  is  taking  place
concurrently  with the execution and delivery hereof at the offices of Debevoise
& Plimpton,  875 Third Avenue, New York, New York. The date on which the Closing
is occurring is hereinafter referred to as the "Closing Date".


<PAGE>


                  1.3. Deliveries at Closing.  At the Closing,  (a) the Investor
is delivering to the Issuer the Registration  Rights Agreement duly executed and
any certificates or other  instruments  required by this Agreement,  and (b) the
Issuer is delivering to the Investor (i) a duly executed Warrant,  registered in
the name of the Investor,  (ii) the Registration  Rights Agreement duly executed
and  (iii)  any  other  certificates  or  other  instruments  required  by  this
Agreement.  The  Stockholders  Agreement has been, or  concurrently  herewith is
being, executed and delivered by the parties thereto.

                                   ARTICLE II

                          REPRESENTATIONS OF THE ISSUER

                  The Issuer hereby  represents  and warrants to the Investor as
follows:

                  2.1. Corporate Organization. The Issuer is a duly incorporated
and validly existing corporation in good standing under the laws of the State of
Delaware.

                  2.2.  Authorization; Validity.

                  (a) The  Issuer  has the  corporate  power  and  authority  to
execute,  deliver and perform  its  obligations  under,  and to  consummate  the
transactions  contemplated by, this Agreement and the Other Agreements,  and has
taken all necessary  corporate  action to authorize the execution,  delivery and
performance by the Issuer of, and consummation by the Issuer of the transactions
contemplated by, this Agreement and the Other Agreements. This Agreement and the
Other  Agreements  have been duly and  validly  executed  and  delivered  by the
Issuer, and this Agreement and the Other Agreements constitute valid and binding
obligations  of the Issuer,  enforceable  against the Issuer in accordance  with
their respective terms,  subject,  as to enforcement of remedies,  to applicable
bankruptcy,  insolvency,  moratorium  and  other  similar  laws  and to  general
principles of equity,  and, in the case of the  Registration  Rights  Agreement,
except as rights to indemnity or  contribution  thereunder may be limited by law
or public policy.

                  (b)  The  issuance,  sale  and  delivery  of  the  Warrant  in
accordance  with this  Agreement and the  issuance,  sale and delivery of Shares
upon  exercise  of the  Warrant  have  been  duly  authorized  by all  requisite
corporate action on the part of the Issuer, and, when issued, sold and delivered
in accordance  with this Agreement or the Warrant,  as applicable,  will be duly
and validly issued and, in the case of the Shares, fully paid and nonassessable,
and such issuance, sale and delivery will not give rise to any preemptive rights
on the part of any person.

                                       2

<PAGE>



                  2.3.  No  Violation.  Neither  the  execution,   delivery  nor
performance  by the  Issuer  of this  Agreement  and the Other  Agreements,  nor
compliance by the Issuer with the terms and provisions  hereof and thereof,  nor
the  consummation  by the  Issuer  of the  transactions  contemplated  herein or
therein,  will (a) contravene any applicable provision of any law, statute, rule
or regulation.  or any applicable order, writ, injunction or decree of any court
or  governmental  instrumentality,  (b) conflict  with or result in any material
breach of any term,  covenant,  condition or other provision of, or constitute a
material  default  under the terms of any  contractual  obligation  to which the
Issuer is a party or by which it or any of its properties or assets are bound or
to which it may be subject, or (c) violate or conflict with any provision of the
constituent documents of the Issuer.

                  2.4.  Registration  Statement.  The Registration  Statement on
Form S-1 of the Issuer (No. 333-55977) (the "Registration  Statement") does not,
in the form filed with the Securities and Exchange  Commission (the "SEC") as of
the date  hereof,  contain any untrue  statement  of a material  fact or omit to
state a material  fact  required to be stated  therein or  necessary to make the
statements  therein,  in light of the circumstances  under which they were made,
not misleading,  provided, that no representation is being made hereby as to the
disclosure in the Registration Statement regarding the transactions contemplated
by this  Agreement,  the Other  Agreements,  the  Stockholders  Agreement or the
Transaction Processing Agreement.

                                   ARTICLE III

                         REPRESENTATIONS OF THE INVESTOR

                  The Investor represents and warrants to the Issuer as follows:

                  3.1.  Organization.  The Investor is duly  organized,  validly
existing and in good standing under the laws of the State of North Carolina.

                  3.2. Authorization;  Validity. The Investor has full power and
authority  to  execute,  deliver  and  perform  its  obligations  under,  and to
consummate the transactions contemplated by, this Agreement and the Registration
Rights  Agreement.  The execution,  delivery and  performance by the Investor of
this Agreement and the Registration  Rights  Agreement,  and the consummation by
the Investor of the transactions  contemplated hereby and thereby have been duly
authorized by the Investor. This Agreement and the Registration Rights Agreement
have been duly and validly  executed  and  delivered by the  Investor,  and this
Agreement and the Registration Rights Agreement constitute valid and


                                       3
<PAGE>


binding  obligations  of the  Investor,  enforceable  against  the  Investor  in
accordance with their respective terms,  subject, as to enforcement of remedies,
to applicable bankruptcy,  insolvency,  moratorium and other similar laws and to
general  principles  of  equity,  and,  in the case of the  Registration  Rights
Agreement,  except as rights to  indemnity  or  contribution  thereunder  may be
limited by law or public policy.

                  3.3.  No  Violation.  Neither  the  execution,   delivery  nor
performance  by the  Investor  of  this  Agreement  or the  Registration  Rights
Agreement,  nor compliance by the Investor with the terms and provisions  hereof
and  thereof,   nor  the  consummation  by  the  Investor  of  the  transactions
contemplated herein or therein,  will (a) contravene any applicable provision of
any law, statute, rule or regulation,  or any applicable order, writ, injunction
or decree of any court or  governmental  instrumentality,  (b) conflict  with or
result  in any  material  breach  of any  term,  covenant,  condition  or  other
provision  of,  or  constitute  a  material  default  under,  the  terms  of any
contractual obligation to which the Investor is a party or by which the Investor
or any of its  properties  or assets are bound or to which the  Investor  may be
subject,  or (c)  violate or  conflict  with any  provision  of the  constituent
documents of the Investor.

                  3.4.  Investment Representations, Etc.

                  (a) Purchase for Investment. The Warrant being acquired by the
         Investor  pursuant to this  Agreement and the Shares to be purchased by
         the Investor upon exercise of the Warrant is being and will be acquired
         for  investment  only  and not with a view to any  public  distribution
         thereof in violation of any of the  requirements  of the Securities Act
         of  1933,  as  amended  (the  "Securities   Act"),  or  the  rules  and
         regulations thereunder.

                  (b) Securities Not Registered.  The Investor  understands that
         the Warrant and the Shares to be purchased upon exercise of the Warrant
         have not been  registered  under the  Securities  Act in reliance  upon
         exemptions  contained in the Securities Act and applicable  regulations
         promulgated  thereunder  or  interpretations  thereof,  and  cannot  be
         offered for sale,  sold or  otherwise  transferred  unless such sale or
         transfer is so registered or qualifies for exemption from  registration
         under the Securities Act.

                  (c)  Sophistication.  The  Investor  has  such  knowledge  and
         experience  in  financial  and  business  matters that it is capable of
         evaluating  the merits and risks of its  investment  in the Warrant and
         the  Shares to be  purchased  upon  exercise  of the  Warrant,  and the
         Investor  understands and is able to bear any economic risks associated
         with such investment (including the necessity of holding such

                                       4

<PAGE>



         securities  for  an  indefinite  period  of  time,   inasmuch  as  such
         securities  have not been,  and may not in the  foreseeable  future be,
         registered under the Securities Act), including the risk of the loss of
         the  Investor's  entire  investment in the Warrant and the Shares to be
         purchased upon exercise of the Warrant.

                  (d)  Legends.   The  Investor   understands  and  agrees  that
         certificates  representing  the Warrant and the Shares to be  purchased
         upon  exercise  of  the  Warrant  will  bear  conspicuous   legends  in
         substantially the form set forth below (in addition to any other legend
         required by law):

         THE SECURITIES REPRESENTED BY THIS CERTIFICATE HAVE NOT BEEN REGISTERED
         UNDER EITHER THE  SECURITIES  ACT OF 1933, AS AMENDED (THE "1933 ACT"),
         OR APPLICABLE STATE  SECURITIES LAWS (THE "STATE ACTS"),  AND SHALL NOT
         BE  SOLD,  PLEDGED,  HYPOTHECATED,  DONATED  OR  OTHERWISE  TRANSFERRED
         (WHETHER OR NOT FOR CONSIDERATION) BY THE HOLDER EXCEPT BY REGISTRATION
         OR PURSUANT TO AN EXEMPTION FROM  REGISTRATION UPON THE ISSUANCE TO THE
         COMPANY OF A FAVORABLE OPINION OF COUNSEL OR OTHER EVIDENCE  REASONABLY
         SATISFACTORY  TO THE COMPANY TO THE EFFECT THAT ANY SUCH TRANSFER SHALL
         NOT BE A VIOLATION OF THE 1933 ACT AND THE STATE ACTS.

Notwithstanding  the foregoing,  the certificate(s)  representing the Warrant or
the Shares to be  purchased  upon  exercise of the Warrant  need not continue to
bear such legend (and the Issuer  agrees to cause such legend to be removed from
such  certificate(s)  at the  request of the holder  thereof) if (i) the sale or
other  transfer of such  securities  referred to in such legend is in accordance
with the  provisions  of Rule 144 under the  Securities  Act (or any other  rule
permitting  public sale without  registration  under the Securities Act) or (ii)
the opinion of counsel  referred to above is to the effect that the Investor and
any  subsequent  transferee  (other than an  affiliate  of the Issuer)  would be
entitled to transfer such securities in a public sale without registration under
the Securities Act.

                                   ARTICLE IV

                              BOARD REPRESENTATION

                  4.1.  Board  Membership.  The Board of Directors of the Issuer
(the  "Board")  shall take such action as is  necessary to appoint to the Board,
effective  as of the earlier of the closing of the  initial  public  offering of
common stock of the Issuer and

                                       5

<PAGE>



March  31,  1999  (such  earlier  date,  the  "Appointment  Date"),  one  person
designated by the Investor (the "Investor Designee").  From the Appointment Date
through the Termination  Date, (a) the Issuer shall, upon the written request of
the  Investor,  nominate and  recommend  to the holders of the  Issuer's  voting
securities for election to the Board, one Investor Designee and (b) the Investor
may require  that an Investor  Designee  who is a member of the Board be removed
and replaced by another Investor  Designee,  in which case, (i) if any action to
effect the  foregoing  is required  on the part of the  holders of the  Issuer's
voting  securities,  the Issuer  shall take the  actions set forth in clause (a)
above,  and (ii) in the  case of the  replacement  of an  Investor  Designee  in
connection with his death,  resignation or removal, the Issuer, by action of the
Board, shall cause a replacement  Investor Designee to be appointed to the Board
to  fill  the   vacancy   caused  by  such   death,   resignation   or  removal.
Notwithstanding  the  foregoing,  the Issuer  shall not be  required to take any
action that would result in more than one Investor Designee being elected to the
Board at the same time. For purposes of this Agreement,  the "Termination  Date"
shall  mean  the  earlier  to  occur  of (x) the  date  on  which  the  Investor
collectively  own less than  seventy-five  percent (75%) (based on the number of
Shares owned plus the number of Shares  subject to the Warrant) of the number of
Shares  subject to the Warrant on the  Closing  Date  (subject to  anti-dilution
adjustments) and (y) the termination of the Transaction Processing Agreement.

                  4.2.  Observer  and  Monitoring  Rights.  From and  after  the
Appointment  Date and until the  Termination  Date,  the  Issuer  will  permit a
representative  designated  by the Investor to attend as an observer any meeting
from which the Investor Designee will be absent. The Issuer may require that any
representative designated pursuant to this Section 4.2 execute a confidentiality
agreement in customary  form and  reasonably  acceptable to such  representative
with respect to  confidential  information  of the Issuer made available to such
representative  pursuant to this Section 4.2, which  agreement  shall include an
acknowledgment of such  representative that in such capacity such representative
may  obtain  material  non-public   information   concerning  the  Issuer,  and,
accordingly,  will be subject to any  applicable  restrictions  pursuant to Rule
10b-5 under the Securities  Exchange Act of 1934, as amended, in connection with
such representative's possession of such information.  The Investor acknowledges
that the  provisions  of this  Section 4.2 shall not be construed to provide the
Investor with the right to  participate  in meetings of the Board or to exercise
any control over the affairs of the Issuer.

                                       6

<PAGE>



                                    ARTICLE V

                             TERMINATION; AMENDMENT

                  5.1. Termination. This Agreement may be terminated at any time
by mutual written consent of the Investor and the Issuer.

                  5.2.  Effect of  Termination.  If this Agreement is terminated
pursuant to Section 5.1 hereof,  this  Agreement,  except for the  provisions of
Sections 5.2, 6.1, 6.4 and 6.5,  shall  terminate,  without any liability on the
part of any party or its  directors,  officers or  stockholders.  Nothing herein
shall  relieve  any party to this  Agreement  of  liability  for  breach of this
Agreement or prejudice  the ability of the  non-breaching  party to seek damages
from any  other  party  for any  breach  of this  Agreement,  including  without
limitation,  attorneys'  fees and the  right to pursue  any  remedy at law or in
equity.

                  5.3.  Amendment.  This Agreement may not be amended except by 
an instrument in writing signed on behalf of both of the parties.

                                   ARTICLE VII

                                  MISCELLANEOUS

                  6.1. Notices.  Any notice required to be given hereunder shall
be  sufficient  if in  writing,  and  sent  by  facsimile  transmission  (with a
confirmatory copy sent by overnight courier),  by courier service (with proof of
service),  hand  delivery  or  certified  or  registered  mail  (return  receipt
requested and first-class postage prepaid), addressed as follows:

If to the Issuer:                             If to the Investor:
Mede America Corporation                      Medic Computer Systems, Inc.
90 Merrick Avenue                             8601 Six Forks Road
Suite 501                                     Suite 300
East Meadow, New York 11554                   Raleigh, North Carolina 27615

Telephone:        (516) 542-4500              Telephone:        (919) 847-8102
Facsimile:        (516) 542-4508              Facsimile:         (919) 847-7110
Attention:        David M. Goldwin, Esq.      Attention:        Alan Winchester
                  General Counsel

With a copy to:                               With a copy to:

                                       7

<PAGE>


Reboul, MacMurray, Hewitt, Maynard & Kristol Misys plc
45 Rockefeller Plaza                         Burleigh House
New York, New York  10111                    Chapel Oak
Telephone:  (212) 841-5700                   Salford Priors, England
Facsimile:  (212) 841-5725                   Worcs WR11 5SH

Attention:  Mark J. Tannenbaum, Esq.

                                             Tel: 011 44 1386 871-373
                                             Fax: 011 44 1386 871-045
                                             Attention: Ross Graham

                                             and

                                             Debevoise & Plimpton
                                             875 Third Avenue
                                             New York, New York 10022
                                             Telephone: (212) 909-6000
                                             Facsimile: (212) 909-6836
                                             Attention: Paul H.Wilson, Jr., Esq.

or to such other address as any party shall specify by written  notice so given,
and such  notice  shall  be  deemed  to have  been  delivered  as of the date so
telecommunicated, personally delivered or mailed.

                  6.2.  Assignment;  Binding Effect;  Third Party Beneficiaries.
Neither this Agreement nor any of the rights, interests or obligations hereunder
shall be assigned by any party hereto (whether by operation of law or otherwise)
without the prior  written  consent of the other party  provided  that Medic may
assign its rights  hereunder  to an  affiliate,  but nothing  shall  relieve the
assignor from its obligations hereunder. Subject to the preceding sentence, this
Agreement  shall be binding  upon and shall  inure to the benefit of the parties
hereto and their  respective  successors and assigns.  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  heirs,  successors,  executors,  administrators  and
assigns any rights,  remedies,  obligations or liabilities under or by reason of
this Agreement.

                  6.3. Entire Agreement. This Agreement, the Registration Rights
Agreement,  the Warrant, and the Transaction Processing Agreement constitute the
entire agreement among the parties with respect to the subject matter hereof and
supersede all prior agreements and understandings among the parties with respect
thereto.

                                       8

<PAGE>

                  6.4. Fees and Expenses. Each party will bear its own legal and
other expenses with respect to this Agreement and the transactions  contemplated
hereby.

                  6.5.  Governing Law. This  Agreement  shall be governed by and
construed in accordance with the laws of the State of New York without regard to
its rules of  conflict  of laws.  Each of the  Issuer  and the  Investor  hereby
irrevocably and unconditionally consents to submit to the exclusive jurisdiction
of the  courts of the  State of New York and of the  United  States  of  America
located  in the State of New York (the "New  York  Courts")  for any  litigation
arising out of or relating to this Agreement and the  transactions  contemplated
hereby (and agrees not to commence any  litigation  relating  thereto  except in
such courts), waives any objection to the laying of venue of any such litigation
in the New York  Courts  and  agrees not to plead or claim in any New York Court
that such litigation brought therein has been brought in an inconvenient forum.

                  6.6.  Headings.  Headings of the Articles and Sections of this
Agreement are for the  convenience  of the parties  only,  and shall be given no
substantive or interpretive effect whatsoever.

                  6.7. Interpretation;  Certain Definitions.  In this Agreement,
unless the context  otherwise  requires,  words  describing the singular  number
shall  include the plural and vice versa,  and words  denoting  any gender shall
include  all  genders  and  words   denoting   natural   persons  shall  include
corporations  and  partnerships  and vice versa.  Whenever the words  "include,"
"includes" or "including" are used in this Agreement, they shall be deemed to be
followed by the words "without limitation." As used in this Agreement, the words
"Subsidiary"  and "affiliate"  shall have the meanings  ascribed thereto in Rule
12b-2 under the Securities Exchange Act of 1934, as amended. The following terms
shall have the following meanings ascribed to them:

                  "Other  Agreements"  means the  Warrant  and the  Registration
         Rights Agreements.

                  "Registration  Rights Agreement" means the Registration Rights
         Agreement,  dated as of the date  hereof,  between  the  Issuer and the
         Investor, in the form attached hereto as Exhibit A.

                  "Share" means a share of common stock of the Issuer, $0.01 par
         value per share.

                  "Stockholders  Agreement"  means  the  Stockholders  Agreement
         between the Investor,  Welsh,  Carson,  Anderson & Stowe V, L.P., Welsh
         Carson,  


                                       9
<PAGE>

         Anderson & Stowe VI,  L.P.,  WCAS Capital  Partners  II, L.P.,  William
         Blair Capital Parners V, L.P. and William Blair Leveraged  Capital Fund
         Limited Partnership,  dated as of the date hereof, in the form attached
         hereto as Exhibit B.

                  "Transaction   Processing  Agreement"  means  the  Transaction
         Processing  Agreement between the Issuer and the Investor,  dated as of
         the date hereof.

                  "Warrant"  means the warrant  issued by the Issuer to purchase
         1,250,000 Shares, identical to the form attached hereto as Exhibit C.

                  6.8.  Severability.  Any term or provision  of this  Agreement
which  is  invalid  or  unenforceable  in any  jurisdiction  shall,  as to  that
jurisdiction,   be   ineffective   to  the   extent   of  such   invalidity   or
unenforceability  without rendering invalid or unenforceable the remaining terms
and provisions of this Agreement or affecting the validity or  enforceability of
any of the terms or provisions of this Agreement in any other  jurisdiction.  If
any  provision  of  this  Agreement  is so  broad  as to be  unenforceable,  the
provision shall be interpreted to be only so broad as is enforceable.

                  6.9.  Enforcement of Agreement.

                  (a) The parties  hereto  agree that  irreparable  damage would
         occur in the event that any of the  provisions of this  Agreement  were
         not  performed in accordance  with its specific  terms or was otherwise
         breached.  It is accordingly  agreed that the parties shall be entitled
         to an injunction or injunctions  to prevent  breaches of this Agreement
         and to enforce  specifically the terms and provisions hereof in any New
         York Court,  this being in  addition to any other  remedy to which they
         are entitled at law or in equity.

                  (b) The  prevailing  party  in any  judicial  action  shall be
         entitled  to  receive  from  the  other  party  reimbursement  for  the
         prevailing  party's reasonable  attorneys' fees and disbursements,  and
         court costs.

                  6.10. Issuer  Acknowledgment.  The Issuer hereby  acknowledges
that  nothing  in  this  Agreement,  the  Other  Agreements,   the  Stockholders
Agreement,   the  Transaction   Processing  Agreement  or  any  other  agreement
contemplated  hereby  or  thereby  shall in any way  restrict  the  right of the
Investor from purchasing any securities of the Issuer from third parties, in the
market, or otherwise.

                  6.11.  Counterparts.  This  Agreement  may be  executed by the
parties  hereto in separate  counterparts,  each of which when so  executed  and
delivered  shall  be an  


                                       10
<PAGE>

original,  but all such counterparts shall together  constitute one and the same
instrument.  Each  counterpart  may  consist of a number of copies  hereof  each
signed by less than all, but together signed by all, of the parties hereto.


                                       11
<PAGE>


                                   DEFINITIONS
<TABLE>
<CAPTION>

         Defined Term                                        Section Reference
         ------------                                        -----------------

<S>                                                   <C>
"Affiliate"                                                Section 6.7
 ---------
"Appointment Date"                                         Section 4.1
 ----------------
"Board"                                                    Section 4.1
 -----
"Closing"                                                  Section 1.2
 -------
"Closing Date"                                             Section 1.2
 ------------
"Investor"                                                 First Paragraph
 --------
"Investor Designee"                                        Section 4.1
 -----------------
"Issuance"                                                 Section 1.1
 --------
"Issuer"                                                   First Paragraph
 ------
"Medic"                                                    First Paragraph
 -----
"New York Courts"                                          Section 6.5
 ---------------
"Registration Rights Agreement"                            Section 6.7
 -----------------------------
"Registration Statement"                                   Section 2.4
 ----------------------
"Securities Act"                                           Section 3.4
 --------------
"SEC"                                                      Section 2.4
 ---
"Share"                                                    Section 6.7
 -----
"Software Development Agreement"                           Section 6.7
 ------------------------------
"Stockholder Agreement"                                    Section 6.7
 ---------------------
"Termination Date"                                         Section 4.1
 ----------------
"Transaction Processing Agreement"                         Section 6.7
 --------------------------------
"Warrant"                                                  Section 6.7
 -------
</TABLE>

                                       12
<PAGE>


                  IN WITNESS  WHEREOF,  this Investment  Agreement has been duly
executed and delivered as of the day and year first written above.

                                              MEDIC COMPUTER SYSTEMS, INC.

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

                                              MEDE AMERICA CORPORATION

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

                                       13


                                                                    Exhibit 10.4



         AGREEMENT OF LEASE, made as of this 15th day of October,  1991, between
HMCC  ASSOCIATES,  a limited  partnership,  having its  principal  office at 255
Broadhollow  Road,  Suite  212  W,  CS  5341,  Melville,   New  York  11747-0983
(hereinafter referred to as "Landlord"),  and MEDE AMERICA, INC., a corporation,
having its principal place of business at 377 Oak Street,  Garden City, NY 11530
(hereinafter referred to as "tenant").

         WITNESSETH: Landlord and Tenant hereby covenant and agree as follows:

                                      SPACE

         1.  Landlord  hereby  leases to Tenant  and  Tenant  hereby  hires from
Landlord the space  substantially  as shown on the Rental Plan  initialed by the
parties  and  made  part  of  hereof  as  Exhibit  "1"  ("Demised  Premises"  or
"Premises") in the building known as Nassau West Omni,  located at Earl Ovington
Boulevard,  Mitchel Field, New York (hereinafter  referred to as the "Building")
which the parties  agreed  contains  8,255 square feet in a Building  containing
555,816 square feet which  constitutes 1.48 per cent of the rentable area of the
Building.

                                      TERM

         2. The term  "term" or "Demised  Term" of this lease shall  commence on
February 1, 1992,  hereinafter  referred to as the "Term  Commencement  Date and
shall terminate on January 31, 2003,  hereinafter referred to as the "Expiration
Date",  unless the Term shall  sooner  terminate  pursuant  to any of the terms,
covenants or conditions of this lease pursuant to law.

            If on the foregoing data specified for the Term Commencement Datethe
Demised  Premises  shall not be  "substantially  completed" in  accordance  with
Schedule A annexed hereto,  then the Term  Commencement  Date shall be postponed
until the date on which the Demised Premises shall be "substantially  completed"
and the Term of this lease shall be extended so that the  Expiration  Date shall
be  eleven  (11)  years  after  the  last day of the  month  in  which  the Term
Commencement Date occurs. "Substantially completed" as used herein is defined to
mean the only items to be completed  are those which do not  interfere  with the
Tenant's occupancy  substantially full enjoyment of the Demised Premises; but is
Landlord  shall be delayed in such  "substantial  completion" as a result of (i)
Tenant's failure to furnish plans and specifications;  (ii) Tenant's request for
materials,  finishes or  installations  other than  Landlord's  standard;  (iii)
Tenant's changes in said plans;  (iv) the performance or completion of any work,
labor or services by a party employed by Tenant; (v) Tenant's failure to approve
final plans, working drawings or reflective ceiling plans (collectively  "Tenant
Delays"),  the  commencement  of the term of said lease and the  payment of rent
thereunder  shall be  accelerated  by the number of 

<PAGE>



days of such delay.  Tenant waives any right to rescind this lease under Section
223-a of the New York Real  Property  Law or any  successor  statute  of similar
import then in force and further  waives the right to recover any damages  which
may result from Landlord's  failure to deliver possession of the Premises on the
Term Commencement Date.

                                      RENT

         3. The annual rental rate ("Rent") is as follows:

2/1/92    During  the first  year of the term of this  lease  the Rent  shall be
          $18,506.28, payable $1,542.19 in equal monthly installments.

2/1/93    During  the  second  year  the  Rent  shall  be  $279,519.76,  payable
          $43,003.04  for the first month and  $21,501.52 for each of the second
          through twelfth months.

2/1/94    During  the  third  year  the  Rent  shall  be  $267,230.28,   payable
          $22,269.19 in equal monthly installments.

2/1/95    During  the  fourth  year  the  Rent  shall  be  $276,360.00,  payable
          $23,030.00 in equal monthly installments.

2/1/96    During  the  fifth  year  the  Rent  shall  be  $285,654.24,   payable
          $23,804.52 in equal monthly installments.

2/1/97    During  the  sixth  year  the  Rent  shall  be  $294,866.28,   payable
          $24,572.19 in equal monthly installments.

2/1/98    During  the  seventh  year the  Rent  shall  be  $304,078.20,  payable
          $25,339.85 in equal monthly installments.

2/1/99    During  the  eighth  year  the  Rent  shall  be  $313,502.28,  payable
          $26,107.52 in equal monthly installments.

2/1/00    During  the  ninth  year  the  Rent  shall  be  $322,502.28,   payable
          $26,875.19 in equal monthly installments.

2/1/01    During  the  tenth  year the  Rent  shall  be  $331,  714.20,  payable
          $27,642.85 in equal monthly installments.

2/1/02    During  the  eleventh  year the Rent  shall  be  $319,424.72,  payable
          $28,410.52 for each of the first through eleventh months and $6,909.00
          for the twelfth  month,  which Tenant agrees to pay Landlord,  without
          legal  notice or demand,  in lawful  money of the United  States which
          shall be legal  tender in  payment  of the debts and dues,  public and
          private,  at the time of  payment  in advance on the first day of each
          calendar  month during the Demised Term at the office of the Landlord,
          or at such other place as Landlord shall designate, except that

<PAGE>


Tenant shall pay the first monthly  installment on the execution hereof.  Tenant
shall pay the rent as above and as hereinafter provided,  without any set off or
deduction whatsoever. Should the Term Commencement Date be a date other than the
first day of a calendar  month,  the Tenant  shall pay a pro rata portion of the
rent on a per diem basis, based upon the second month of the Term from such date
to the first day of the following  month,  and Landlord  shall credit the excess
amount paid toward the payment of rent for the next succeeding calendar month.

                                       USE

         4. (A) The Tenant shall use and occupy the  Demised  Premises  only for
executive and  administrative  offices and training of personnel,  furnishing of
information,   utilizing  computerized  support  and  communications   networks,
provided the same is in an office context, and for no other purpose.

            (B) Tenant shall not use or occupy,  suffer or permit the  Premises,
or any part  thereof,  to be used in any manner  which  would in any way, in the
reasonable judgement of Landlord,  (i) violate any laws or regulations of public
authorities;  (ii) make void or voidable any insurance policy then in force with
respect to the Building; (iii) impair the appearance, character or reputation of
the  Building;  (iv)  discharge  objectionable  fumes,  vapors or odors into the
Building,  air-conditioning  systems or Building flues or vents in such a manner
as to offend other occupants. The provisions of this Section shall not be deemed
to be limited  in any way to or by the  provisions  of any other  Section or any
Rule or Regulation.

            (C) The  emplacement  of any  equipment  which will impose an evenly
distributed  floor in excess of 100 pounds  per  square  foot shall be done only
after written permission is received from the Landlord. Landlord represents that
the floor load is 100 pounds per square foot.  Such  permission  will be granted
only after  adequate  proof if furnished by a  professional  engineer  that such
floor loading will not endanger the structure.  Business machines and mechanical
equipment in the Premises shall be placed and maintained by Tenant,  at Tenant's
expense,  in such a manner as shall be  sufficient  in  Landlord's  judgement to
absorb vibration and noise and prevent annoyance or inconvenience to Landlord or
any other tenants or occupants of the Building.

            (D) Tenant will not at any time use or occupy the  Demised  Premises
in violation of the certificate of occupancy (temporary or permanent) issued for
the Building or portion thereof of which the Demised Premises form a part.

                               LANDLORD ALTERATION

         5.  Landlord,  at its  expense,  will  perform  the  work  and make the
installations,  as set forth in Schedule A annexed  hereto,  which is  sometimes
hereinafter referred to as the "Landlord's Initial Construction".

<PAGE>


                                    SERVICES

         6. (A) As long as Tenant is not in default under any material covenants
of this lease, Landlord,  during the hours of 8:00 A.M. to 7:00 P.M. on weekdays
and on Saturdays from 8:00 A.M. to 1:00 P.M.,  excluding legal  holidays,  shall
provide normal services to the "Common Area" of the Building.

            (B) Landlord  shall  provide to the Demised  Premises,  heat and air
conditioning  in the  respective  seasons and provide the Demised  Premises with
electricity for lighting and usual office  equipment for a total of 60 hours per
week, as selected by the Tenant (WORKING  HOURS).  For the purposes of computing
the hours, all times selected by the tenant shall be rounded to the nearest half
hour.

            (C) At any hours other than the  aforementioned,  such services will
be provided at Tenant's expense in accordance with Schedule C.

                               LANDLORD'S REPAIRS

         7. Landlord,  at its expense,  will make all the repairs to and provide
the maintenance for the Demised Premises (excluding painting and decorating) and
for all public  areas and  facilities  as set forth in  Schedule  B, except such
repairs and maintenance as may be necessitated by the negligence,  improper care
or use of such  premises  and  facilities  by  Tenant,  its  agents,  employees,
licensees or invitees, which will be made by Landlord at Tenant's expense, after
notice of Tenant,  with the right of Tenant to dispute.  Landlord agrees that at
it will diligently and expeditiously make all required repairs.

                                  WATER SUPPLY

         8.  Landlord,  at its expense,  shall  furnish hot and cold or tempered
water for lavatory purposes as per plan.

                                  PARKING FIELD

         9. Tenant shall have the right to use  thirty-two  (32) parking  spaces
for the parking of automobiles of the Tenant, its employees and invitees, in the
parking area reserved for tenants of the Building, four (4) of said spaces shall
be marked "Reserved" for Tenant (hereinafter  sometimes referred to as "Building
Parking  Area") in covered garage  subject to the Rules and  Regulations  now or
hereafter  adopted by the Landlord.  Tenant shall us its best efforts not to use
nor permit any of its officers,  agents or employees to use any parking space in
excess of Tenant's allotted number of spaces therein.

<PAGE>


                                    DIRECTORY

         10.  Landlord,  will  furnish in the lobby of the  Building a directory
which  will  contain  listings  requested  by  Tenant,  not to  exceed  five (5)
listings.  The  initial  listings  will be made at  Landlord's  expense  and any
subsequent  changes  by Tenant  shall be made at  Tenant's  expense.  Landlord's
acceptance  of any name for listing on the  directory,  will not be deemed,  not
will it substitute for  Landlord's  consent,  as required by this lease,  to any
sublease, assignment or other occupancy of the Premises.

                             TAXES AND OTHER CHARGES

         11.  (A) As used  in and  for the  purposes  of the  Article  11,  the
following definitions shall apply:

              (i)"Taxes" shall be and amount of real estate taxes,  assessments,
special  or  otherwise,  sewer  rents,  rates and  charges,  general,  specific,
ordinary or extraordinary,  foreseen or unforseen levied on a calendar or fiscal
basis  against the Real  Property.  If at any time during the Term the method of
taxation  prevailing  at the date hereof shall be altered so that in lieu of, or
as in addition to, or as a  substitute  for, the whole or any part of the taxes,
levies,  impositions  or charges now  levied,  assessed or imposed on all or any
part of the Real Property and imposed on Landlord,  or (c)a license fee measured
by the rent  payable by Tenant to  Landlord,  or (d) any other tax levy,  taxes,
levies, impositions,  charges or license fee or any part thereof, so measured or
based,  shall be deemed  to be Taxes.  Excluded  shall be  ground  lease  rental
increases,  Landlord's  inheritance  tax,  Landlord's  income tax and Landlord's
franchise tax.

             (ii)  "Base Year  Taxes"  shall be the taxes  actually  paid by the
Landlord in the first year that the  Building  is assessed as a fully  completed
Building.

             (iii) "Escalation Year" shall mean each calendar year which
shall include any part of the Demised Term.

             (iv)  "Real  Property"  shall be the land upon  which the  Building
stands and any part or parts  thereof  utilized for parking and the Building and
other  facilities  utilized  for the purposes  required in the  operation of the
Building.

         (B) The Tenant shall pay the Landlord increases in Taxes levied against
the  Real  Property  as  follows:  If the  Taxes  paid  by the  Landlord  in any
Escalation  Year shall be increased  above the Base Year Taxes,  then the Tenant

                                      -5-

<PAGE>


shall pay to the Landlord,  as additional rent for such  Escalation  Year, a sum
equal to Tenant's percentage of the rentable area of the Building,  as set forth
in Paragraph 1 of this Lease multiplied by the amount of the said increase.

         (C)  Landlord   shall  render  to  Tenant  a  statement   containing  a
computation of additional rent due under this Article  ("Landlord's  Statement")
for the  preceding  year.  Within  fifteen (15) days after the  rendition of the
Landlord's Statement which shows additional rent to be payable, Tenant shall pay
to Landlord the amount of such  additional  rent. On the first day of each month
following  the  rendition  of each  Landlord's  Statement,  Tenant  shall pay to
Landlord,  on  account  of  the  potential  additional  rent,  a  sum  equal  to
one-twelfth (1/12th) of the additional rent last paid by Tenant, which sum shall
be subject to increase in Taxes effective prior thereto.

         (D) Landlord's failure to render a Landlord's Statement with respect to
any Escalation Year shall not prejudice  Landlord's right to render a Landlord's
Statement  with respect to any  Escalation  Year. The obligation of Landlord and
Tenant under the provisions of this Article with respect to any additional  rent
for any  Escalation  Year  shall  survive  the  expiration  date  or any  sooner
termination of the Demised Term.

                                TENANT'S REPAIRS

         12. Tenant shall take good care of the Demised Premises and, subject to
the provisions of Article 7 hereof, Landlord at the expense of Tenant shall make
as and when  needed  as a result  of misuse  or  neglect  by Tenant or  Tenant's
servants,  employees,  agents or  licensees,  all  repairs in and about  Demised
Premises necessary to preserve them in good order and condition to, at most, the
condition  at the  commencement  of the term.  Except as  provided in Article 24
hereof,  there shall be no allowance to Tenant for a diminution  of rental value
and no liability on the part of Landlord by reason of  inconvenience,  annoyance
or injury to  business  arising  from  Landlord,  Tenant  or others  making  any
repairs,  alterations,  additions  or  improvements  in or to any portion of the
Building or of Demised  Premises,  or in or to the  fixtures,  appurtenances  or
equipment  thereof,  and no liability  upon  Landlord for failure of Landlord or
others to make any repairs, alterations,  additions or improvements in or to any
portion of the Building or of the Demised  Premises,  or in or to the  fixtures,
appurtenances or equipment thereof.

                            FIXTURES & INSTALLATIONS

         13. All  appurtenances,  fixtures,  improvements,  additions  and other
property attached to or built into the Demised Premises,  whether by Landlord or
Tenant or others, and whether at Landlord's expense, or Tenant's expense, or the
joint  expense of  Landlord  and  Tenant,  shall be and remain the  property  of
Landlord,  except  that any such  fixtures,  improvements,  additions  and other
property  installed  at the sole  expense of Tenant with respect to which Tenant

                                      -6-
<PAGE>


has not been granted any credit or allowance  by Landlord,  whether  pursuant to
Schedule A or otherwise,  and which are removable without material damage to the
said Premises may be removed by Tenant on condition  that Tenant shall repair at
its expense any damage to the Demised  Premises or the Building  resulting  from
such removal.  All the outside walls of the Demised Premises  including corridor
walls and the outside  entrance  doors to the Demised  Premises,  any balconies,
terraces or roofs adjacent to the Demised Premises,  any balconies,  terraces or
roofs adjacent to the Demised  Premises,  and any space in the Demised  Premises
used for shafts,  stacks, pipes,  conduits,  ducts or other building facilities,
and the use  thereof,  as well as access  thereto  in and  through  the  Demised
Premises for the Purpose of operation,  maintenance,  decoration and repair, are
expressly  reserved to the Landlord,  and Landlord does not convey any rights to
Tenant therein.  Notwithstanding the foregoing, Tenant shall enjoy full right of
access to the Demised  Premises through the public  entrances,  public corridors
and public areas within the Building.

                                   ALTERATIONS

         14. (A) After completion of the Demised Premises,  Tenant shall make no
alterations,  construction,  additions or improvements (hereinafter collectively
referred to as  "Improvements") in or to the Demised Premises without Landlord's
prior  written  consent,   which  consent   Landlord   covenants  shall  not  be
unreasonably  withheld or delayed,  and then only by  contractors  or  mechanics
approved by Landlord  and at such times and in such manner as Landlord  may from
time to time  designate.  Landlord's  consent  shall not be required for modular
furniture, phone system or computer equipment installation.

             (B) All  Improvements  by Tenant shall at all times comply with (i)
laws,  rules,   orders  and  regulations  of  governmental   authorities  having
jurisdiction thereof, and (ii) rules and regulations of the Landlord attached as
Schedule D.

             (C) Plans and  specifications  prepared  by and at the  expense  of
Tenant  shall be submitted to Landlord  for its prior  written  approval,  which
approval  Landlord  covenants  it will not  unreasonably  withhold or delay;  no
installations  or work shall be  undertaken,  started,  or begun by Tenant,  its
agents,  servants or  employees,  until  Landlord  has  approved  such plans and
specifications;  and no amendments or additions to such plans and specifications
shall be made  without the prior  written  consent of Landlord,  which  approval
Landlord covenants will not unreasonably withhold or delay, and shall be subject
to Landlord's  supervisory  fee charge of five (5%) percent of the cost thereof,
said  supervisory fee shall not be applicable to floor covering or decoration or
computer  equipment.  Tenant  agrees  that  it  will  not,  either  directly  or
indirectly, use any contractors and/or labor and/or materials if the use of such
contractors  and/or labor and/or  materials  would or will create any difficulty
with other  contractors  and/or labor engaged by Tenant or Landlord or others in
the  construction,  maintenance  and/or  operation  of the  Building or any part
thereof.

             (D)  Tenant's  right to make  Improvements  shall be subject to the
following  additional  requirements:  (i) the Improvements will not results in a
violation of, or require a change in, any Certificate of Occupancy applicable to
the Premises in the Building;  (ii) the outside appearance,  character or use of
the Building shall not be affected; (iii) no part of the Building outside of

                                      -7-

<PAGE>

the Premises shall be physically  affected;  and (iv) the proper  functioning of
any air-conditioning,  elevator, plumbing, electrical,  sanitary, mechanical and
other service or utility system of the Building shall not be affected.

             (E) Tenant  shall  defend,  indemnify  and save  harmless  Landlord
against any and all  mechanics'  and other liens  filed in  connection  with its
Improvements,  repairs or installations,  including the liens of any conditional
sales of, or chattel  mortgages  upon,  any  materials,  fixture or  articles so
installed in and  constituting  part of the Premises and against any loss, cost,
liability,  claim,  damage  and  expense,  including  reasonable  counsel  fees,
penalties and fines incurred in connection with any such lien,  conditional sale
or chattel mortgage or any action or proceeding brought thereon.

                 Tenant,  at its  expense,  shall  procure the  satisfaction  or
discharge of all such liens  within  twenty (20) days of the filing of such lien
against the Premises or the Building. If Tenant shall fail to cause such lien to
be discharged within the period aforesaid,  then, in addition to any other right
or remedy,  Landlord,  may, but shall not be obligated  to,  discharge  the same
either by paying the amount  claimed to be due or by procuring  the discharge of
such lien by deposit or by bonding  proceedings,  and in any such event Landlord
shall be entitled, if Landlord so elects, to compel the prosecution of an action
for the  foreclosure  of such lien by the  lienor  and to pay the  amount of the
judgement in favor of the lienor with interest, costs and allowances. Any amount
so paid by  Landlord,  and all  costs  and  expenses  incurred  by  Landlord  in
connection  therewith,  together with interest thereon at the maximum legal rate
then prevailing from the respective  dates of Landlord's  making of the payments
or incurring of the cost and expense, shall constitute Additional Rent and shall
be paid on demand.

                               REQUIREMENTS OF LAW

         15. (A) Tenant, at Tenant's sole cost and expense shall comply with all
statutes, laws, ordinances,  orders,  regulations and notices of Federal, State,
County and Municipal authorities,  and with all directions,  pursuant to law, of
all public  officers,  which shall impose any duty upon  Landlord or Tenant with
respect to the Demised  Premises or the use or occupation  thereof,  except that
Tenant shall not be required to make any  structural  alterations in order so to
comply unless such alterations shall be necessitated or occasioned,  in whole or
in part by the acts,  omissions,  or negligence of Tenant or any person claiming
through  or under  Tenant  or any of  their  servants,  employees,  contractors,
agents,  visitors or  licensees,  or by the use or occupancy or manner of use or
occupancy of Demised Premises by Tenant, or any such person. Tenant shall not be
required to comply with any statute or law that  requires  Tenant to improve the
Premises to a condition  greater than at the commencement of the term.  Landlord
will comply with all order and laws relating to the  Building,  but unrelated to
Tenant's use.

                                      -8-

<PAGE>



             (B) The parties  acknowledge that there are certain Federal,  state
and local laws,  regulations  and guidelines  now in effect and that  additional
laws,  regulations  and  guidelines  may  hereafter  be enacted,  relating to or
affecting the Premises, the Building, and the land of which the Premises and the
Building  may  be  a  part,   concerning  the  impact  on  the   environment  of
construction,  land use, the  maintenance  and operation of  structures  and the
conduct of business.  Tenant will not cause, or permit to be caused,  any act or
practice, by negligence, omission, or otherwise, that would adversely affect the
environment or do anything or permit  anything to be done that would violate any
of said laws, regulations, or guidelines. Any violation of the covenant shall be
an Event of Default under this Lease.

                                   END OF TERM

         16. (A) Upon the  expiration or other  termination  of the Term of this
lease,  Tenant  shall,  at its own expense,  quit and  surrender to Landlord the
Demised Premises, broom clean, in good order and condition,  ordinary wear, tear
and damage by fire or other insured casualty  excepted,  and Tenant shall remove
all of its  property  and shall pay the cost of repair all damage to the Demised
Premises or the Building occasioned by such removal. Any restoration required by
Tenant shall not be to a condition greater than the original  construction.  Any
property not removed from the Premises shall be deemed abandonment by Tenant and
may be  retained  by  Landlord,  as its  property,  or disposed of in any manner
deemed  appropriate  by the Landlord.  Any air  conditioning  unit  installed by
Tenant may be  removed  by the  Tenant at the end of the term,  except for those
items for which  Tenant  has  received  a credit  from  Landlord.  Any  expenses
incurred by Landlord in removing or disposing of such Tenant's property shall be
reimbursed to Landlord by Tenant on demand.  Tenant expressly waives, for itself
and for any person claiming through or under Tenant,  any rights which Tenant or
any such person may have under the  provisions  of Section  2201 of the New York
Civil  Practice Law and Rules of successor law of like import then in force,  in
connection with any holdover or summary  proceeding which Landlord may institute
to enforce the  foregoing  provisions of this  Article.  Tenant's  obligation to
observe  or  perform  this  covenant  shall  survive  the  expiration  or  other
termination of the Term of this lease. If the last day of the term of this lease
or any  renewal  hereof  falls on Sunday or a legal  holiday,  this lease  shall
expire on the business day immediately  preceding.  Tenant's  obligations  under
this Article 16 shall survive the Expiration Date or sooner  termination of this
lease.

             (B) If  Tenant  shall  hold over  after  the end of the Term,  such
holding  over  shall be  unlawful  and in no manner  constitute  a renewal or an
extension of the lease and no notice of any kind shall be required  prior to any
commencement  of summary  proceeding  and Tenant  hereby  waives any such right.
However,  during such hold over time Tenant shall have all of the obligations of
this  lease,  including  payment  of rent as a monthly  rate equal to double the
amount due during the first month of the last year of  occupancy  before the end
of the expired term,  plus any  escalations  or additional  rent provided for in
this lease.

                                      -9-

<PAGE>


                                 QUIET ENJOYMENT

         17.  Landlord  covenants and agrees with Tenant that upon Tenant paying
the Rent and  additional  rent  and  observing  and  performing  all the  terms,
covenants and conditions on Tenant's part to be observed and  performed,  Tenant
may  peaceably and quietly  enjoy the Demised  Premises  during the term of this
lease  without  hindrance  or  molestation  by  anyone  claiming  by or  through
Landlord, subject,  nevertheless, to the terms, covenants and conditions of this
lease including, but not limited to Article 22.

                                      SIGNS

         18. No signs or  lettering of any nature may be put on or in any window
now on the  exterior of the Building or  elsewhere  within the Demised  Premises
such as will be visible  from the  street.  No sign or  lettering  in the public
corridors or on the doors are permitted except Landlords standard name plaque.

                              RULES AND REGULATIONS

         19. Tenant and Tenant's agents, employees, visitors and licensees shall
faithfully  observe and strictly comply with, and shall not permit  violation of
the Rules and  Regulations  set forth on Schedule D annexed hereto and made part
hereof,  and with such further  reasonable  Rules and Regulations as Landlord at
any time may make and  communicate  in writing to Tenant  which,  in  Landlord's
judgement shall be necessary for the reputation,  safety,  care of appearance of
the Building  and the land  allocated  to it or the  preservation  of good order
therein,  or the operation or  maintenance  of the Building,  and such land, its
equipment,  or the more useful occupancy of the comfort of the tenants or others
in the Building. Landlord shall not be liable to Tenant for the violation of any
said Rules and  Regulations,  or the breach of any  covenant or condition in any
lease by any other tenant in the  Building.  Landlord  agrees to apply the Rules
and Regulations in a nondiscriminating manner.

                            RIGHT TO SUBLET OR ASSIGN

         20. (A) The Tenant  covenants  that it shall not assign  this lease nor
sublet the  Demised  Premises  or any part  thereof  without  the prior  written
consent of  Landlord  in each  instance,  except on the  conditions  hereinafter
stated.  The Tenant may assign  this Lease or sublet the Demised  Premises  with
Landlord's  written  consent,  which  consent  Landlord  covenants  will  not be
unreasonably withheld, or delay consent beyond fifteen (15) days, providing:

             (i) That  such  assignment  or  sublease  is for a use  which is in
compliance  with the then existing  zoning  regulations  and the  Certificate of
Occupancy;

                                      -10-

<PAGE>


             (ii) That at the time of such assignment or subletting, there is no
default under the material terms of this lease on the Tenant's part;

             (iii) That in the event of an  assignment,  the assignee  assume in
writing the performance of all of the terms and obligations of the within lease;

             (iv) That a duplicate  original of said  assignment  or sublease be
delivered by  registered  mail to the  Landlord at the address  herein set forth
within ten (10) days from the said assignment or sublease and within ninety (90)
days of the date that Tenant first  advises  Landlord of the name and address of
the proposed  subtenant or assignee as required,  pursuant to  subparagraph  (B)
hereof;

             (v) Such assignment or subletting shall not,  however,  release the
within Tenant from its liability for the full and faithful performance of all of
the terms and conditions of this lease;

             (vi) If this lease be assigned,  or if the Demised  Premises or any
part thereof be under let or occupied by anybody other than Tenant, Landlord may
after default by Tenant collect rent from the assignee, undertenant or occupant,
and apply the net amount collected to the rent herein reserved;

             (B)  Notwithstanding  anything  contained in this Article 20 to the
contrary,  no  assignment or  underletting  shall be made by Tenant in any event
until  Tenant  has  offered  to  terminate  this lease as of the last day of any
calendar  month during the term hereof and to vacate and  surrender  the Demised
Premises  to  Landlord  on the date  fixed in the notice  served by Tenant  upon
Landlord  (which date shall be prior to the date of such proposed  assignment or
the commencement date of such proposed lease). Simultaneously with said offer to
terminate this lease, Tenant shall advise the Landlord,  in writing, of the name
and  address of the  proposed  assignee  or  subtenant,  a  reasonably  detailed
statement of the proposed  subtenant/assignee's  business,  reasonably  detailed
financial  references,  and all the  terms,  covenants,  and  conditions  of the
proposed sublease or assignment. Landlord shall, within fifteen (15) days either
accept or reject  Tenant's offer to terminate this lease.  In the event Landlord
rejects  the offer to  terminate,  the  provisions  of  Subsection  (A) shall be
applicable.

             (C) Tenant may, without the consent of Landlord,  assign this lease
to an affiliated (i.e. a corporation 20% or more of whose capital stock is owned
by the same stockholders  owning 20% of Tenant's capital stock or more),  parent
or subsidiary  corporation  of Tenant or to a  corporation  to which it sells or
assigns  all  or  substantially  all of  its  assets  or  with  which  it may be
consolidated  or  merged,   provided  such  purchasing,   consolidated,   merged
affiliated  or  subsidiary  corporation  shall,  in writing  assume and agree to
perform all of the  obligations  of Tenant under this lease and it shall deliver
such  assumption with a copy of such assignment to Landlord within ten (10) days
thereafter, and provided further that Tenant shall not be released or discharged
from any liability under his lease by reason of such assignment.

                  (D)  Whenever  Tenant  shall claim  under this  Article or any
other part of this lease that Landlord has unreasonably  withheld or delayed its
consent to some request of Tenant,  provided  the  Landlord  does not act in bad
faith,  Tenant  shall  have no claim  for  damages  by  reason  of such  alleged
withholding  or delay,

                                      -11-

<PAGE>


and Tenant's sole remedy thereof shall be a right to obtain specific performance
or injunction but in no event with recovery of damages.

                          LANDLORD'S ACCESS TO PREMISES

         21. (A)  Landlord or  Landlord's  agents  shall have the right to enter
and/or pass through the Demised  Premises at all reasonable  times on reasonable
notice, except in an emergency,  to examine the same, and to show them to ground
lessors, prospective purchasers or lessees or mortgagees of the Building, and to
make such repairs,  improvements  or additions as Landlord may deem necessary or
desirable  and  Landlord  shall be  allowed to take all  material  into and upon
and/or through said Demised Premises that may be required  therefor.  During the
year prior to the  expiration  of the Term of this lease,  or any renewal  term,
Landlord may exhibit the Demised  Premises to prospective  tenants or purchasers
at all  reasonable  hours and without  unreasonably  interfering  with  Tenant's
business.  If Tenant shall not be personally present to open and permit an entry
into said premises at any time,  in an  emergency,  when for any reason an entry
therein shall be necessary or  permissible,  Landlord or  Landlord's  agents may
enter the same by a master key or forcibly,  without rendering  Landlord or such
agent liable therefor (if during such entry Landlord or Landlord's  agents shall
accord reasonable care to Tenant's property).

             (B) Landlord  shall also have the right at any time,  to change the
arrangement and/or location of entrances or passageways, doors and doorways, and
corridors,  elevators,  stairs,  toilets, or other public parts of the Building,
provided,  however, that Landlord shall make no change in the arrangement and/or
location of entrances or passageways or other public parts of the Building which
will adversely  affect in any material  manner Tenant's use and enjoyment of the
Demised  Premises.  Landlord shall also have the right, at any time, to name the
Building,  including,  but not limited to, appropriate signs and/or lettering on
any or all  entrances  to the  Building,  and to  change  the  name,  number  or
designation by which the Building is commonly known.

             (C) Neither  this lease nor any use by Tenant shall give Tenant any
right or easement to the use of any door or passage or concourse connecting with
any other building or to any public conveniences,  and the use of such doors and
passages  and  concourse  and  of  such  conveniences  may be  regulated  and/or
discontinued  at any time and from time to time by  Landlord  without  notice to
Tenant, provided the same does not interfere with Tenant's access to Premises.

             (D) The reasonable  exercise by Landlord or its agents of any right
reserved  to  Landlord  in this  Article  shall  not  constitute  an  actual  or
constructive  eviction,  in whole or in part, or entitle Tenant to any abatement
or diminution of rent, or relieve Tenant from any of its obligations  under this
lease, or impose any liability upon Landlord,  or its agents, or upon any lessor
under any ground or underlying lease, by reason of inconvenience or annoyance to
Tenant,  or  injury to or  interruption  of  Tenant's  business,  or  otherwise,
provided  the same  does  not  substantially  interfere  with  Tenant's  use and
occupancy of the Premises.

                                      -12-

<PAGE>


                                  SUBORDINATION

         22. (A) This lease and all rights of Tenant  hereunder  are,  and shall
be,  subject  and  subordinate  in all  respects  to all  ground  leases  and/or
underlying  leases and to all first mortgages and building loan agreements which
may now or hereafter be placed on or affect such leases and/or the Real Property
of which the  Demised  Premises  form a part,  or any part or parts of such Real
Property, and/or Landlord's interest or estate therein, and to each advance made
and/or  hereafter  to be made  under any such  mortgages,  and to all  renewals,
modifications,  consolidations,  replacements  and  extensions  thereof  and all
substitutions  therefor.  This Section A shall be self-operative  and no further
instrument  of  subordination  shall  be  required.   In  confirmation  of  such
subordination,  Tenant shall execute and deliver  promptly any certificate  that
Landlord  and/or any mortgagee  and/or the lessor under any ground or underlying
lease and/or their respective  successors in interest may request, at no cost to
Tenant.

             (B) Without  limitation of any of the provisions of this lease,  in
the event that any  mortgagee  or its assigns  shall  succeed to the interest of
Landlord or of any  successor-Landlord  and/or shall have become  lessee under a
new ground or  underlying  lease,  then, at the option of such  mortgagee,  this
lease shall nevertheless  continue in full force and effect and Tenant shall and
does hereby  agree to attorn to such  mortgage  or its assigns and to  recognize
such mortgagee or its respective assigns as its Landlord.

             (C) Tenant  shall,  at any time and from time to time upon not less
that five days' prior notice by Landlord,  execute,  acknowledge  and deliver to
Landlord a statement in writing  certifying that this lease is unmodified and in
full force and effect (or if there have been modifications,  that the same is in
full force and effect as modified and stating the modification) and the dates to
which the Rent,  additional rent and other charges have been paid in advance, if
any,  and  stating  whether or not to the best  knowledge  of the signer of such
certificate  Landlord is in default in performance  of any covenant,  agreement,
term, provision or condition contained in this lease, and if so, specifying each
such default of which the signer may have knowledge,  it being intended that any
such statement  delivered  pursuant hereto may be relied upon by any prospective
purchaser or lessee of said real property or any interest or estate therein, any
mortgagee or prospective  mortgagee  thereof or any prospective  assignee of any
mortgage  thereof.  If, in connection with obtaining  financing for the Building
and  the  land  allocated  to it,  a  banking,  insurance  or  other  recognized
institutional  lender shall request reasonable  modifications in this lease as a
condition to such financing,  Tenant will not  unreasonably  withhold,  delay or
defer its consent thereof,  provided that such modifications do not increase the
obligations  of Tenant  hereunder or materially  adversely  affect the leasehold
interest hereby created.

             (D) The Tenant  covenants and agrees that if by reason of a default
under any  underlying  lease  (including an  underlying  lease through which the
Landlord  derives its leasehold  estate of the Landlord in the  premises),  such
underlying  lease and the  leasehold  estate  of the  Landlord  in the  premises
demised hereby is terminated,  providing notice has been given to the Tenant and
leasehold

                                      -13-

<PAGE>



mortgagee,  the  Tenant  will  attorn  to the then  holder  of the  reversionary
interest in the premises demised by this Lease or to anyone who shall succeed to
the interest of the Landlord or to the lessee of a new underlying  lease entered
into pursuant to the  provisions of such  underlying  lease,  and will recognize
such  holder  and/or  such lessee as the  Tenant's  landlord of this Lease.  The
Tenant  agrees to execute and deliver,  at any time and from time to time,  upon
the request of the  Landlord or of the lessor under any such  underlying  lease,
any  instrument   which  may  be  necessary  or  appropriate  to  evidence  such
attornment.  The Tenant  further  waives the provision of any statute or rule of
law now or  hereafter in effect which may give or purport to give the Tenant any
right of election to  terminate  this Lease or to  surrender  possession  of the
premises  hereby in the event any  proceeding is brought by the lessor under any
underlying  lease to  terminate  the same,  and agrees that unless and until any
such lessor,  in connection with any such  proceeding,  shall elect to terminate
this  Lease and the  rights of the Tenant  hereunder,  this  Lease  shall not be
affected in any way whatsoever by any such proceeding,  shall elect to terminate
this  Lease and the  rights of the Tenant  hereunder,  this  Lease  shall not be
affected in any way whatsoever by any such proceeding.  Nothing herein contained
shall diminish any rights derived by reason of Nondisturbance Agreements granted
to Tenant by lessor under the terms of their underlying lease.

             (E) Landlord agrees to use good efforts to obtain a nondisturbance,
subordination and attornment agreement from its mortgagee. Tenant agrees to sign
said agreement on the form of the mortgagee.

                       PROPERTY LOSS, DAMAGE REIMBURSEMENT

         23. (A)  Landlord  or its agents  shall not be liable for any damage to
property of Tenant or of others entrusted to employees of the Building,  nor for
the loss of or damage to any property of Tenant by theft or otherwise.  Landlord
or its  agents  shall not be liable  for any  injury  or  damage to  persons  or
property  resulting  from  fire,   explosion,   falling  plaster,   steam,  gas,
electricity,  electrical disturbance, water, rain or snow or leaks from any part
of the  Building or from the pipes,  appliances  or  plumbing  works or from the
roof,  street or  subsurface  or from any other  place or by  dampness or by any
other cause of whatsoever  nature,  unless caused by or due to the negligence of
Landlord, its agents, servants or employees; nor shall Landlord or its agents be
liable for any such damage caused by other tenants or persons in the Building or
caused by  operations in  construction  of any private,  public or  quasi-public
work; nor shall Landlord be liable for any latent defect in the Demised Premises
or in the  Building.  If at any time any  windows of the  Demised  premises  are
temporarily  closed or  darkened  incident  to or for the  purpose  of  repairs,
replacements,  maintenance  and/or  cleaning in, on, to or about the Building or
any part or parts  thereof,  Landlord  shall  liable for any  damage  Tenant may
sustain  thereby and Tenant shall not be entitled to any  compensation  therefor
nor  abatement  of rent  shall  the same  release  Tenant  from its  obligations
hereunder nor  constitute  an eviction.  Tenant shall  reimburse and  compensate
Landlord as additional  rent for all  expenditures  made by, or damages or fines
sustained or incurred by Landlord due to non-performance or non-compliance  with
or breach or failure to observe any term,  covenants  or condition of this lease
upon  Tenant's part to be kept,  observed,  performed or complied  with.  Tenant
shall give  immediate  notice to  Landlord in case of fire or  accidents  in the
Demised  Premises or in the Building or of defects therein or in any fixtures or
equipment.

                                      -14-

<PAGE>


                               TENANT'S INDEMNITY

              (B) Except  for any claim  that may be  covered  by any  insurance
provided by the Tenant to  Landlord,  as provided in Article  25(D) or any other
insurance provided by Tenant,  Tenant shall indemnify and save harmless Landlord
against  and from any and all claims by or on behalf of any  person or  persons,
firm  or  firms,  corporation  or  corporations  arising  from  the  conduct  or
management of or from any work or thing  whatsoever done (other than by Landlord
or its  contractors  or the agents or employees of either) in and on the Demised
Premises  during the term of this  lease and  during the period of time,  if any
prior to the specified  commencement date that Tenant may have been given access
to the  Demised  Premises  for the  purpose  of making  installations,  and will
further indemnify and save harmless Landlord against and from any and all claims
arising from any  condition  of the Demised  Premises due to or arising from any
act or  omissions  or  negligence  of Tenant or any of its agents,  contractors,
servants,  employees,  licensees  or  invitees  and  against and from all costs,
expenses,  and liabilities  incurred in connection with any such claim or claims
or action or proceeding brought thereon; and in case any action or proceeding be
brought against Landlord by reason of any such claim,  Tenant,  upon notice from
Landlord,  agrees that Tenant, at Tenant's  expense,  will resist or defend such
action or proceeding and will employ counsel therefor reasonably satisfactory to
Landlord.

                      DESTRUCTION -- FIRE OR OTHER CASUALTY

         24. (A) If the Premises or any part thereof shall be damaged by fire or
other  casualty  and Tenant gives prompt  notice  thereof to Landlord,  Landlord
shall proceed with  reasonable  diligence to repair or cause to be repaired such
damage. The Rent shall be abated to the extent that the Premises shall have been
rendered  untenantable,  such  abatement  to be from the date of such  damage or
destruction to the date the Premises shall be substantially repaired or rebuilt,
in  proportion  which  the  area  of  the  part  of  the  Premises  so  rendered
untenantable bears to the total area of the Premises.

              (B) If the Premises  shall be totally  damaged or rendered  wholly
untenantable  by fire or other  casualty,  and Landlord has not terminated  this
lease  pursuant of  Subsection  (C) and Landlord has not completed the making of
the required repairs and restored and rebuilt the Premises and/or access thereto
within  nine (9) months from the date of such  damage or  destruction,  and such
additional  time after such date (but in no event to exceed six (6) months),  as
shall equal the aggregate  period  Landlord may have been delayed in doing so by
unavoidable  delays or  adjustment  of  insurance,  Tenant  may serve  notice on
Landlord of its intention to terminate  this lease,  and within thirty (30) days
thereafter  Landlord shall not have completed the making of the required repairs
and  restored  and  rebuilt the  Premises,  this lease  shall  terminate  on the
expiration of such thirty (30) day period as if such  termination  date were the
Expiration  Date, and the Rent and additional rent shall be refunded by Landlord
to Tenant.

                                      -15-

<PAGE>



              (C) If the premises  shall be totally  damaged or rendered  wholly
untenantable by fire or other casualty or if the Building shall be so damaged by
fire or other  casualty that  substantial  alteration or  reconstruction  of the
Building shall, in Landlord's  opinion, be required (whether or not the Premises
shall been damaged by such fire or other  casualty),  then in any of such events
Landlord may, at its option, terminate this lease and the Term and estate hereby
granted,  by giving  Tenant thirty (30) days notice of said  termination  within
thirty (30) days after the date of such damage. In the event that such notice of
termination  shall be given,  this lease and the term and estate hereby granted,
shall  terminate as of the date provided in such notice of termination  (whether
or not the Term shall have  commenced)  with the same effect as if that were the
Expiration Date, and the Rent and additional rent shall be apportioned as of the
date of the fire or destruction or sooner  termination,  and any prepaid portion
of Rent and additional  rent for any period after such date shall be refunded by
Landlord to Tenant.

              (D)  Landlord  shall  not  be  liable  for  any  inconvenience  or
annoyance  to Tenant or injury to the  business of Tenant  resulting  in any way
from such damage by fire or other casualty or the repair thereof.  Landlord will
not carry insurance of any kind on Tenant's property,  and Landlord shall not be
obligated to repair any damage thereto or replace the same.

              (E) This lease shall be considered an express agreement  governing
any case of damage to or destruction of the Building or any part thereof by fire
or other casualty,  and Section 227 of the Real Property Law of the State of New
York providing for such a contingency in the absence of such express  agreement,
and any  other  law of like  import  nor or  hereafter  enacted,  shall  have no
application in such case.

              (F)  Notwithstanding  anything to the contrary elsewhere contained
herein,  if the Premises or the building  containing  the same are so damaged or
rendered  untenantable  by fire or  other  casualty  that the  Landlord,  in the
Landlord's good faith estimate,  cannot complete repairs or rebuild the Premises
to a condition to restore  possession  of the same so that the Tenant may resume
its  business  therein  within one  hundred  twenty  (120) days of the damage or
destruction,  then the  Tenant is hereby  given an option to cancel  this  lease
without  penalty,  within  fifteen (15) days of receipt of Landlord's  Notice by
written notice to Landlord.  The Landlord shall deliver the aforesaid good faith
estimate of repairs or rebuilding  time within thirty (30) days from the date of
damage or destruction.

                                    INSURANCE

       25.    (A) Tenant shall not do anything,  or suffer or permit anything to
do done in or about  the  Premises  which  shall  (a)  subject  Landlord  to any
liability  or  responsibility  for injury to any person or property by reason of
any  activity  being  conducted in the Premises or (b) cause any increase in the
fire insurance  rates  applicable to the Building or equipment or other property
located therein at the beginning of the Term or at any time thereafter.  Tenant,
at  Tenant's  expense,  shall  comply  with all rules,  orders,  regulations  or
requirements  of the New York Board of Fire  Underwriters  and the New York Fire
Insurance Rating Organization or any similar body.

              (B) If,  by  reason  of any  act or  omission  on the  part of the
Tenant,  the rate of fire  insurance  with extended  coverage on the Building or
equipment  or other  property of  Landlord or another  tenant or occupant of the
Building  shall be higher than it otherwise  would be,  Tenant  shall  reimburse
Landlord and all such other tenants or occupants on demand, for that part of the
premises  for fire  insurance  and extended  coverage  paid by Landlord and such
other tenants or occupants because of an act or omission on the part of Tenant.

                                      -16-

<PAGE>


              (C) In the event that any dispute  should arise  between  Landlord
and Tenant concerning  insurance rates, a schedule or make up or insurance rates
for the  Building or the  Premises,  as the case may be,  issued by the New York
Fire Insurance  Rating  Organization or other similar body making rates for fire
insurance and extended coverage for the Premises concerned,  shall be conclusive
evidence of the facts therein stated and of the several items and charges in the
fire insurance rates with extended coverage then applicable to such Premises.

              (D) Tenant shall  obtain and keep in full force and effect  during
Term,  at its own  cost  and  expense,  (a)  Public  Liability  Insurance,  such
insurance  to afford  protection  in an amount  of not less than  Three  Million
($3,000, 000) Dollars for injury or death arising out of any one occurrence, and
Five Hundred  Thousand  ($500,000)  Dollars for damage to  property,  protecting
Landlord  and Tenant as named  insureds  against any and all claim for  personal
injury,  death or property damage occurring in, upon,  adjacent to, or connected
with the Premises or any part thereof;  and (b) insurance against loss or damage
by fire,  and such other risks and hazards as are  insurable  under  present and
future  standard  forms of fire and extended  coverage  insurance  policies,  to
Tenant's property for the full insurable value thereof,  protecting Landlord and
Tenant as named insured.

              (E)  Said  insurance  is to  be  written  in  form  and  substance
reasonably  satisfactory to Landlord by a good and solvent  insurance company of
recognized standing,  admitted to do business in the State of New York and rated
as "good" in Bests Insurance Rating Manual.  Tenant shall procure,  maintain and
place such insurance and pay all premiums and charges  therefor and upon failure
to do so Landlord  may, but shall not be  obligated  to,  procure,  maintain and
place such insurance or make such payments,  and in such event the Tenant agrees
to pay the amount thereof,  plus interest at the legal rate then prevailing,  to
Landlord  on  demand  and said  sum  shall be in each  instance  collectible  as
Additional  Rent on the first day of the month  following the date of payment by
Landlord.  Tenant  shall cause to be included in all such  insurance  policies a
provision to the effect that the same will be non-cancellable except upon twenty
(20) days written  notice to  Landlord.  On the  Commencement  Date the original
insurance policies or appropriate certificates shall be deposited with Landlord.
Any renewals,  replacements or endorsements thereto shall also be deposited with
Landlord to the end that said insurance shall be in full force and effect during
the Term.

              (F) Each party  agrees to use its best  efforts to include in each
of its  insurance  policies  (insuring  the  Building  and  Landlord's  property
therein, in the case of Landlord, and insuring Tenant's property, in the case of
Tenant,  against loss, damage or destruction by fire or other casualty) a waiver
of the insurer's right of subrogation against the other party, or if such waiver
should be  unobtainable  or  unenforceable  (a) an express  agreement  that such
policy shall not be  invalidated  if the assured waives or has waived before the
casualty  the right of  recovery  against any party  responsible  for a casualty
covered by the policy,  or (b) any other form of  permission  for the release of
covered by the policy, or (b) any other form of permission or the release of the
other party,  or (c) the inclusion of the other party as an additional 

                                      -17-

<PAGE>



insured,  but not a party to whom any loss  shall be  payable.  If such  waiver,
agreement or permission shall not be, or shall cease to be,  obtainable  without
additional  charge or at all, the insured  party shall so notify the other party
promptly after learning thereof. In such case, if the other party shall agree in
writing to pay the insurer's additional charge therefor, such waiver,  agreement
or permission shall be included in the policy, or the other party shall be named
as an additional  assured in the policy,  but not a party to whom any loss shall
be payable. Each such policy which shall so name a party hereto as an additional
assured shall contain, if obtainable,  agreements by the insurer that the policy
will not be  cancelled  without a least  twenty  (20) days prior  notice to both
assured  and that the act or omission of one  assured  will not  invalidate  the
policy as to the other assured.

              (G) As long as Landlord's  fire  insurance  policies then in force
include  the  waiver of  subrogation  or  agreement  or  permission  to  release
liability  referred  to in  Subsection  (F) or name the Tenant as an  additional
assured, Landlord hereby waives (a) any obligation on the part of Tenant to make
repairs to the Premises  necessitated  or occasioned  by fire or other  casualty
that is an  insured  risk  under such  policies,  and (b) any right of  recovery
against Tenant, any other permitted  occupant of the Premises,  and any of their
servants,  employees, agents or contractors,  for any loss occasioned by fire or
other casualty that is an insured risk under such policies. In the event that at
any time  Landlord's  fire insurance  carriers shall not include such or similar
provisions in Landlord's fire insurance  policies,  the waivers set forth in the
foregoing sentence shall be deemed of no further force or effect.

             (H) As long as  Tenant's  fire  insurance  policies  then in  force
include  the  waiver of  subrogation  or  agreement  or  permission  to  release
liability  referred to in Subsection  (F), or name the Landlord as an additional
assured Tenant hereby waives (and agrees to cause any other permitted  occupants
of the Premises to execute and deliver to Landlord written instruments  waiving)
any right of recovery  against  Landlord,  any other tenants or occupants of the
Building, and any servants,  employees,  agents or contractors of Landlord or of
any such other  tenants or occupants,  for any loss  occasioned by fire or other
casualty  which is an insured risk under such polices.  In the event that at any
time  Tenant's  fire  insurance  carriers  shall  not  include  such or  similar
provisions  in Tenant's  fire  insurance  policies,  the waiver set forth in the
foregoing sentence shall, upon notice given by Tenant to Landlord,  be deemed of
no further  force or effect with respect to any insured  risks under such policy
from and after the giving of such notice.  During any period while the foregoing
waiver  of right of  recovery  is in  effect,  Tenant,  or any  other  permitted
occupant of the Premises,  as the case maybe,  shall look solely to the proceeds
of such policies to compensate  Tenant or such other  permitted  occupant of the
Premises,  as the case may be,shall look solely to the proceeds of such policies
to compensate Tenant or such other permitted occupant for any loss occasioned by
fire or other casualty which is an insured risk under such policies.

                                      -18-

<PAGE>
                                 EMINENT DOMAIN

        26.   (A) In the event that the whole of the Demised  Premises  shall be
lawfully  condemned or taken in any manner for any public or  quasi-public  use,
this lease and the Term and estate  hereby  granted  shall  forthwith  cease and
terminate  as of the date of vesting of title.  In the event that only a part of
the Demised  Premises  shall be so condemned or taken,  then effective as of the
date of  vesting  of  title,  the Rent  hereunder  shall be  abated in an amount
thereof  apportioned  according to the area of the Demised Premises so condemned
or taken. In the event that only a part of the Building shall be so condemned or
taken,  then (a) Landlord (whether or not the Demised Premised be affected) may,
at its option, terminate this lease and the Term and estate hereby granted as of
the date of such  vesting  of title  by  notifying  Tenant  in  writing  of such
termination  within sixty (60) days  following the date on which  Landlord shall
have received notice of vesting of title, and (b) if such condemnation or taking
shall be of a substantial  part of the Demised Premises or a substantial part of
the means of access  thereof,  Tenant shall have the right by delivery of notice
in writing to Landlord within sixty (60) days following the date on which Tenant
shall have received  notice of vesting of title to terminate  this lease and the
Term and estate  hereby  granted  as of the date of vesting of title,  or (c) if
neither  Landlord nor Tenant elect to terminate this lease,  as aforesaid,  this
lease shall be and remain unaffected by such condemnation or taking, except that
the Rent shall be and remain unaffected by such  condemnation or taking,  except
that the Rent shall be abated to the  extent,  if any,  hereinabove  provided in
this Article 26. In the event that only a part of the Demised  Premised shall be
so condemned or taken and this lease and the Term and estate hereby  granted are
not terminated as hereinbefore  provided  Landlord will at its expense,  restore
the remaining  portion of the Demised  Premises as nearly as  practicable to the
same condition as it was in prior to such condemnation or taking.

              (B) In the event of a termination in any of the cases  hereinabove
provided, this lease and the Term and estate granted shall expire as of the date
of such termination  with the same effect as if that were the date  hereinbefore
set for the expiration of the Term of this lease,  and the rent hereunder  shall
be apportioned as of such date.

              (C) In  the  event  of  any  condemnation  or  taking  hereinabove
mentioned  of all or a part of the  Building,  Landlord  shall  be  entitled  to
receive the entire award in the  condemnation  proceeding,  including  any award
made for the value of the  estate  vested by this  lease in  Tenant,  and Tenant
hereby  expressly  assigns to Landlord any and all right,  title and interest of
Tenant now or hereafter arising in or to any such award or any part thereof, and
Tenant  shall be  entitled  to receive no part of such  award,  except  that the
Tenant may file a claim for any taking of  nonmovable  fixtures  owned by Tenant
and for moving  expenses  incurred by Tenant.  It is  expressly  understood  and
agreed that the  provisions  of this Article 26 shall not be  applicable  to any
condemnation or taking for governmental occupancy for a limited period.


                                      -19-
<PAGE>
                            NONLIABILITY OF LANDLORD

         27. (A) If Landlord or a successor in interest is an individual  (which
term as used herein includes aggregates of individuals,  such as joint ventures,
general or limited  partnerships or associations) such individual shall be under
no personal  liability with respect to any of the provisions of this Lease,  and
if  such  individual  hereto  is in  breach  or  default  with  respect  to  its
obligations  under this  lease,  Tenant  shall look solely to the equity of such
individual  in the land and Building of which the Demised  Premises  form a part
for the  satisfaction of Tenant's  remedies and in no event shall Tenant attempt
to secure any  personal  judgment  against  any  partner,  employee  or agent of
Landlord by reason of such default by Landlord.

                  (B) The word "Landlord" as used herein means only the owner in
fee for the time being of the land and Building (or the owners of a lease of the
Building or of the land and Building) of which the Premises form a part,  and in
the event of any sale of the  Building  and land of which the  Demised  Premises
form a part,  Landlord shall be and hereby is entirely freed and relieved of all
covenants  and  obligations  of  Landlord  hereunder  and it shall be deemed and
construed  without further  agreement between the parties or between the parties
and the purchaser of the Premises, that such purchaser has assumed and agreed to
carry out any and all covenants and obligations of Landlord hereunder.

                                     DEFAULT

         28. (A) Upon the occurrence, at any time prior to or during the Demised
Term,  of any one or more of the  following  events  (referred  to as "Events of
Default"):

                  (i) If Tenant  shall  default in the  payment  when due of any
installment of Rent or in the payment when due of any additional  rent, and such
default  shall  continue  for a period of (5) days after  notice by  Landlord to
Tenant of such default; or

                  (ii) If Tenant shall  materially  default in the observance or
performance of any term, covenant or condition of this lease on Tenant's part to
be observed or performed  (other than the  covenants for the payment of Rent and
additional  rent) and Tenant shall fail to remedy such  default  within ten (10)
days after  notice by Landlord to Tenant  specifying  such  default,  or if such
default is of such a nature that it cannot be  completely  remedied  within said
period of ten (10) days and Tenant shall not commence  within said period of ten
(10) days, or shall not thereafter diligently prosecute to completion, all steps
necessary to remedy such default; or

                  (iii) If Tenant shall file a voluntary  petition in bankruptcy
or insolvency,  or shall be adjudicated a bankrupt or become insolvent, or shall
file any petition or answer seeking any reorganization, arrangement,

                                      -20-
<PAGE>
composition, readjustment,  liquidation, dissolution or similar relief under the
present  or any future  federal  bankruptcy  act or any other  present or future
applicable  federal,  state or other statute of law, or shall make an assignment
for the benefit of creditors  or shall seek or consent to or make an  assignment
for the benefit of  creditors  or shall seek or consent to or  acquiesce  in the
appointment  of any trustee,  receiver or  liquidator of Tenant or of all or any
part of Tenant's property; or

         (iv)  If,  within  sixty  (60)  days  after  the  commencement  of  any
proceeding  against  Tenant,  whether by the filing of a petition  or  otherwise
seeking any reorganization, arrangement, composition, readjustment, liquidation,
dissolution or similar relief under the present or any future federal bankruptcy
act or any other present or future applicable federal, state or other statute or
law, such  proceedings  shall not have been dismissed,  or if, within sixty (60)
days after the appointment or any trustee,  receiver or liquidator of Tenant, or
of all or any part of Tenant's property,  without the consent or acquiescence of
Tenant, such appointment shall not have been vacated or otherwise discharged, or
if any execution or attachment shall be issued against Tenant or any of Tenant's
property  pursuant to which the Demised  Premises  shall be taken or occupied or
attempted to be taken or occupied; or

         (v) If the Demised Premises shall become vacant,  deserted or abandoned
for a period of ten (10) consecutive days; or

         (vi) If Tenant's  interest in this lease shall  devolve upon or pass to
any  person,  whether by  operation  of law or  otherwise,  except as  expressly
permitted under Article 20.

Then , upon the occurrence,  at any time prior to or during the Demised Term, of
any one or more of such Events of Default,  Landlord, at any time thereafter, at
Landlord's  option, may give to Tenant a five (5) days' notice of termination of
this lease and, in the event such notice is given, this lease and the Term shall
come to an end and expire  (whether or not said term shall have  commenced) upon
the  expiration  of said  five(5)  days  with the same  effect as if the date of
expiration  of said five (5) days were the  Expiration  Date,  but Tenant  shall
remain liable for damages as provided in Article 30.

         (B) If, at any time (i) Tenant  shall be  comprised  of two (2) or more
persons,  or  (ii)  Tenant's  obligations  under  this  lease  shall  have  been
guaranteed by any person other than Tenant,  or (iii) Tenant's  interest in this
lease shall have been assigned,  the word "Tenant",  as used in subsection (iii)
and (iv) of section 28A,  shall be deemed to mean any one or more of the persons
primarily or secondarily  liable for Tenant's  obligations under this lease. Any
monies received by Landlord from or on behalf of Tenant during the pendency of

                                      -21-
<PAGE>
any proceeding of the types referred to in said subsections (iii) and (iv) shall
be  deemed  paid as  compensation  for the use  and  occupation  of the  Demised
Premises and the  acceptance of any such  compensation  by Landlord shall not be
deemed an  acceptance  of Rent or a waiver on the part of Landlord of any rights
under section 28(A).

                             TERMINATION ON DEFAULT

         29.  (A) If  Tenant  shall  default  in  the  payment  when  due of any
installment of rent or in the payment when due of any  additional  rent and such
default shall  continue for a period of five (5)days after notice by Landlord to
Tenant of such  default,  or if this lease and the demised term shall expire and
come to an end as provided in Article 28:

                 (i) Landlord and its agents and servants may immediately, or at
any time  after  such  default  or after the date upon  which this lease and the
Demised Term shall expire and come to an end,  re-enter the Demised  Premises or
any part thereof,  without notice, either by summary proceedings or by any other
applicable action or proceeding,  or by force or otherwise (without being liable
to indictment,  prosecution or damages therefor),  and may repossess the Demised
Premises and dispossess  tenant and any other persons from the Demised  Premises
and remove any and all of their property and effects from the Demised  Premises;
and

               (ii) Landlord,  at Landlord's  option, may relet the whole or any
part or parts of the Demised  Premises from time to time,  either in the mane of
Landlord or otherwise,  to such tenant or tenants, for such term or terms ending
before, on or after the Expiration Date, at such rental or rentals and upon such
other  conditions,  which may  include  concessions  and free rent  periods,  as
Landlord,  in its  sole  discretion,  may  determine.  Landlord  shall  have  no
obligation  to relet the Demises  Premises  or any part  thereof and shall in no
event be liable for refusal or failure to relet the Demised Premises or any part
thereof,  or in the event of any such reletting,  and no such refusal or failure
shall operate to relieve  Tenant of any liability  under this lease or otherwise
to affect any such  liability;  Landlord,  at Landlord's  option,  may make such
repairs,  replacements,  alterations,  additions,  improvements,  decoration and
other physical changes in and to the Demised  Premises as Landlord,  in its sole
discretion,  considers  advisable  or  necessary  in  connection  with  any such
reletting or proposed reletting, without relieving Tenant of any liability under
this lease or otherwise affecting any such liability.

               (B)  Tenant,  on its own  behalf  and on  behalf  of all  persons
claiming through or under Tenant, including all creditors, does hereby waive any
and all rights which Tenant and all such persons might  otherwise have under any
present  or  future  law to redeem  the  Demised  Premises,  or to  re-enter  or
repossess the Demised Premises, or to restore the operation of this lease, after
(i) Tenant shall have been dispossessed by a judgment or by warrant of any court
or judge,

                                      -22-
<PAGE>
or (ii) any re-entry by Landlord, or (iii) any expiration or termination of this
lease and the Demised term,  whether such  dispossess,  re-entry,  expiration or
termination  shall be by operation of law or pursuant to the  provisions of this
lease.  In the event of a breach or  threatened  breach by Tenant or any persons
claiming  through or under Tenant,  of any term,  covenants or condition of this
lease on  Tenant's  part to be observed or  performed,  Landlord  shall have the
right to enjoin such breach and the right to invoke any other remedy  allowed by
law or in equity as if re-entry,  summary proceedings and other special remedies
were not  provided  in this  lease for such  breach.  The  rights to invoke  the
remedies  hereinbefore set forth are cumulative and shall not preclude  Landlord
from invoking any other remedy allowed at law or in equity.

                                     DAMAGES

         30. (A) If this lease and the demised  term shall expire and come to an
end as  provided  in Article 28 or by or under any  summary  proceeding,  or any
other action or proceeding or if Landlord shall re-enter the Demised Premises as
provided  in  Article  29 or by or under any  summary  proceedings  or any other
action or proceeding, then, in any of said events:

                 (i) Tenant shall pay to Landlord all Rent,  additional rent and
other  charges  payable  under this lease by Tenant to Landlord to the date upon
which this lease and the Demised  Term shall have  expired and come to an end or
to the date of re-entry upon the Demised  Premises by Landlord,  as the case may
be; and

                  (ii)Tenant shall also be liable for and shall pay to Landlord,
as damages,  any deficiency  (referred to as "Deficiency")  between the rent and
additional rent reserved in this lease for the period which otherwise would have
constituted  the  unexpired  portion of the Demised Term and the net amount,  if
any, of rents collected under any reletting  effected pursuant to the provisions
of section  29(A) for any part of such period  (first  deducting  from the rents
collected under any such reletting all of Landlord's expenses in connection with
the termination of this lease or Landlord's  re-entry upon the Demised  Premises
and with such reletting  including,  but not limited to, all repossession costs,
brokerage  commissions  for the balance of the Demised Term,  for the balance of
the Demised Term, legal expenses,  attorney's  fees,  alteration costs and other
expenses  of  preparing  the  Demised  Premises  for such  reletting).  Any such
Deficiency shall be paid in monthly installments by tenant on the days specified
in this lease for payment of installments of Rent, Landlord shall be entitled to
recover form Tenant each monthly Deficiency as the same shall arise, and no suit
to collect the amount of the Deficiency for any month shall prejudice Landlord's
rights  to  collect  the  Deficiency  for  any  subsequent  month  by a  similar
proceeding; and

             (iii) At any time after the  Demised  Term shall have  expired  and
come to an end or Landlord shall have re-entered upon the Demised  Premises,  as
the case may be,  whether or not  Landlord  shall  have  collected  any  monthly
Deficiencies as aforesaid, Landlord shall be entitled to recover from Tenant,

                                      -23-


<PAGE>
and Tenant shall pay to Landlord,  on demand,  as and for  liquidated and agreed
final damages,  a sum equal to the amount by which the rent and additional  Rent
reserved in this lease for the period which otherwise would have constituted the
unexpired  portion of the  Demised  Term  exceeds  the then fair and  reasonable
rental value of the Demised  Premises for the same period,  both  discounted  to
present  worth  at the  rate of  four  (4%)  per  cent  per  annum.  If,  before
presentation of proof of such liquidated  damages to any court,  commission,  or
tribunal,  the Demised Premises,  or any part thereof,  shall have been relet by
Landlord for the period which  otherwise  would have  constituted  the unexpired
portion of the Demised Term,  or any part  thereof,  the amount of Rent reserved
upon such reletting shall be deemed,  prima facie, to be the fair and reasonable
rental  value for the part of the whole of the Demised  Premises so relet during
the time of the reletting.

         (B) If the  demised  Premises,  or any  part  thereof,  shall  be relet
together with other space in the Building, the rents collected or reserved under
any such  reletting  and the expenses of any such  reletting  shall be equitably
apportioned  for the  purposes of this  Article 30.  Tenant shall in no event be
entitled to any rents  collected or payable under any reletting,  whether or not
such rents shall exceed the rent reserved in this lease. Solely for the purposes
of this Article, the term "Rent" as used in Section 30(A) shall mean the rent in
effect  immediately prior to the date upon which this lease and the Demised Term
shall have  expired and come to an end or the date of re-entry  upon the Demised
Premises by  Landlord,  as the case may be,  plus any  additional  rent  payable
pursuant to the provisions of Article 11 of the  Escalation  Year (as defined in
Article 11) immediately  preceding such event.  Nothing  contained in Article 28
and 29 of this  Lease  shall be  deemed to limit or  preclude  the  recovery  by
Landlord from Tenant of the maximum  amount allowed to be obtained as damages by
any statute or rule of law, or of any sums or damages to which  Landlord  may be
entitled in addition to the damages set forth in Section 30(A).

                                SUMS DUE LANDLORD

         31. In any case in which the Rent or additional rent is not paid within
ten (10) days of the day when same is due,  tenant shall pay a late charge equal
to 6 cent for each dollar so due,  and in addition  thereto,  the sum of $100.00
for  the  purpose  of  defraying  expenses  incident  to the  handling  of  such
delinquent account. The provisions for payment of late charges shall be forgiven
once in every calendar year.  Tenant further agrees that the late charge imposed
is fair and reasonable,  complies with all laws,  regulations and statutes,  and
constitutes an agreement between Landlord and Tenant as to the

                                      -24-
<PAGE>
compensation for costs and  administrative  expenses incurred by Landlord due to
the late payment of rent to Landlord by tenant.  Tenant  further agrees that the
late charge assessed pursuant to this lease is not interest, and the late charge
assessed does not constitute a lender or borrower/creditor  relationship between
Landlord and Tenant.

                                    NO WAIVER

         32. No act or thing done by Landlord or  Landlord's  agents  during the
term hereby Demised shall be deemed an acceptance of a surrender of said demised
Premises,  and no  agreement to accept such  surrender  shall be valid unless in
writing signed by Landlord. No employee of Landlord or of Landlord's agent shall
have  any  power  to  accept  the  keys of said  Demised  Premises  prior to the
termination  of this lease.  The delivery of keys to any employee of Landlord or
of  Landlord's  agents  shall not  operate as a  termination  of this lease or a
surrender of the Demise Premises. In the event of Tenant at any time desiring to
have Landlord  underlet the demised Premises for Tenant's  account,  Landlord or
Landlord's agents are authorized to received said keys for such purposes without
releasing Tenant from any of the obligations under this lease, and Tenant hereby
relieves  Landlord  of any  liability  for loss of or damage  to any of  Tenants
effects in connections with such  underletting.  The failure of Landlord to seek
redress  for  violation  of, or to insist  upon the strict  performance  of, any
covenants  or  conditions  of this  lease,  or any of the Rules and  Regulations
annexed  hereto and made a part hereof or hereafter  adopted by Landlord,  shall
not  prevent a  subsequent  act,  which  would  have  originally  constituted  a
violation,  from having all the force and effect of an original  violation.  The
receipt by Landlord of rent with knowledge of the breach of any covenant of this
lease  shall not be deemed a waiver of such  breach.  The failure of Landlord to
enforce any of the Rules and Regulations  annexed hereto and made a part hereof,
or hereafter  adopted,  against  Tenant  and/or any other tenant in the Building
shall not be deemed a waiver of any such Rules and Regulations.  No provision of
this lease shall be deemed to have been waived by  Landlord,  unless such waiver
be in writing signed by Landlord. No payment by Tenant or receipt by Landlord of
a lesser  amount then the monthly Rent herein  stipulated  shall be deemed to be
other than on account of the earliest  stipulated Rent nor shall any endorsement
or  statement  on any check or any letter  accompanying  any check or payment as
Rent be deemed an accord and satisfaction, and Landlord may accept such check or
payment  without  prejudice to  Landlords'  right to recover the balance of such
Rent or pursue any other remedy in this lease provided.

                                      -25-
<PAGE>
         33. To the extent such waiver is permitted by law,  Landlord and Tenant
hereby waive trial by jury in any action,  proceeding or counterclaim brought by
Landlord or Tenant against the other on any matter whatsoever  arising out of or
in any way connected with this lease,  the  relationship of landlord and tenant,
the use or  occupancy of the Demised  Premises by Tenant or any person  claiming
through or under  Tenant,  any claim of injury or damage,  and any  emergency or
other statutory remedy.  The provisions of the foregoing  sentence shall survive
the  expiration  or any sooner  termination  of the  Demised  Term.  If Landlord
commences any summary  proceeding for  nonpayment of Rent,  Tenant agrees not to
interpose  any  counterclaim  of  whatever  nature  or  description  in any such
proceeding.

         Tenant hereby expressly waives any and all rights of redemption granted
by or under any present or future laws in the event of Tenant  being  evicted or
dispossessed for any cause, or in the event of Landlord's  obtaining  possession
of the  Demised  Premises,  by reason of the  violation  by Tenant of any of the
covenants and conditions of this Lease or otherwise.

                                BILL AND NOTICES

         34. Except as otherwise  expressly  provided in this lease,  any bills,
statements, notices, demands, requests or other communications given or required
to be given  under this lease  shall be  effective  only if rendered or given in
writing,  sent by  registered  or  certified  mail (return  receipt  requested),
addressed  (A) to Tenant  (i) at  Tenant's  address  set forth in this  lease if
mailed prior to Tenant's taking possession of the Demised  Premises,  or (ii) at
the Building if mailed  subsequent to Tenant's taking  possession of the Demised
Premises,  or (iii) at any place where Tenant or any agent or employee of Tenant
may be found if mailed subsequent to Tenant's vacating, deserting, abandoning or
surrendering the Demised Premises,  or (B) to Landlord at Landlord's address set
forth in this lease,  or (C) addressed to such other address as either  Landlord
or Tenant may  designate  as its new address for such purpose by notice given to
the other in accordance  with the  provisions  of this Article.  Any such bills,
statements,  notices,  demands, requests or other communications shall be deemed
to have been  rendered  or given on the date when it shall  have been  mailed as
provided in this Article.

                              INABILITY TO PERFORM

         35. (A) If, by reason of strikes or other labor disputes, fire or other
casualty (or reasonable delays in adjustments of insurance), accidents, orders

                                      -26-


<PAGE>
or  regulations of any Federal,  State,  County or Municipal  authority,  or any
other cause  beyond  Landlord's  reasonable  control,  whether or not such other
cause shall be similar in nature to those hereinbefore  enumerated,  Landlord is
unable to furnish or is delayed in furnishing any utility or service required to
be furnished by Landlord  under the  provisions of this lease or any  collateral
instrument,  or is unable to  perform or make or is  delayed  in  performing  or
making  any  installations,  decorations,  repairs,  alterations,  additions  or
improvements,  whether or not required to be performed or made under this lease,
or under any  collateral  instrument,  or is unable to  fulfill or is delayed in
fulfilling  any  of  Landlord's  other  obligations  under  this  lease,  or any
collateral instrument,  no such inability or delay shall constitute an actual or
constructive eviction, in whole or in part or entitle Tenant to any abatement or
diminution of rent,  or relieve  Tenant from any of its  obligations  under this
lease,  or  impose  any  liability  upon  Landlord  or its  agents  by reason of
inconvenience  or annoyance to Tenant,  or injury to or interruption of Tenant's
business,  or  otherwise.  Notwithstanding  anything to the  contrary  elsewhere
contained  herein,  the Landlord  covenants that it will use its best efforts to
restore  service  to the  Premises  or  remedy  the  conditions  as  soon  as is
reasonably possible.

                             INTERRUPTION OF SERVICE

         (B)  Landlord  reserves  the  right  to stop  the  services  of the air
conditioning,  elevator,  plumbing,  electrical or other  mechanical  systems or
facilities in the building when necessary by reason of accident or emergency, or
for repairs, alterations,  replacements or improvements, which, in the judgement
of  Landlord  are  desirable  or  necessary,  until said  repairs,  alterations,
replacements or improvements shall have been completed.  Landlord agrees to give
Tenant reasonable notice of any interruption of service, except in an emergency.
The  exercise  of such  rights by  Landlord  shall not  constitute  an actual or
constructive  eviction,  in whole or in part, or entitle Tenant to any abatement
or diminution or rent, or relieve Tenant from any of its obligations  under this
lease,  or  impose  any  liability  upon  Landlord  or its  agents  by reason of
inconvenience  or annoyance to Tenant,  or injury to or interruption of Tenant's
business or otherwise.

                       CONDITIONS OF LANDLORD'S LIABILITY

         (C) (i) Tenant shall not be entitled to claim a  constructive  eviction
from the Demised  Premises  unless Tenant Shall have first notified  Landlord of
the  condition or  conditions  giving rise  thereto,  and if the  complaints  be
justified,  unless Landlord shall have failed to remedy such conditions within a
reasonable time after receipt of such notice.

              (ii) If Landlord shall be unable to give possession of the Demised
Premises on any date specified for the commencement of the term by

                                      -27-

reason of the fact that the  Premises  have not been  sufficiently  completed to
make the premises ready for occupancy,  or for any other reason,  Landlord shall
not be subject to any liability for the failure to give possession on said date,
nor shall  such  failure in any way  affect  the  validity  of this lease or the
obligations of Tenant hereunder.

                           TENANT'S TAKING POSSESSION

         (D) (i) Tenant by entering  into  occupancy  of the  Premises  shall be
conclusively  deemed  to  have  agreed  that  Landlord  up to the  time  of such
occupancy had performed all of its  obligations  hereunder and that the Premises
were in satisfactory  condition as of the date of such occupancy,  unless within
thirty  (30) days after such date  Tenant  shall  have given  written  notice to
Landlord specifying the respects in which the same were not in such condition.

                  (ii) If  Tenant  shall  use or  occupy  all or any part of the
Demised  Premises  for the  conduct of business  prior to the Term  Commencement
Date,  such use or  occupancy  shall be  deemed  to be under  all of the  terms,
covenants and  conditions of this lease,  including the covenant to pay rent for
the  period  from  the  commencement  of  said  use or  occupancy  to  the  Term
Commencement Date.

                  (iii) In the event  Landlord does not  substantially  complete
the  Premises  by March 30,  1992,  plus such  additional  time caused by Tenant
Delays,  Tenant  shall  have the  right to serve a  fifteen  (15) day  notice of
termination.  In the event the Premises are not  substantially  completed within
said  fifteen  (15) days,  this lease shall be null and void and  neither  party
shall have any further rights or obligations to the other.

                                ENTIRE AGREEMENT

         36. This lease  (including the Schedules and Exhibits  annexed  hereto)
contains the entire agreement between the parties and all prior negotiations and
agreements  are  merged  herein.   Neither  Landlord  nor  Landlord's  agent  or
representative  has made any  representations or statements,  or promises,  upon
which Tenant has relied  regarding any matter or thing relating to the Building,
the land allocated to it (including  the parking area) or the Demised  Premises,
or any other matter whatsoever,  except as is expressly set forth in this lease,
including but without  limiting the generality of the foregoing,  any statement,
representation  or promise as to the  fitness of the  Demised  Premises  for any
particular  use,  the  services to be  rendered  to the Demised  Premises or the
prospective amount of any item of additional rent. No oral or written statement,
representation or promise  whatsoever with respect to the foregoing or any other
matter made by  Landlord,  its agents or any  broker,  whether  contained  in an
affidavit, information circular, or otherwise shall be binding upon the Landlord
unless  expressly set forth in this lease. No rights,  easements or licenses are
or shall be acquired by Tenant by implication or otherwise  unless expressly set
forth in this lease. This lease may not be changed,  modified or discharged,  in
whole or in part,  orally  and no  executory  agreement  shall be  effective  to
change, modify or discharge,  in whole or in part, this lease or any obligations
under this lease,  unless such  agreement  is set forth in a written  instrument
executed by the party against whom  enforcement of the change,  modification  or
discharge is sought.  All references in this lease to the consent or approval of
Landlord shall be deemed to mean

                                      -28-
<PAGE>
the written  consent of Landlord,  or the written  approval of Landlord,  as the
case may be, and no consent or approval of Landlord  shall be effective  for any
purpose  unless such  consent or  approval is set forth in a written  instrument
executed by Landlord.

                                   DEFINITIONS

         37. The words "re-enter',  "re-entry", and "re-entered" as used in this
lease are not restricted to their technical  legal meanings.  The term "business
days" as used in this lease shall exclude Saturdays (except such portion thereof
as is covered by  specific  hours in  Article 6  hereof),  Sundays  and all days
observed by the State or Federal Government as legal holidays. The term "person"
and "persons" as used in this lease shall be deemed to include natural  persons,
firms,  corporations,  associations  and any other  private or public  entities,
whether any of the foregoing  are acting on their behalf or in a  representative
capacity. The various terms which are defined in other Articles of this lease or
are defined in Schedules  or Exhibits  annexed  hereto,  shall have the meanings
specified in such other  Articles,  Exhibits and  Schedules  for all purposes of
this lease and all agreements  supplemental thereto,  unless the context clearly
indicates the contrary.

                               PARTNERSHIP TENANT

         38. If  Tenant is a  partnership  (or is  comprised  of two (2) or more
persons,  individually  and as  co-partners  of a  partnership)  or if  Tenant's
interest in this lease shall be assigned to a partnership (or to two (2) or more
persons,  individually and as co-partners of a partnership)  pursuant to Article
20 (any such  partnership  and such  persons are  referred to in this Section as
"Partnership  Tenant"),  the following provisions of this Section as shall apply
to such Partnership  Tenant: (a) the liability of each of the parties comprising
Partnership  Tenant  shall be joint  and  several,  and (b) each of the  parties
comprising  Partnership  Tenant hereby  consents in advance to, and agrees to be
bound by, any modifications of this lease which may hereafter be made and by any
notices,  demands, requests or other communications which may hereafter be given
by Partnership  Tenant or by any of the parties comprising  Partnership  Tenant,
and  (c)  any  bills,   statements,   notices,   demands,   requests  and  other
communications  given or rendered to Partnership Tenant or to any of the parties
comprising  Partnership  Tenant shall be deemed given or rendered to Partnership
Tenant and to all such parties and shall be binding upon Partnership  Tenant and
all such parties, and (d) if Partnership Tenant shall admit new partners, all of
such new partners shall, by their admission to Partnership  Tenant, be deemed to
have assumed  performance of all of the terms,  covenants and conditions of this
lease in Tenant's part to be observed and performed,  and (e) Partnership Tenant
shall give prompt  notice to Landlord of the admission of any such new partners,
and upon  demand of  Landlord  shall  cause each such new partner to execute and
deliver to Landlord and agreement in form

                                      -29-
<PAGE>
satisfactory to Landlord, wherein each such new partner shall assume performance
of all of the terms,  covenants and conditions of this lease on Tenant's part to
be observed and performed  (but neither  Landlord's  failure to request any such
agreement nor the failure of any such new partner to execute or deliver any such
agreement to Landlord shall vitiate the  provisions of  subdivision  (d) of this
Section).

                            SUCCESSORS, ASSIGNS, ETC.

         39. The terms,  covenants,  conditions and agreements contained in this
lease  shall  bind and inure to the  benefit  of  Landlord  and Tenant and their
respective heirs,  distributees,  executors,  administrators,  successors,  and,
except as otherwise provided in this lease, their respective assigns.

                                     BROKER

         40. Tenant  represents  that this lease was brought about by Commercial
Industrial  Associates Inc., as broker and all negotiations with respect to this
Lease were  conducted  exclusively  with said broker.  Tenant agrees that if any
claim is made for  commissions  by any other broker through or on account of any
acts of Tenant,  Tenant will hold  Landlord  free and harmless  from any and all
liabilities and expenses in connection therewith including Landlord's reasonable
attorney's fees.

                                    CAPTIONS

         41. The captions are included only as a matter of  convenience  and for
reference,  and in no way define,  limit or describe the scope of this lease nor
the intent of any provisions thereof.

                                 RENEWAL OPTION

         42. The  Tenant  shall have the right to be  exercised  as  hereinafter
provided, to extend the term of this Lease for one period of five (5) years upon
the following terms and conditions:

                  (A) That at the time of the  exercise of such right the Tenant
shall  not be in  default  in the  performance  of  any of the  material  terms,
covenants or conditions  herein  contained  with respect to a matter as to which
notice of  default  has been  given  hereunder  and which has not been  remedied
within the time limited in this Lease.

                                      -30-
<PAGE>
                  (B)  That  said  extension  shall  be  upon  the  same  terms,
covenants and conditions as in this lease provided,  except that (a) there shall
be no further  privilege or extension  for the term of this Lease beyond the one
period referred to above;  (b) during the said extension period the basic annual
rent shall be ninety (90%)  percent of the then market  rental being  charged by
Landlord for  comparable  space in the  Building,  but in no event less than the
Rent, plus escalations paid by Tenant in the last year of the term.

                  (C) Notwithstanding  anything in this paragraph "42" contained
to the  contrary,  the Tenant shall not be entitled to said  extension if at the
time of the  commencement  of the extended period the Tenant shall be in default
under any of the  material  terms,  covenants or  conditions  of this Lease with
respect to a matter as to which notice of default has been  hereunder  and which
has not been  remedied  within the time limited in this Lease,  or if this Lease
shall have terminated prior to the commencement of said period.

                  (D) The Tenant shall  exercise its rights to said extension of
the term of this Lease by notifying  the  Landlord of the  Tenant's  election to
exercise such right at least nine (9) months prior to the expiration of the term
of this Lease.  Upon the giving of any such  notice,  this Lease shall be deemed
extended for the specified  period,  subject to the provisions of this paragraph
"42" without execution of any further instrument.

                  (E) This option is personal to the Tenant  named  herein only.
In the event of an  assignment  of the lease to the Premises by the Tenant named
herein, this option shall be null and void and have no force and effect.

                  (F) This option shall be null and void in the event the option
for Additional Space or Second Additional Space, as Article "43" and "44".

                                ADDITIONAL SPACE

         43. A. After  January 1, 1996,  if the Lease shall be in full force and
effect and tenant shall not be in default beyond the applicable cure period,  in
the payment of Rent, Additional Rent or any other sums or charges provided to be
paid by  Tenant  under  this  Lease,  Tenant  shall  have  the  right  to  lease
approximately 12,00 square feet ("Additional Space") in place and instead of the
Premises under this Lease for a term to commence on "Substantial  Completion" of
the Additional  Space, and expire on the last day of the month which is ten (10)
years after  Substantial  Completion of the Additional  Space,  unless such term
shall  sooner  cease and  expire  pursuant  to any of the  terms,  covenants  or
conditions of this Lease or pursuant to law. Subject to the foregoing, the exact
location  and exact  size of the  Additional  Space  shall be at  Landlord  sole
discretion.  Such right to lease the Additional Space shall be exercised,  if at
all, by Tenant's  notice to Landlord  ("Tenant's  Notice") on or before December
31, 2001, and Tenant's  failure duly to give the Tenant's Notice shall be deemed
a waiver of such right to lease the Additional Space.

                                      -31-
<PAGE>
         B. If  Tenant  shall  effectively  exercise  its  right  to  lease  the
Additional Space as set forth in Section A hereof,  then, effective on and after
"Substantial  Completion"  of all leasehold  improvements  within the Additional
Space, this Lease shall be amended as follows:

                  (i) the  Additional  Space shall be deemed to be the  Premises
demised under the Lease with the same force and effect as if originally  demised
under the Lease, and the terms "Premises", "premises", and "demised premises" as
used in the Lease shall be the Additional Space;

                  (ii) the Rent shall be an amount  equal to the  product of the
number of rentable square feet of Additional Space, multiplied by the per square
foot  rental  rate  being  paid  by  Tenant  to  Landlord  on  the  date  of the
Commencement  of the  Term  of the  Additional  Space;  and the  Rent  as  shall
thereafter be further subject to increase at the rate of $1.12 per year for each
year thereafter for the balance of the term; and

                  (iii)  Article (1A) shall be amended to reflect the new square
footage leased to Tenant and the Tenant's  proportionate share shall be adjusted
to the new proportion.

                  (iv)  Article 9 shall be amended to reflect  that new  parking
spaces shall be at the rate of four (4) spaces per 1,000 square feet of rentable
area of Additional Space.

         C. If  Tenant  shall  effectively  exercise  its  right  to  lease  the
Additional  Space,  as set forth in Section (A) of this  Article,  Tenant  shall
accept the  Additional  Space and  Landlord  shall  perform the work  therein in
accordance  with the  specifications  set forth in Schedule  "A".  All such work
shall be  substantially  completed  prior to the  commencement  of Rent for such
space.

         D. If Landlord is unable to give  possession of the  Additional  Space,
Landlord shall not be subject to any liability for failure to give possession on
said  date and the  validity  of the  Lease  shall  not be  impaired  under  any
circumstances, nor shall the same be construed in any wise to extend the term of
the Lease,  but the rent payable  hereunder  for the  Additional  Space shall be
abated  (provided  Tenant is not responsible for the delay) until after Landlord
shall  have  given  Tenant  written   notice  that  the   Additional   Space  is
substantially ready for Tenant's occupancy.

         E. The  provisions  of this  Article  are  intended to  constitute  "an
express  provision to the  contrary"  within the meaning of Section 223-a of the
New York Real Property Law.

         F. In the event  Tenant  exercises  its option  for  Second  Additional
Space,  pursuant to Article "44" of this Lease,  the  provisions of this Article
"43" shall be null and void.

                                      -32-
<PAGE>
                             SECOND ADDITIONAL SPACE

     44. A.  Provided  the Lease  shall be in full  force and  effect and Tenant
shall not be in default beyond the applicable cure period in the payment of Rent
or Additional  Rent, or any other sums or charges  provided to be paid by Tenant
under this Lease  after  January 1, 1997,  Tenant  shall have the right to lease
approximately  24,000  square  feet  ("Second  Additional  Space")  in place and
instead of the Premises under this Lease for a term to commence on  "Substantial
Completion"  and  expire  on the last day of the month  which is ten (10)  years
after completion of the Second Additional  Space,  unless such term shall sooner
cease and expire  pursuant to any of the terms,  covenants or conditions of this
Lease or  pursuant  to law.  The exact  location  and exact  size of the  Second
Additional Space shall be at Landlord's sole discretion. Such right to lease the
Additional  Space shall be exercised,  if at all, by Tenant's notice to Landlord
("Tenant's Notice") prior to December 31, 2001 and Tenant's failure duly to give
the  Tenant's  Notice shall be deemed a waiver of such right to lease the Second
Additional Space.

     B. If Tenant  shall  effectively  exercise  its  right to lease the  Second
Additional Space as set forth in Section A hereof,  then, effective on and after
"Substantial  Completion"  of all leasehold  improvements  within the Additional
Space, this Lease shall be amended as follows:

       (i) the  Second  Additional  Space  shall be  deemed  to be the  Premises
   demised  under the Lease  with the same  force  and  effect as if  originally
   demised under the Lease, and the terms  "Premises",  "premises",  and demised
   premises" as used in the Lease shall be the Second Additional Space;

       (ii) the Rent  shall be an amount  equal to the  product of the number of
   rentable  square feet of Second  Additional  Space,  multiplied by the square
   foot  rental  rate  being  paid by  Tenant  to  Landlord  on the  date of the
   Commencement of the Term of the Second Additional Space and the Rent as shall
   thereafter  be further  subject to increase at the rate of $1.12 per year for
   each year thereafter for the balance of the term.

       (iii)  Article  (1A) shall be amended to reflect  the new square  footage
   leased to Tenant and the  Tenant's  proportionate  share shall be adjusted to
   the new proportion.

       (iv) Article 9 shall be amended to reflect that new parking  spaces shall
   be at the rate of four (4) spaces per 1,000  square feet of rentable  area of
   Second Additional Space.

     C. If Tenant  shall  effectively  exercise  its  right to lease the  Second
Additional  Space,  as set forth in Section (A) of this  Article,  Tenant  shall
accept the Second  Additional  Space and Landlord shall perform the work therein
in accordance with the  specifications  set forth in Schedule "A". All such work
shall be  substantially  completed  prior to the  commencement  of Rent for such
space.

     D. If Landlord is unable to give possession of the Second Additional Space,
Landlord shall not be subject to any liability for failure to give possession on
said  date and the  validity  of the  Lease  shall  not be  impaired  under  any
circumstances, nor shall the same be construed in any wise to extend the term of
the Lease, but the rent payable  hereunder for the Second Additional Space shall
be  abated  (provided  Tenant is not  responsible  for the  inability  to obtain
possession  or  complete  construction)  until after  Landlord  shall have given
Tenant written notice that the Second  Additional Space is  substantially  ready
for Tenant's occupancy.

     E. The  provisions of this Article are intended to  constitute  "an express
provision to the  contrary"  within the meaning of Section 223-a of the New York
Real Property Law.

     F. In the event Tenant exercises its option for Additional Space,  pursuant
to Article "43" of this Lease, the provisions of this Article "44" shall be null
and void.

                             THIRD ADDITIONAL SPACE

     45. A.  Provided  the Lease  shall be in full  force and  effect and Tenant
shall not be in default beyond the applicable cure period in the payment of Rent
or Additional  Rent, or any other sums or charges  provided to be paid by Tenant
under this Lease after  February 1, 1992,  Tenant  shall have the right to lease
approximately  5,017  square  feet  ("Third  Additional  Space")  for a term  to
commence  on  "Substantial  Completion"  and expire on the last day of the month
which is ten (10) years after completion of the Third Additional  Space,  unless
such term shall sooner cease and expire pursuant to any of the terms,  covenants
or  conditions  of this Lease or pursuant to law.  The exact  location and exact
size of the Third  Additional  Space shall be adjacent.  Such right to lease the
Additional  Space shall be exercised,  if at all, by Tenant's notice to Landlord
("Tenant's  Notice") prior to February 1, 1992 and Tenant's failure duly to give
the  Tenant's  Notice  shall be deemed a waiver of such right to lease the Third
Additional Space.

     B. If  Tenant  shall  effectively  exercise  its  right to lease  the Third
Additional Space as set forth in Section A hereof,  then, effective on and after
"Substantial  Completion"  of all leasehold  improvements  within the Additional
Space, this Lease shall be amended as follows:

       (i) the Third Additional Space shall be deemed to be the Premises demised
   under the Lease with the same force and effect as if originally demised under
   the Lease, and the terms  "Premises",  "premises",  and demised  premises" as
   used in the Lease shall be the Third Additional Space;

       (ii) the Rent  shall be an amount  equal to the  product of the number of
   rentable square feet of Third Additional Space, multiplied by the


                                      -34-

<PAGE>
   square  foot  rental rate being paid by Tenant to Landlord on the date of the
   Commencement of the Term of the Third  Additional Space and the Rent as shall
   thereafter  be further  subject to increase at the rate of $1.12 per year for
   each year thereafter for the balance of the term.

       (iii)  Article  (1A) shall be amended to reflect  the new square  footage
   leased to Tenant and the  Tenant's  proportionate  share shall be adjusted to
   the new proportion.

       (iv) Article 9 shall be amended to reflect that new parking  spaces shall
   be at the rate of four (4) spaces per 1,000  square feet of rentable  area of
   Third Additional Space.

     C. If  Tenant  shall  effectively  exercise  its  right to lease  the Third
Additional  Space,  as set forth in Section (A) of this  Article,  Tenant  shall
accept the Third Additional Space and Landlord shall perform the work therein in
accordance  with the  specifications  set forth in Schedule  "A".  All such work
shall be  substantially  completed  prior to the  commencement  of Rent for such
space.

     D. If Landlord is unable to give possession of the Third Additional  Space,
Landlord shall not be subject to any liability for failure to give possession on
said  date and the  validity  of the  Lease  shall  not be  impaired  under  any
circumstances, nor shall the same be construed in any wise to extend the term of
the Lease,  but the rent payable  hereunder for the Third Additional Space shall
be  abated  (provided  Tenant is not  responsible  for the  inability  to obtain
possession  or  complete  construction)  until after  Landlord  shall have given
Tenant written notice that the Third Additional Space is substantially ready for
Tenant's occupancy.

     E. The  provisions of this Article are intended to  constitute  "an express
provision to the  contrary"  within the meaning of Section 223-a of the New York
Real Property Law.

     IN WITNESS WHEREOF, Landlord and Tenant have respectively signed and


                                      -35-
<PAGE>
sealed this lease as of the day and year first above written.




Witness for Landlord:                      HMCC ASSOCIATES by
                                           RECKSON ASSOCIATES
 

_________________________________          By: _________________________________
                                                          Partner




Witness for Tenant:                        MEDE AMERICA, INC.


_________________________________          By: _________________________________


STATE OF NEW YORK)
                        ss.:)
                                          
COUNTY OF SUFFOLK)

     On the 15th day of  October,  1991,  before  me  personally  came  Mitchell
Rerhler, to me known, who, being by me duly sworn, did depose and say that he is
a general  partner  of  RECKSON  ASSOCIATES  which is a general  partner of HMCC
ASSOCIATES  the  limited  partnership  described  in,  and  which  executed  the
foregoing  instrument;  that he  signed  his names  thereto  and  executed  said
instrument for and on behalf of and with the authority of said  partnership  for
the uses and purposes therein mentioned.

                                           /s/__________________________________
                                              Notary Public

STATE OF NEW YORK)
                        ss.:)
COUNTY OF NASSAU)


     On this 15th day of  October,  1991,  before me  personally  came  Mitchell
Di|Diamond to me known,  who being by me duly sworn,  did depose and say that he
resides at 377 Oak St.  Garden City,  NY 11530 that he is the  President of MEDE
AMERICA,  INC.,  the  corporation  described in and which executed the foregoing
instrument  as "Tenant";  that he knows the seal of said  corporation;  that the
seal affixed to said  instrument is such corporate  seal; that it was so affixed
by order of the Board of Directors of said  corporation,  and that he signed his
name thereto by like order.

                                             /s/________________________________
                                                Notary Public
                                                Reg# 4958822
                                                Exp: 11/13/91


                                     -35A-
<PAGE>
                                  SCHEDULE "A"

                         LANDLORD'S INITIAL CONSTRUCTION


1. Initial Office Finishing Schedule

At the Tenant's  option,  Landlord will design or follow  Tenant's plans annexed
hereto in preparing  Tenant's  office area at  Landlord's  cost to the following
specifications:

Erect the necessary demising walls constructed of metal stud, 5/8" Fire X gypsum
board, with batts of 3" fiberglass for sound attenuation.  Finish exterior walls
with 1/2" sheetrock.  Erect per approved plan dry-wall  participating  of 2 1/2"
metal studs with 1/2" gypsum board on each side to underside of hung ceiling.

Spackle and tape walls three coats to a smooth and true finish.  Paint walls two
coats flat latex and doors and trim coats matching enamel.

Install in executive  offices,  main  conference  room and reception  area, over
padding,  executive  grade 30 ounce cut pile  carpet.  Balance of space shall be
carpeted with building  standing 22 ounce loop pile carpet installed glued down.
Building standard vinyl reinforced tile may be installed in place of carpet.

Install a 2'0" x 2'0" Armstrong Cortege Minatone  acoustical tile ceiling with a
Donn Fineline DXF-29 Suspension System.

Provide interior 3'0" x 8'0" stain grade solid core birch wood doors with hollow
metal bucks.

2. Lavatory Area -- Public Spaces

a) Separate male and female toilet facilities. 3. Landscaping

The building  will be  extensively  landscaped  with trees,  plantings and other
materials. An underground sprinkler system will be provided with a time clock to
maintain proper watering.

4. Electrical Specifications

All  electrical  work  shall  be  installed  in  accordance  with  the  National
Electrical  Code, and the local  building  code. A  "Certificate  of Compliance


                                      -36-
<PAGE>
shall be obtained from the New York Board of Fire Underwriters at the completion
of the project.

Lighting throughout the entire finished office area shall be obtained by the use
of recessed 2'0" by 4'0"  fluorescent  fixtures with  parabolic  lenses,  not to
exceed one (l) fixture for each eighty (80) square feet of usable  space.  Local
wall switches shall be provided for control of lighting. Toilet, corridor, lobby
and other similar areas shall be lit to 50 foot candles.

Exit light lighting for all paths of egress shall be provided in accordance with
local building department regulations, if required.

All  branch  circuit  wiring  shall be above  hung  ceiling  or within  dry-wall
construction  in finished  areas and shall be type BX. All  exposed  conduits in
non-finished areas shall be thin-walled "EMT".

Wall mounted  duplex  convenience  outlets shall be provided on the basis of one
duplex outlet for each 120 square feet of rentable  area.  This formula shall be
used to establish the quantity of outlets.  However,  the exact location of each
outlet shall be  coordinated  with the  Tenant's  furniture  layout.  All duplex
outlets are to be considered as normal convenience outlets and shall be wired up
with an  average of 5 to 8 outlets on one 20  ampere,  120 volt  circuit.  Panel
capacity  shall be adequate to handle all tenant  lighting and  equipment  load,
providing  such equipment load does not exceed 2 watts per square foot of usable
area.

No credits given for installation less than standard installation.

5. Heating, Ventilation and Air Conditioning Specifications


GENERAL

The intent of this  specification  is to define a design concept for the subject
area.

DESIGN CRITERIA

Central air conditioning with modular systems with individual zone control shall
be  capable  of the  following  performance  when  the  criteria  noted  are not
exceeded;

A) Between  September 1 and June 1, the "heating  system" shall be operative and
maintain a minimum of 70|SD FDB when the outdoor temperature is 0|SD FDB and the
prevailing wind velocity does not exceed 15 mph.

B) Between April 15 and October 14, the "cooling  system" shall be operative and
maintain  a maximum  of 78|SD FDB and 55%  relative  humidity  when the  outdoor
temperature  is 95|SD FDB and 75|SD FDB with the  prevailing  wind  velocity not
exceeding 13 mph.

                                      -37-
<PAGE>
C) During the  overlapping  seasons (April 15 - June 1 and September 1 - October
15) both systems shall be operative (cooling and heating).

D) Zoning  temperature  and balancing  controls shall be operated  solely by the
Landlord to assure the conditions above.

E) Maintenance of the foregoing  temperature  conditions is conditioned upon the
following  criteria,  which shall not be exceeded by the Tenant in any room,  or
area, within the demised premises:

<TABLE>
<S>                                                 <C>
a) Population Density ...........................   1 person per 150 square feet
b) Lighting and Electrical Load Density .........   4 watts per square foot
c) Exhaust and Ventilation Load .................   5 cfm per person
</TABLE>

6. Ventilation

Bathroom and similar areas to be ventilated per code using rooftop fans.

7. System Design

Exterior Perimeter Zones

Heating/cooling  of exterior  offices and areas  provided by variable air volume
terminals  with  integrated   thermostats  to  meet  Tenant's  requirements  for
individual control.

Interior Zones

Heating/cooling provided by variable air volume system terminals with integrated
thermostats for areas 2,000 square feet.


                                  SCHEDULE "B"

           LANDLORD'S CLEANING SERVICES AND MAINTENANCE OF PREMISES

(to be performed on all business  days except those which are union  holidays of
the employees  performing  cleaning services and maintenance in the Building and
grounds or on days on which the building is closed)

                                      -38-
<PAGE>
I. CLEANING SERVICE - PUBLIC SPACES:

A. Floor of entrance  lobby and public  corridors  will be vacuumed or swept and
washed nightly and waxed as necessary.

B. Entranceway glass and metal work will be washed and rubbed down daily.

C. Wall surfaces and elevator cabs will be kept in polished condition. 

D.  Lighting  fixtures  will be cleaned  and  polished  annually.  Bulbs will be
replaced as needed.

E. Elevators and restrooms will be washed and disinfected once a day. The floors
will be mopped as many times as  required.  All  brightwork  and mirrors will be
kept  in  polished  condition.  Dispensers  will  be  continuously  checked  and
receptacles continuously emptied.

F. Exterior surfaces and all windows of the building will be cleaned quarterly.

II. CLEANING SERVICES - TENANT SPACES:

A. Floors will be swept and spot  cleaned  nightly.  Carpets will be swept daily
and carpet sweeper and vacuumed weekly.

B. Office equipment, telephones, etc, will be dusted nightly.

C. Normal office waste in receptacles and ashtrays will be emptied nightly.

D.  Interior  surface  of windows  and sills  will be washed  and blinds  dusted
quarterly.

E. There shall be regularly scheduled visits by a qualified exterminator.

III. EXTERIOR SERVICES:

A.  Parking  fields will be  regularly  swept,  cleared of snow in excess of two
inches and generally maintained so as to be well drained,  properly surfaced and
striped.

B. All landscaping,  gardening,  exterior  lighting and irrigation  systems will
have regular care and servicing.

IV. EQUIPMENT SERVICE:

A. All  air-conditioning  and heating  equipment and elevators will be regularly
serviced and maintained.

                                      -39-
<PAGE>
B. Plumbing and electrical facilities,  doors, hinges and locks will be repaired
as necessary.

C. All appurtenances,  such as rails,  stairs, etc. will be maintained in a safe
condition.

V - EXTRA CLEANING SERVICES

Tenant shall pay to  Landlord,  on demand,  Landlord's  charges for (a) cleaning
work in the  Premises  required  because of (i) misuse or neglect on the part of
Tenant or its  employees or  visitors,  (ii) use of portions of the Premises for
preparation,  serving or  consumption  of food or  beverages,  or other  special
purposes  requiring  greater or more difficult  cleaning work than office areas;
(iii) unusual quantity of interior glass surfaces; or (iv) non-building standard
materials or finishes  installed by Tenant or at its request;  (v)  increases in
frequency  or scope in any item set  forth  in  Schedule  B as shall  have  been
requested  by Tenant;  and (b) removal  from the Premises and Building of (i) so
much of any  refuse  and  rubbish  of  Tenant  as  shall  exceed  that  normally
accumulated  daily in the routine of ordinary  business office activity and (ii)
all of the refuse and rubbish of any eating facility  requiring special handling
(wet garbage).


                                  SCHEDULE "C"

     1.  Landlord  shall provide at the rates  hereinafter  set forth and Tenant
shall purchase from Landlord "energy service" for Tenant's  requirements.  There
shall be the following categories of energy service:

     A) NORMAL  SERVICE:  NORMAL SERVICE is energy consumed during Working Hours
as defined in Article 6 whose power  demands do not exceed 4 watts per  rentable
square foot of the Demised Premises,  or part thereof, per Working Hour. Of this
amount,  two watts are allocated to Landlord  supplied  lighting.  Two watts are
allocated for Tenant's usual office equipment ("TENANT'S ALLOWABLE USE").

     B) EXCESS SERVICE: EXCESS SERVICE is energy demanded,  regardless of hours,
in excess of ALLOWABLE USE.

     C) OVERTIME SERVICE; OVERTIME SERVICE is energy consumed at all other hours
than WORKING HOURS ("OVERTIME HOURS").  For the purpose of OVERTIME SERVICE, the
Demised Premises may be separated into zones of use. The minimum  practical size
of these  zones is 2500  square  feet.  Zones less than 2500 square feet will be
billed at the rate applicable to 2500 square feet.

                                      -40-
<PAGE>
     2. Charges for NORMAL SERVICE:  The charge for NORMAL SERVICE is payable at
the rate of $2.25 per annum per rentable square foot of the Demised Premises and
is subject to escalation as hereinafter provided. The charged for NORMAL SERVICE
is included in the monthly rent set forth in Article 3. Any escalation  shall be
payable as additional  rent.  After this, the charge to change  "WORKING  HOURS"
shall be $25.00 per zone.

     3. Charges for  OVERTIME  SERVICE:  Subject to  escalation  as  hereinafter
provided the Landlord's monthly charge for Tenant's OVERTIME SERVICE, payable in
addition  to any  additional  charges for NORMAL  SERVICE and EXCESS  SERVICE if
applicable, shall be derived as follows:

     A) Full Energy OVERTIME SERVICE:  An amount equal to the number of OVERTIME
HOURS in the month,  multiplied  by  rentable  square  feet of the zones in use,
multiplied by $.0022.

     B) OVERTIME  charges shall be increased by the same  percentage  the EXCESS
SERVICE (if applicable) exceeds the ALLOWABLE USE for NORMAL SERVICE.

     C)  Equipment  Energy:  Any energy use in the  Tenant's  space,  outside of
NORMAL SERVICE and OVERTIME  SERVICE,  shall be charged an amount equal to $1.28
per year,  multiplied by the  connected  watts (or part  thereof),  computed and
adjusted to the nearest 100th).

     These amounts shall be billed at least once every three months and shall be
payable during the month in which billed as additional rent

     4. Charges for EXCESS SERVICE:  The Landlord's monthly charges for Tenant's
EXCESS  SERVICE  payable in  addition  to any  charges  for NORMAL  SERVICE  and
OVERTIME  SERVICE,  if applicable,  shall be an amount  derived as follows:  The
excess above the TENANT'S  ALLOWABLE  USE shall be charged to tenant at the rate
of $0.625 per  square  foot per year,  for each  excess  watt (or part  thereof,
computed and adjusted to the nearest 100th).

                                      -41-
<PAGE>
     5.  Escalation of Charges for NORMAL  SERVICE,  EXCESS SERVICE AND OVERTIME
SERVICE AND TWENTY-FOUR HOUR SERVICE: The rates referred to in this Schedule "C"
are based upon current rates promulgated by the utility company during the month
prior to the  "Commencement  Date." All of the rates, fuel and adjustment costs,
state and local  government  taxes, and all other component parts of the utility
company  charges  referred  to in this  Schedule  "C" are subject to increase to
reflect changes in rate or  classification  or other component parts of the bill
employed by the utility  company  providing  services  to the  building.  Tenant
agrees to pay such increase in utility company charges.  Landlord shall give due
notice to Tenant of any such  increase or change in charge.  Tenant shall not be
or  become  entitled  to a  reduction  in  rent,  additional  rent  or to  other
reimbursement  in the  event  it uses  less  energy  than  contemplated  by this
Schedule "C".

     6. Landlord's energy  management system will be conclusive  evidence of the
computation of Normal Service, Excess Service,  Overtime Service and Twenty-four
Hour Service.  However,  Landlord hereby reserves to itself the right, from time
to time, to cause a reputable electric  engineering  company (the "Engineer") to
make a survey of Tenant's  energy usage  requirements  to determine  whether the
Tenant's  Allowable Use limitation has been exceeded and, if so, to what extent.
If these  surveys  indicate  at the time  that the cost to  Landlord  by  reason
thereof, computed on an annual basis at rates which would be charged by a public
utility  company  servicing the Building for such purposes,  is in excess of the
initial cost similarly  computed,  then the additional rent provided for in this
Schedule  shall be increased as provided for herein,  commencing  with the first
day of the month  immediately  following the  computation of such survey and the
submission of a copy thereof to Tenant.

     7. Landlord shall have full and unrestricted access to all air-conditioning
and heating  equipment,  and to all other  utility  installations  servicing the
Building and the Demised  Premises.  Landlord  reserves the right temporarily to
interrupt,  curtail,  stop or suspend  air-conditioning and heating service, and
all other utility, or other services, because of Landlord's inability to obtain,
or difficulty or delay in obtaining,  labor or materials necessary therefor,  or
in order to comply with governmental  restrictions in connection  therewith,  or
for any other cause beyond  Landlord's  reasonable  control.  No  diminution  or
abatement of Basic Rent, Additional Rent, or other compensation shall or will be
claimed by Tenant,  nor shall  this  Lease or any of the  obligations  of Tenant
hereunder be affected or reduced by reason of such  interruptions,  stoppages or
curtailments,  the causes of which are herein  above  enumerated,  nor shall the
same give rise to a claim in Tenant's favor that such failure constitutes actual
or  constructive,  total or partial eviction from the Demised  Premises,  unless
such  interruptions,  stoppages or curtailments  have been due to the arbitrary,
willful or negligent act, or failure to act, of Landlord.

     8.  Telephone and service  shall be the  responsibility  of Tenant.  Tenant
shall make all  arrangements  for telephone  service with the company  supplying

                                      -42-
<PAGE>
said service,  including the deposit  requirement for the furnishing of service.
Landlord  shall not be responsible  for any delays  occasioned by failure of the
telephone company to furnish service.

                                  SCHEDULE "D"

     1.  The  sidewalk,  entrances,   driveways,  passages,  courts,  elevators,
vestibules,  stairways, corridors or halls shall not be obstructed or encumbered
by any Tenant or used for any purpose  other than for ingress to and egress from
the Demised  Premises and for delivery of merchandise  and equipment in a prompt
and  efficient  manner  using  elevators  and  passageways  designated  for such
delivery by  Landlord.  There  shall not be used in any space,  or in the public
hall of the  building,  either  by any  Tenant  or by  jobbers  or  other in the
delivery or receipt of merchandise,  any hand trucks, except those equipped with
rubber tires and safeguards.

     2. The water and wash  closets and plumbing  fixtures  shall not be used or
any purpose other than those for which they were designed or constructed  and no
sweepings,  rubbish, rags, acids or other substances shall be deposited therein,
and the  expense  of any  breakage,  stoppage,  or  damage  resulting  from  the
violation  of this  rule  shall be borne by the  Tenant  who,  or whose  clerks,
agents, employees or visitors, shall have caused it.

     3. No Tenant  shall sweep or throw or permit to be swept or thrown from the
Premises  any  dirt or other  substances  into any of the  corridors  or  halls,
elevators,  or out of the doors or windows or  stairways  of the  building,  and
Tenant  shall not use,  keep or permit to be used or keep any  vending  machine,
burner,  microwave  oven,  or oven,  or noxious gas or  substance in the Demised
Premises,  or permit or suffer the Demised  Premises to be occupied or used in a
manner offensive or objectionable to Landlord or other occupants of the Building
by reason of noise, odors and/or vibrations,  or interfere in any way with other
tenants or those having business therein, not shall any animals or birds be kept
in or about the building.  Smoking or carrying  lighted  cigars or cigarettes in
the elevators of the building is prohibited.

     4. No awnings or other  projections  shall be attached to the outside walls
of the building without the prior written consent of the Landlord.

     5.  No  sign,  advertisement,  notice  or  other  lettering  and/or  window
treatment shall be exhibited, inscribed, painted or affixed by any Tenant on 

                                      -43-
<PAGE>
any part of the outside of the Demised Premises or the Building or on the inside
of the Demised  Premises if the same is visible  from the outside of the Demised
Premises  without the prior  written  consent of  Landlord.  In the event of the
violation of the  foregoing by any Tenant,  Landlord may remove same without any
liability,  and may charge the  expense  incurred  by such  removal to Tenant or
Tenants violating this rule.  Interior signs on doors and directory tables shall
be  inscribed,  painted or affixed for each Tenant by Landlord at the expense of
such Tenant, and shall be of a size, color and style acceptable to Landlord.

     6. No Tenant shall mark,  paint,  drill into, or in any way deface any part
of the Demised  Premises or the  Building of which they form a part.  No boring,
cutting or stringing of wires shall be permitted,  except with the prior written
consent of Landlord,  and as Landlord may direct.  No Tenant shall lay linoleum,
other similar floor  covering so that the same shall come in direct contact with
the floor of the Demised  Premises,  and, if  linoleum  or other  similar  floor
covering is desired to be used an interlining of builder's  deadening felt shall
be first affixed to the floor, by a paste or other  material,  soluble in water,
the use of cement or other similar adhesive material being expressly prohibited.

     7. No additional locks or bolts of any kind shall be placed upon any of the
doors or windows by any Tenant,  nor shall any changes be made in existing locks
or mechanism  thereof.  Each Tenant must,  upon the  termination of his Tenancy,
restore  to  Landlord  all keys of stores,  offices  and  toilet  rooms,  either
furnished  to, or otherwise  procured  by, such Tenant,  and in the event of the
loss of any keys,  so  furnished,  such Tenant  shall pay to  Landlord  the cost
thereof.  Landlord  consents to Tenant  installing a lock on the  computer  room
door. Landlord shall have no obligation to clean said room.

     8. Freight, furniture, business equipment,  merchandise and bulky matter of
any description shall be delivered to and removed from the premises only through
the service  entrances  and  corridors,  and only  during  hours and in a manner
approved by Landlord.  Landlord  reserves the right to inspect all freight to be
brought into the  Building  and to exclude  from the Building all freight  which
violates  any of these Rules and  Regulations  or the lease of which these Rules
and Regulations are a part.

     9.  Canvassing,  soliciting  and peddling in the building is prohibited and
each Tenant shall co-operate to prevent the same.

     10.  Landlord  reserves the right to exclude from the building  between the
hours of 6:00 P.M. and 8:00 A.M. and at all hours on Sundays, and legal holidays
all  persons  who do not  present a pass to the  Building  signed  by  Landlord.
Landlord  will furnish  passes to persons for whom any Tenant  requires 

                                      -44-
<PAGE>
same in writing.  Each Tenant shall be  responsible  for all persons for whom he
requests  such a pass  and  shall be  liable  to  Landlord  for all acts of such
persons.

     11. Landlord shall have the right to prohibit any advertising by any Tenant
which, in Landlord's opinion,  tends to impair the reputation of the Building or
its desirability as an office  building,  and upon written notice from Landlord,
Tenant shall refrain from or discontinue such advertising.

     12.  Tenant  shall not bring or permit to be  brought  or kept in or on the
Premises, any inflammable, combustible or explosive fluid, material, chemical or
substance,  or cause or permit any odors of cooking or other  processes,  or any
unusual  or  other  objectionable  odors  to  permeate  in or  emanate  from the
Premises.

     13.  Tenant agrees to keep all entry doors closed at all times and to abide
by all rules  and  regulations  issued  by the  Landlord  with  respect  to such
services.












                                      -45-

                                                                    EXHIBIT 10.9

                TRANSACTION PROCESSING AND DEVELOPMENT AGREEMENT

AGREEMENT  (the  "Agreement"),  dated as of July 21,  1998,  by and between MedE
America Corporation, a Delaware corporation ("MedE"), and Medic Computer

Systems, Inc., a North Carolina corporation ("Medic").

         WHEREAS, Medic provides electronic data interchange ("EDI") services to
certain hospitals, physicians and other health care service providers; and

         WHEREAS,  Medic wishes to engage MedE to provide  transaction or claims
processing services via EDI for transmitting claims to insurance carriers;

         NOW,  THEREFORE,  in  consideration  of the  promises  and  the  mutual
covenants  herein  contained,  and other good and  valuable  consideration,  the
parties hereto hereby agree as follows:

         Section 1. Definitions.

         "Medic/MedE  System"  shall mean the system  currently  used by MedE to
process  transactions  with Payors and other entities  providing claims coverage
via EDI on  behalf of its  customers  as such  system  shall be  customized  and
otherwise  altered and modified in accordance  with the terms of this  Agreement
for use by MedE, Medic and the Payors in connection with the MedE Services under
this Agreement, and used on communications and data server hardware (existing or
newly  acquired),   together  with  separate  data  storage  systems,  that  are
server-integrated  into  MedE's  network,  all as further  defined in Schedule 1
(Medic/MedE System).

         "Medic  Subscribers" shall mean any individuals or group "providers" or
other organizations that have licensed Medic software products for submission of
claims or other transactions to Payors.  The term "Medic  Subscribers" shall not
include any third party claims clearinghouses.

*****   This material has been omitted  pursuant to a request for  confidential
treatment and filed separately with the Securities and Exchange Commission.
 <PAGE>

         "Payor"  shall  mean  any  insurance  company  or  other   organization
providing  health care coverage,  including Blue  Cross/Blue  Shield,  Medicare,
Medicaid, HMOs and commercial health insurance companies.

         Section 2. MedE Services;  Transaction Information.  (a) Subject to and
in accordance with the terms and conditions of this Agreement, MedE will provide
claims and  transaction  processing  services (the "MedE  Services") to Medic in
accordance with Schedule 2(a) (Medic/MedE  Transaction  Processing  Relationship
Guidelines).

         (b) Medic and MedE shall transmit claims,  remittance,  transaction and
other  information to each other in the standard data format (the "Data Format")
set forth on Schedule 2(b) (Standard Data Format). MedE shall be responsible for
configuring  the Medic/MedE  System,  including the electronic link with Medic's
system, to the Data Format and updating the Medic/MedE System to accommodate any
changes in such Data  Format that the parties  may  mutually  agree upon.  Medic
shall be responsible for configuring its own system to the Data Format.

         (c) MedE shall have no  responsibility  to verify,  check or  otherwise
inspect any  claims,  transaction  or other  information  transmitted  by Medic,
except as may be necessary to keep an accounting  of the number of records,  the
number of claims and  transactions and the total dollar amount of the claims and
transactions transmitted for processing.

         (d) Medic  shall use all  reasonable  efforts  to ensure  that any data
submitted to MedE shall be correct and complete,  and in the Data Format (as set
forth in  Schedule  2(b)).  MedE shall  notify  Medic  promptly of any claims or
transactions  that are  rejected by any Payor or if MedE  discovers or learns of
any errors in any claims, transaction or other data transmitted by Medic. If any
data  supplied by Medic is in error  because it is not correct or complete or in
the proper format,  Medic shall have sole  authority to make any  corrections of
such  errors  and,  upon  making any such  corrections,  shall  retransmit  such
corrected data to MedE unless, upon Medic's written request,  Medic engages MedE
to  correct  any such  data,  such as in the case of  formatting  errors,  for a
reasonable service charge as MedE may propose and the parties may agree upon.

         Section 3. Payor Arrangements.  (a) MedE shall add and integrate Payors
to the MedE Services by (i) using its best efforts to enter into agreements with
each of the Payors listed on Schedule 3(a) (Payor  Schedule) for the  submission
of  claims  and  other  transactions  via EDI  (each  such  agreement,  a "Payor
Agreement") and (ii) upon entering into any such Payor  Agreement,  establishing
electronic links, in accordance with Section 4, with each such Payor. MedE shall
furnish to Medic copies of its standard form(s) of "payor agreement,"  including
any revised versions thereof.

                                       2

<PAGE>

         (b) MedE shall have primary  responsibility  for negotiating such Payor
Agreements.  MedE shall use its best  efforts to  negotiate  with each Payor the
most favorable terms possible,  including as to the amount of revenues per claim
or  transaction  (the  "Revenue  Rates")  to be paid by such  Payor,  subject to
Schedule  3(b)  (Revenue  Rates) in respect of any Revenue  Rates in the amounts
described therein. MedE shall consult with Medic regarding any terms proposed to
be included in such Payor  Agreements  which differ from any of MedE's  standard
form(s) of "payor agreement" as previously  furnished to Medic.  Medic shall use
its best efforts to cooperate with MedE in establishing agreements with Payors.

         (c) MedE shall use its best  efforts to cause each Payor with whom MedE
enters into a Payor  Agreement to enter into a  Recognition  and  Nondisturbance
Agreement  substantially in the form of Exhibit A. MedE shall not enter into any
Payor Agreement with any Payor which refuses to enter into such  Recognition and
Nondisturbance  Agreement  simultaneously  with  such  Payor  Agreement  without
Medic's  prior  written   consent  (which  consent  shall  not  be  unreasonably
withheld).

         Section 4. Development  Milestones.  MedE shall perform its obligations
under  Section 3(a) in  accordance  with the  development  milestones  (each,  a
"Development Milestone") set forth in Schedule 4 (Development  Milestones).  If,
upon  reaching  the date on which any  Development  Milestone is scheduled to be
met, the aggregate  transaction volumes represented by any Payors that have been
added  to date is *****  then  Medic  shall  have the  right  to  terminate  the
Agreement without further obligation to MedE, provided,  however,  that in order
to avoid  termination,  MedE may propose,  for Medic's  approval (which approval
shall not be  unreasonably  withheld),  a plan of action for prompt  cure of its
failure to achieve such Development Milestones within a commercially  reasonable
period of time,  provided,  further,  that Medic may condition its acceptance of
such plan of action  and  waiver of its right to  terminate  upon  payment  of a
reasonable  estimate of what is likely to be the  shortfall at July 1, 1999 into
escrow, to be released (x) to Medic in the event of any failure to meet the July
1, 1999 Processing Milestone or, if earlier,  upon the termination by Medic as a
result of any  Termination  Event set forth in clauses (i),  (ii),  (iii),  (v),
(vii) or (ix) of  Section  18(a) or (y) to MedE if the July 1,  1999  Processing
Milestone is met or, if earlier,  upon any termination by MedE due solely to any
Termination  Event set forth in clauses (iv),  (vi) or (viii) of Section  18(a).
For the purposes of this Section 4, the "aggregate  transaction  volumes" of any
Payors shall be calculated by reference to the transaction  volumes set forth in
Schedule 3(a) with respect to each of the Payors.

                                       3

<PAGE>

         Section  5.  Medic/MedE  System;  Development.  (a)  MedE  will,  in  a
professional and diligent  manner,  develop,  operate,  maintain and support the
Medic/MedE  System (including but not limited to any and all electronic links to
Medic or any of the Payors) in accordance  with the  development  specifications
set forth in Schedule 5(a)  (Development  Specifications).  Without limiting the
foregoing,  MedE shall be responsible for any and all  development,  maintenance
and support of any  electronic  links to Medic and each Payor to ensure that any
and all  transactions  processed via EDI over any such electronic links are, and
shall  continue to be,  processed  in a timely,  accurate and error free manner.
Medic  shall  provide all  reasonably  necessary  cooperation  to enable MedE to
perform its duties hereunder.

         (b)  Any  electronic   links   established  with  any  Payor  shall  be
established in accordance  with the procedures set forth in Schedule 5(b) (Payor
Implementation Guide).

         (c) Medic and MedE  acknowledge that the Medic/MedE  System,  including
any  electronic  links to Medic and to each Payor,  shall be tested by Medic and
MedE in accordance with Section 6 to the satisfaction of both MedE and Medic.

         (d) MedE shall ensure that the Medic/MedE System shall conform with the
performance  and  scalability  criteria set forth in Schedule  5(d)  (Medic/MedE
System Performance and Scalabilty Criteria) throughout the Term.

         (e) Medic and MedE acknowledge  that MedE shall have no  responsibility
for,  and shall be provided no access to, any of Medic's  systems or the systems
of any Medic Subscriber.

         (f)  Medic  may  request  in  writing  from  time to time  (the  "Medic
Request") that MedE provide a service not heretofore  provided or proposed to be
provided  by MedE to Medic of  establishing  an  electronic  link to a Payor not
covered  by  Schedule  3(a) with whom  Medic may want to have a link to  process
commercial  claims (each an  "Additional  Service").  ***** Any such  Additional
Service to be provided by MedE  pursuant to this Section 5(f) shall be deemed to
be a part of the

                                       4
<PAGE>


"MedE  Services" and shall be developed,  commercially  implemented,  tested and
provided  by  MedE  in  accordance  with  and  subject  to  the  terms  of  this
Agreement*****

         Section 6. Testing.  Upon  completing  any stage of  development of the
Medic/MedE  System,  establishing  any electronic  link to Medic or any Payor or
commencing  live  operation  of the  Medic/MedE  System  or upon the  reasonable
request  of MedE or Medic at any time,  MedE and Medic  shall  run,  as and when
appropriate,  such  in-house  tests,  live  tests or  client  tests set forth in
Schedule  5(b) or such other tests as either  Medic or MedE may deem  reasonably
necessary or appropriate to determine if the Medic/MedE  System operates without
any material incorrect functioning, material incorrect results or other material
errors (each,  an "Error").  If upon running such tests Medic or MedE determines
that the Medic/MedE System contains Errors,  MedE shall, as soon as commercially
reasonable (but in any event within five (5) business days), correct any and all
such  Errors.  Medic  and MedE  shall  conduct  further  tests on any  corrected
Medic/MedE System.  Medic shall, as soon as commercially  reasonable (but in any
event  within five (5)  business  days),  correct any Errors  caused by Medic or
within Medic's control.

         Section  7.  Processing  Milestones.  (a) MedE shall  perform  the MedE
Services  in  accordance  with each of the  claims  and  transaction  processing
milestones  (each,  a  "Processing   Milestone")  set  forth  on  Schedule  7(a)
(Processing Milestones).

         (b) If MedE  exceeds  any  Processing  Milestone,  Medic shall pay MedE

***** .

         (c) If MedE fails to meet any Processing Milestone,  as a result of its
failure  (i) to enter  into  agreements  with or  connect  to  Payors or (ii) to
perform  MedE  Services  to  standard,  MedE will pay such  damages  to Medic as
provided in Schedule 7(c) (Damages Relating to Processing Milestones).

         Section 8.  Payments.  (a) Each  party  shall pay the other  party,  in


                                       5
<PAGE>

accordance  with Section 8(b),  any and all amounts owing to such other party as
set forth in Schedule 8(a) (Payment Schedule).

         (b) Within twenty (20) days after the end of each month during the Term
(each such month, a "Commission Period"), MedE shall

                  (i) provide Medic with (A) a statement of accounting  (each, a
     "Statement of Accounting") of all transactions and claims processed through
     the MedE  Services for Medic  Subscribers  during,  and through the end of,
     such  Commission  Period  just  completed  and  (B) an  invoice  (each,  an
     "Invoice")  of any and all  transactions  processed  by the  MedE  Services
     during,  and through the end of, such Commission Period in respect of which
     Medic owes MedE any transaction fees in accordance with Schedule 8(a) or as
     otherwise agreed in writing by the parties; and

                  (ii) pay to Medic,  by wire transfer to an account or accounts
     designated  by Medic  from time to time,  the amount  equal to (A)  Medic's
     commissions owing or payable by any Payors, in accordance with the relevant
     Revenue Rates,  for any and all  transactions and claims required to be set
     forth in the Statement of Accounting  for Medic  Subscribers,  less (B) any
     amounts  retained  by  MedE  as  payment  for  any  undisputed  and  unpaid
     transaction  fees for which an Invoice has been submitted to Medic pursuant
     to Section 8(b)(i)(B);  provided that,  notwithstanding  the foregoing,  if
     MedE manages the cash flow from Payors such that  significant  revenues are
     received  from any Payors prior to such  twentieth day following the end of
     each Commission Period,  MedE shall make reasonable  arrangements to pay to
     Medic such commissions owing to Medic in a timely manner.

         Section  9.  Medic/MedE  System;  Use and  Maintenance.  (a) MedE shall
grant, and hereby grants, to Medic a nonexclusive,  non-transferable  (except as
provided in Section 28),  worldwide,  perpetual  (subject to the terms  hereof),
irrevocable,  royalty-free,  fully  paid-up  right  and  license  to use (i) the
software  comprising the Medic/MedE  System and (ii) upon any Termination  Event
(other than any  termination  due solely to any  Termination  Event set forth in
Sections 18(a)(iv) and 18(a)(vi)),  the source code of the Medic/MedE System and
any other Escrowed Materials  relating to the Medic/MedE System,  solely for the
purpose of enabling Medic to provide claims and transaction  processing services
directly  to the Medic  Subscribers  (in the case of any source  code,  such use
shall include the creation of derivative works thereof to be used solely for the
aforementioned  purpose).  In  certain  circumstances,  as  provided  in Section
18(b)(i),


                                       6
<PAGE>

Medic  shall pay an  additional  one-time  fee upon  delivery  of such  Escrowed
Materials

         (b)  MedE  shall  make  any  upgrade,   update,   correction  or  other
modification to the Medic/MedE  System that becomes necessary or appropriate due
to (i) any changes in applicable laws, rules or regulations, (ii) any changes in
a  Payor's  system  or  interface,  (iii)  any  change  in  the  preferred  data
communications  medium used by MedE or any Payor or (iv) any  corrections of any
Errors,  provided  that in the case of  clause  (iv),  MedE  shall  use its best
efforts to correct any Errors  which  impact the ability to  accurately  process
claims as promptly as possible  (but in any event within two (2) business  days)
after  becoming  aware of such Error.  Prior to  undertaking  any such  upgrade,
update,  correction or other  modification,  MedE shall  consult with Medic.  If
Medic wishes to modify the preferred data  communications  medium used by it, or
wishes for MedE to otherwise modify the Medic/MedE System, Medic shall so inform
MedE. If such  modification  does not require that MedE  implement any unique or
proprietary  operating methods,  and can be effected without  unreasonable cost,
MedE shall use its best efforts to accommodate such requests. MedE shall respond
to any other requests for  modifications  by providing in good faith an estimate
of the  time  and cost  involved  in such  modifications  (which  costs,  if the
modifications  are  undertaken,  shall be borne as MedE and Medic  shall in good
faith agree).

         (c) Except for (and only to the extent of) the  limited  license to use
the software  comprising the Medic/MedE  system set forth in Section 9(a) above,
Medic  acknowledges  and agrees that MedE owns and retains all right,  title and
interest of any sort whatsoever in and to the Medic/MedE System and all elements
thereof (excluding,  however,  the "Medic Data" (as defined herein)),  including
the  software  and  hardware  used in the system.  Medic  further  confirms  its
understanding that the Medic/MedE System and all specifications,  manuals, other
documentation  and materials (other than the Medic Data), and all  improvements,
corrections and  modifications  related thereto to the extent  developed by MedE
(or its  developers),  are and shall  remain  the sole  substantial  proprietary
interests and valuable trade secrets of MedE.

         (d) MedE  shall be  solely  responsible  for any and all  internal  and
external  costs,   expenses  and  disbursements   incurred  in  connection  with
development,  operation,  support  and  maintenance  of the  Medic/MedE  System.
Without  limiting  the  foregoing,  MedE  shall be  responsible  for any and all
license  fees,  royalties and other  payments to third  parties for  development
platforms or software used in connection  with or incorporated in the Medic/MedE
System.

         (e)  Medic  shall  pay to MedE a  service  fee in the  amount  of *****


                                       7
<PAGE>

provided that,  without  limiting  Medic's  rights under Section 9(a),  upon any
termination of this Agreement  prior to September 30, 2000 (except a termination
due solely to a Termination Event set forth in Section  18(a)(iv)),  there shall
be no further obligation on the part of Medic to pay any subsequent installment.

         (f) During the Term,  Medic shall not attempt to obtain the source code
to the  Medic/MedE  System  except as  expressly  permitted  under  Section 9(a)
hereof,  including without limitation by means of decompilation,  disassembly or
other  means,  and shall make no copies of the software  other than  archival or
back-up copies or as otherwise specifically authorized.

         (g) Medic may export any part of the software comprising the Medic/MedE
System,  directly or  indirectly,  to any country  outside the United  States or
Canada  so long as  Medic  complies  with all  applicable  laws  (including  the
International  Traffic in Arms  Regulations  (ITAR 22 CFR  1-130)  of the U.S.
State  Department,  Office of the  Defense  Trade  Controls as and to the extent
applicable).

         Section  10.  Medic  Subscriber  Database.  (a) All  right,  title  and
interest  in and to any  and  all  information  relating  to  Medic  Subscribers
(including any claims, transactions and other information submitted by Medic for
processing by the MedE Services and any claims remittances and other information
provided  by any  Payors  upon  adjudication  of any  claims  and  transactions)
(collectively,  the "Medic Data") are and shall be owned  exclusively  by Medic.
MedE shall not have the right to use,  license,  rent,  sell or  otherwise  make
available any such information for any purpose (other than to the relevant Payor
or  otherwise  for  the  benefit  of  Medic  as  specifically  provided  in this
Agreement).

         (b) MedE shall develop and maintain a database of the Medic Data (to be
built on an Informix database platform or such other platform as the parties may
mutually agree) (the "Medic Database") that shall at all times be segregated and
secure from any database or  information  of any other  vendors and customers of
MedE. MedE will give Medic direct  electronic remote access as may be reasonably
necessary or desired to conduct  searches,  queries and generate  reports of the
Medic Data between the hours of 7 A.M. and 9 P.M. (EST) for database queries and
reporting.  If Medic requires  access  outside these hours,  MedE and Medic will
cooperate  in good faith to work out a mutually  agreeable  solution  to provide
Medic with  additional  access.  Further,  at the end of each quarter during the
Term,  MedE shall  provide Medic with a complete  copy, in its entirety,  of the
Medic  Database.  From time to time,  upon  Medic's  request,  MedE will provide
documentation of the schema details in a format indicating both table structures
and 


                                       8
<PAGE>

relationships, including updates as and when changes to the schema are made.

         (c) MedE shall provide,  at MedE's cost, for ten (10) concurrent  users
licenses  of the  Medic  Database  as is  currently  permitted  by the  Informix
licenses between Informix and MedE.  Should Medic need to increase the number of
concurrent users,  MedE will acquire any additional  Informix licenses as needed
to accommodate  the additional  number of concurrent  users  specified by Medic,
provided,  however, that MedE shall only be responsible to pay any costs thereof
up to $15,000 in the  aggregate  (i.e.,  for the ten  concurrent  user  licenses
provided above plus any additional  concurrent  user licenses) and if such costs
exceed $15,000,  Medic and MedE shall negotiate in good faith to determine which
party shall bear any additional costs in excess of $15,000. Medic and MedE shall
work together to negotiate appropriate license fee rates with Informix.

         Section 11. Resources;  Project Manager.  (a) MedE will commit adequate
resources  (including  technically  competent  personnel)  to ensure  timely and
satisfactory performance of its obligations hereunder. *******

         (b) MedE will  designate  one member of its  personnel  to serve as the
project  manager  for the  performance  of the MedE  Services  and MedE's  other
obligations  hereunder (the "Project Manager").  Such Project Manager will serve
as the primary  contact person at MedE for Medic.  MedE shall in good faith take
into  account  any  comments  raised  by  Medic  in  the  event  that  Medic  is
dissatisfied with such Project Manager's performance.

         (c) Medic will  designate  one member of its  personnel to serve as the
project  manager  to be  the  primary  contact  for  MedE  in  relation  to  the
performance of the MedE Services (the "Medic Project Manager").

         Section 12.  Responsibilities of Medic. (a) Medic represents and agrees
that it will not use the Medic/MedE  System as a conduit to provide  services to
any third party  clearinghouse  or company  engaged in a business  substantially
similar  to that of MedE  absent  the  express  prior  written  consent of MedE.

                                       9
<PAGE>

         (b) Medic represents and agrees that it will use the Medic/MedE  System
in accordance with the reasonable  conditions,  rules, and regulations which are
established  or specified by MedE in writing from time to time for all of MedE's
customers  and  as are  set  forth  in any  manuals,  materials,  documents,  or
instructions  furnished  by  MedE  in  advance  of  their  effectiveness  to its
customers (including Medic), provided that Medic shall not be required to comply
with any conditions,  rules or regulations  that conflict with any provisions of
this  Agreement or materially  adversely  affect the ability of Medic to use the
Medic/MedE System as contemplated herein.

         Section 13. Training; Customer Service. (a) MedE shall provide training
to Medic  personnel in the use of the  Medic/MedE  System and the Medic Database
(including  operation of any  electronic  access,  as well as use of any search,
query and reporting  functions).  The duration and nature of this training shall
be pursuant to terms to be mutually agreed upon.
         (b) MedE and Medic  acknowledge  that MedE shall not  provide  customer
service  directly to any Medic  Subscriber  (including any customer of any Medic
Subscriber). MedE shall provide first-line support (e.g., telephone, on-site and
other  support)  to the Payors and  second-line  support to Medic,  who shall be
responsible for providing  first-line  support to Medic  Subscribers  (including
their customers). In order to insure that Medic will be able to provide customer
service to Medic Subscribers and their customers,  MedE will provide the support
services set forth on Schedule 13(b) (Customer Service).

         Section 14. Disaster Recovery. Within forty-five (45) days prior to the
date  that  MedE  commences  processing  transactions   hereunder,   MedE  shall
establish,  purchase or lease, and thereafter maintain at its own expense and to
the  satisfaction of Medic, a fully redundant system which may be in the form of
MedE's main non-Medic  server and system,  coupled with a  geographically-remote
secondary fully redundant system, as well as daily off-site back-up of the Medic
Database (the "Disaster Recovery System") to be made available to Medic in event
of a natural disaster,  hardware failure,  data communications  problem or other
unplanned  interruption of, or inaccessibility  to, the Medic/MedE System,  such
that MedE will be able to process 100% of Medic's  then current EDI  transaction
volume within twenty-four (24) hours of such disaster or problem.  MedE shall be
responsible  for,  subject to Medic's  approval,  the  development,  testing and
implementation of a viable contingency plan for accessing and using the Disaster
Recovery System in the event of a disaster.

                                       10
<PAGE>

         Section 15. Representations and Warranties.  (a) Each of MedE and Medic
represents  and  warrants  to the other  party that it has full legal  right and
authority to enter into this  Agreement and perform its  respective  obligations
contained herein,  and that no agreement or understanding  with any other person
or  entity  exists  or will  exist  which  would  interfere  with  such  party's
respective obligations hereunder.


         (b) Further, MedE hereby represents and warrants and covenants to Medic
that:

                  (i) the Medic/MedE  System (which includes any  communications
       and data servers and other hardware  installed and any software  portions
       used by MedE and any software portions delivered by MedE for use by Medic
       or any of the  Payors)  is,  and will be,  capable of  performing  in all
       material  respects  the  functions  for  which the  Medic/MedE  System is
       intended as contemplated herein;

                  (ii) the Medic/MedE System has been screened for, and does not
       contain any virus,  back door, drop lock or similar or other  programming
       code or  instruction  that is  intentionally  constructed  to (x) damage,
       interfere or otherwise  adversely affect the operations of the Medic/MedE
       System or any  systems  of Medic,  any of the  Payors or any of the Medic
       Subscribers or (y) permit unauthorized electronic, remote or other access
       by any person or entity  through modem or other means or medium,  in each
       case without the consent or intent of the party  utilizing any portion of
       such Medic/MedE System;

                  (iii)  except for such third party  software  or other  rights
       disclosed by MedE on Schedule  15(b)(iii) (Third Party Software and Other
       Rights),  (x)  MedE  owns  or  will  own the  entire  Medic/MedE  System,
       including  any  modification,   upgrade,  enhancement  and  customization
       thereof or thereto,  (y) no license or other right to use any third party
       software  or  other  intellectual  property  is or  will be  required  to
       develop,  operate, maintain or support the Medic/MedE System, and (z) the
       delivery,  installation and use of the Medic/MedE  System as a whole does
       not and will not  infringe or otherwise  conflict  with the rights of any
       other person or entity;

                  (iv) the Medic/MedE  System,  together with the rest of MedE's
       network system,  or any part thereof that contains or calls on a calendar
       function,  including but not limited to any function that is indexed to a
       computer  processing  unit clock,  provides  specific dates or calculates
       spans of dates, is and will be able to 


                                       11
<PAGE>


       record,   store,   process  and  provide  true  and  accurate  dates  and
       calculations for dates and spans of dates including and following January
       1, 2000; and

                  (v) assuming the  assignment  or sublicense of the third party
       software  listed  on  Schedule  15(b)(iii)  in  accordance  with  Section
       18(b)(i) and when used in connection with any telecommunications and data
       lines used by MedE to make any  physical  links with Medic and the Payors
       (which  are  being  retained  by  MedE),  the  software  portions  of the
       Medic/MedE  System and the other  Escrowed  Materials,  together with the
       data  and  communications  servers  included  in the  Medic/MedE  System,
       comprise all of the  software and hardware  necessary to operate the MedE
       Services,  including  without  limitation on a standalone  basis,  in the
       manner contemplated by this Agreement.

         (c) THE FOREGOING WARRANTIES ARE EXCLUSIVE AND ARE IN LIEU OF ALL OTHER
WARRANTIES, AND MEDIC HEREBY WAIVES ALL OTHER WARRANTIES, EXPRESSED, IMPLIED, OR
STATUTORY,  INCLUDING ANY IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A
PARTICULAR PURPOSE,  RELATING TO MEDIC/MEDE SYSTEM AND THE PROVISION OF THE MEDE
SERVICES.

         Section 16. Escrow. Within sixty (60) days after the date hereof, Medic
and MedE,  together  with an escrow  agent  located in the  United  States to be
selected  by  Medic,  shall  negotiate  in good  faith to agree  upon an  escrow
agreement (the "Escrow Agreement") containing  commercially reasonable terms and
conditions  that are  standard  in the  industry.  Such Escrow  Agreement  shall
provide for deposit of the materials  relating to the Medic/MedE System that are
described on Schedule 16 (Escrowed  Materials)  and ------ shall provide for the
release of such Escrowed Materials upon the occurrence of a Termination Event in
accordance  with Section 18, other than a Termination  Event solely  declared by
MedE pursuant to clause (iv) or (vi) of Section 18(a).

         Section  17.  Term.  The term  (the  "Term")  of this  Agreement  shall
commence upon the date hereof and, unless  terminated sooner pursuant to Section
18, shall continue in effect until June 30, 2003 (the "Initial Term"),  provided
that the Term shall continue for additional  one-year  periods (each, a "Renewal
Period") unless either party notifies the other party in writing at least twelve
(12) months prior to the  expiration of the Initial Term or any Renewal  Period,
as applicable, of such party's desire to terminate the Agreement.

                                       12
<PAGE>

         Section 18.  Termination.  (a) This  Agreement may be  terminated  upon
written notice upon the occurrence of any of the following (each, a "Termination
Event"):

                  (i) upon mutual agreement of Medic and MedE;

                  (ii) by MedE,  upon not less than six (6) months prior written
     notice, if for reasons beyond MedE's control, the project fails to meet the
     Processing Milestones and MedE processes in any year less than ***** of the
     total  transaction  volume that would have been processed had the timetable
     been met;

                  (iii) by Medic,  upon any failure by MedE (through no fault of
     Medic) to meet any Processing Milestone by ***** or more of the transaction
     volumes corresponding to such Processing Milestone;

                  (iv) by MedE,  upon a material  breach of any  representation,
     warranty, covenant or agreement by Medic (other than as provided by Section
     18(a)(viii)),  which  breach is not cured  within  thirty  (30) days  after
     receipt of notice of such  breach,  provided  that for the purposes of this
     Agreement,  a "material breach" shall include, but shall not be limited to,
     (x) Medic fails or refuses to pay any amount due hereunder to MedE,  except
     any amount which is being disputed in good faith by Medic,  (y) Medic fails
     to  substantially  perform any obligation  contained  herein which,  by its
     terms,  is  required  to be  performed  by a certain  deadline  or within a
     certain time period (notwithstanding  Medic's best efforts to do so) or (z)
     a series of breaches each of which  individually may have been cured or are
     not  material,  but in the  aggregate,  constitute  a  material  breach  or
     indicate a pattern of breaches;

                  (v) by Medic,  upon a material  breach of any  representation,
     warranty,  covenant  or  agreement  by the other  party  which is not cured
     within  thirty (30) days after  receipt of notice of such breach,  provided
     that for the purposes of this  Agreement,  a "material  breach"  shall have
     occurred  if,  without  limitation,  (w) MedE  fails or  refuses to pay any
     amount due hereunder to Medic, except any amount which is being disputed in
     good faith by MedE,  (x) the  Medic/MedE  System or any material  component
     thereof continues to exhibit Errors, or the Medic Database  continues to be
     unable to be accessed or searched, in either case causing disruptions in or
     repeated  periods of downtime of the MedE  Services or customer  service of
     Medic or Medic Subscribers  (notwithstanding MedE's remedial or maintenance
     efforts)  during any 45-day  period  (which shall include the 30-day notice
     period), (y) MedE fails to substantially perform any


                                       13
<PAGE>

     obligation  contained  herein  which,  by  its  terms,  is  required  to be
     performed   by  a  certain   deadline  or  within  a  certain  time  period
     (notwithstanding  MedE's best efforts to do so) or (z) a series of breaches
     each of which individually may have been cured or are not material,  but in
     the  aggregate,  constitute  a  material  breach or  indicate  a pattern of
     breaches;

                  (vi) by MedE,  if Medic  becomes  insolvent,  makes a  general
     assignment for the benefit of creditors, suffers or permits the appointment
     of a receiver for its business or assets, becomes subject to any proceeding
     under any bankruptcy or insolvency law, whether domestic or foreign, or has
     wound up or liquidated, voluntarily or otherwise;

                  (vii) by Medic,  if MedE  becomes  insolvent,  makes a general
     assignment for the benefit of creditors, suffers or permits the appointment
     of a receiver for its business or assets, becomes subject to any proceeding
     under any bankruptcy or insolvency law, whether domestic or foreign, or has
     wound up or liquidated, voluntarily or otherwise;

                  (viii) by MedE, if Medic  materially  breaches its obligations
     contained in Section 20,  unless Medic cures such breach within thirty (30)
     days after receipt of notice thereof; or

                  (ix) by Medic,  upon any "change of  control"  of MedE,  which
     shall be  defined  to have  occurred  if a  non-financial  buyer  acquires,
     directly or  indirectly,  beneficial  ownership  of 35% or more of the then
     outstanding  voting  shares or share  equivalents  of MedE,  provided  that
     Medic's  termination  right in this Section 18(a)(ix) may be exercised upon
     and at any time within eight (8) months after the occurrence of such change
     of control of MedE during which such non-financial  buyer continues to be a
     shareholder,  provided,  further,  that  prior  to the  occurrence  of such
     "change of control" event, MedE and Medic may agree upon a notice period of
     such termination.

         (b) Upon any  termination  or expiration  of the Agreement  (subject to
Section 18(d) below):

                  (i)  MedE  shall  deliver  (or  allow to be  delivered  out of
     escrow),  and  Medic  shall  receive,  (x)  the  software  portions  of the
     Medic/MedE  System,  together with good and merchantable  title to, and the
     manufacturers'  warranties on and any support arrangements relating to, the
     data  and  communications  servers,  


                                       14
<PAGE>

     and any and all Escrowed Materials (whether out of escrow or otherwise), in
     each  case,  free and  clear of any  liens,  security  interests  and other
     encumbrances, provided that such software portions thereof shall be subject
     to  the  limited  license  granted  under  Section  9(a)  hereof,  and  (y)
     assignment  or sublicense  of any and all third party  software  components
     used  as  part  of  or  in  connection  with  the  development,  operation,
     maintenance and support of the Medic/MedE  System, so long as (i) the owner
     of such software shall have consented to such  assignment or sublicense and
     (ii) Medic agrees to assume and perform any ongoing  obligations in respect
     of any such assigned or sublicensed  third party software.  If, and only to
     the extent that, the  Medic/MedE  System relies on any third party software
     to be so assigned or sublicensed, and either (i) the owner of such software
     does not consent to such  assignment  or  sublicense or (ii) Medic does not
     agree to assume the ongoing  obligations  with respect to such  software as
     aforesaid,  then MedE makes no  representations  of any  nature  whatsoever
     relating to the Medic/MedE  System and Medic accepts the Medic/MedE  System
     "AS-IS,  WHERE-IS" in respect of those portions of such  Medic/MedE  System
     that depend upon the use of such third party software.  The delivery of the
     Medic/MedE System and other Escrowed  Materials to Medic in accordance with
     this Section 18(b)(i) shall be at no additional cost to Medic,  except that
     if any  such  termination  or  expiration  is due to  (A)  either  (x)  the
     nonrenewal  or  nonextension  of the Initial  Term or, if  applicable,  any
     Renewal  Period  or  (y) a  Termination  Event  as  set  forth  in  Section
     18(a)(ix),  Medic shall pay to MedE a one-time  payment of ***** to be paid
     upon  satisfactory  delivery  of the  items  to be  delivered  by  MedE  in
     accordance with this Section 18(b)(i),  or (B) a Termination Event pursuant
     to Section 18(a)(viii), Medic shall be required to purchase the items to be
     delivered by MedE in accordance  with this Section  18(b)(i) for a one-time
     payment of ***** to be paid upon satisfactory delivery of such items.

                  (ii) MedE shall  provide  Medic with (x)  reasonable  support,
     training and assistance  that is mutually agreed upon in effecting a smooth
     transition  and  assisting  Medic  personnel  in the use of the  Medic/MedE
     System,  for a period not to exceed six (6) months,  consisting  of certain
     periods of support,  training and  assistance  for free and  thereafter  at
     rates to be agreed and (y)  cooperation in conversions to new providers for
     a period of six months on terms that are reasonable. - -

                  (iii) Any residual transactions that remain to be processed by
     MedE upon the  termination  of this  Agreement will be processed upon terms
     that will be mutually  agreed to, but that shall not be less favorable than
     those  that were 

                                       15
<PAGE>

     in effect immediately prior to the termination of this Agreement.

                  (iv) MedE shall provide reasonable assistance at no additional
     cost to Medic in connection with effecting a smooth  transition to Medic or
     a new provider.

         (c) Notwithstanding anything to the contrary contained herein, Sections
8(b), 9(a), 9(c), 10(a), 15, 16, 18(b), 18(c), 18(d), 19, 21, 23, 24, 25, 31, 32
and 33 shall survive any expiration or termination of this Agreement.

         (d)  Notwithstanding  anything to the contrary set forth herein, in the
event of a  termination  solely due to a  Termination  Event set forth in clause
(iv) or (vi) of Section 18(a), (1) Medic shall have no entitlement to possess or
use the Medic/MedE System for any purpose  whatsoever,  (2) Medic shall promptly
return to MedE  and/or  delete  all  elements  of the  Medic/MedE  System in its
possession  or  control,  and (3)  Medic  shall  not be  entitled  to any of the
benefits set forth in Section 18(b) hereof.

         Section 19. Indemnification.  (a) MedE shall indemnify, defend and hold
harmless,  and shall pay and reimburse,  Medic,  Medic  Subscribers  and its and
their respective employees, officers, directors, representatives,  customers and
agents  for  any  and  all  suits,  proceedings,   claims,  actions,  judgments,
settlements,  losses, damages, liabilities, debts, costs and expenses (including
attorneys'  fees and  disbursements)  resulting  from or arising  out of (i) any
alleged or actual  infringement  of or other conflict of the  Medic/MedE  System
with any third party's intellectual property,  proprietary or other rights, (ii)
any breach of any representation  and warranty contained in Section  15(b)(iii),
or (iii) any breach of any other  representation  or warranty or any covenant or
other   obligation   of  MedE   hereunder,   provided,   however,   that  MedE's
indemnification   obligation  hereunder  shall  continue  during  the  Term  and
thereafter  (x) in the  case  of  the  foregoing  Section  19(a)(iii),  for  one
additional  year  following any expiration or termination of the Term and (y) in
the case of the  foregoing  Section  19(a)(i)  or  Section  19(a)(ii),  for five
additional years following any expiration or termination of the Term.

         (b) Except as provided in Section 19(a), Medic shall indemnify,  defend
and  hold  harmless,  and  shall  pay and  reimburse,  MedE  and its  respective
employees,  officers, directors,  representatives,  customers and agents for any
and all suits, proceedings,  claims, actions,  judgments,  settlements,  losses,
damages,  liabilities,  debts, costs and expenses (including attorneys' fees and
disbursements)  resulting  from or  arising  out of (i) any  claim by any  Medic
Subscriber  relating  to Medic's  performance  of its  obligations  to any Medic
Subscriber or (ii) any breach of any representation, warranty, 

                                       16
<PAGE>

covenant or other obligation of Medic hereunder.

         Section 20.  Exclusivity.  (a) Scope of  Exclusivity.  During the Term,
subject to Section 20(b) and 20(c), MedE will be the exclusive EDI processor for
Medic in respect of claims and  transactions  that can be  processed by the MedE
Services,  including,  without  limitation,  in respect of any Payors which have
been added and integrated  into the MedE Services (i.e., a Payor with which MedE
has  established a Payor Agreement and EDI link) and to which Medic shall submit
any and all claims and transactions of Medic  Subscribers  covered by such Payor
for processing by the MedE Services.

         (b) Medic and MedE Obligations. *****

         (c) Certain Exceptions to Exclusvity.  Notwithstanding  anything to the
contrary contained herein, the parties acknowledge that Medic shall not be bound
by, or be deemed to have breached,  any  obligations of exclusivity or otherwise
hereunder if: *****

         Section 21. Limitation of Liability. (a) In no event shall either party
be liable for indirect,  special,  or consequential  damages  (including loss of
profits or damage to business  reputation),  even if such party has been advised
of the possibility of such damages, except as specifically provided in Section 4
and 7(c).

         (b) During  the  Initial  Term,  such  penalties  and  damages  payable
pursuant to Sections 4 and 7(c) shall not exceed ***** in the aggregate. No such
limit on the amount of damages and penalties  payable  during any Renewal Period
shall apply unless mutually agreed upon by the parties.

         (c)  Notwithstanding  anything to the contrary  contained herein,  each
party's total cumulative liability to the other party under this Agreement shall
be  limited to ***** and each party  releases  the other  party from any and all
obligations, liability, claims or demands in excess of such limitation.

         Section 22.  Compliance  with Laws. Each of Medic and MedE agrees that,
with respect to its respective performance  hereunder,  it shall comply with any
and all  applicable  laws and  regulations  (including  without  limitation  any
confidentiality   requirements   established   by  the  Health  Care   Financing
Administration and any state health care authorities).

         Section  23.  Confidentiality.  (a) Each party  shall,  and shall cause
their  respective  affiliates  and any of its  and  their  respective  officers,
consultants,  principals, agents, employees and directors to, use all reasonable
efforts to (a) protect the other party's  confidential  information  and (b) not
disclose,  nor permit  unauthorized  access to, the other  party's  confidential
information,   without  the  prior   written   consent  of  such  other   party.

                                       17
<PAGE>


         (b) In the event that either party (the "Disclosing Party") is required
under applicable law to disclose any confidential information of the other party
(the Non-Disclosing Party"), including in connection with any filings to be made
with the Securities  Exchange  Commission pursuant to the U.S. Securities Act of
1933, as amended, or the U.S.  Securities Exchange Act of 1934 as amended,  such
Disclosing  Party shall give the  Non-Disclosing  Party prompt written notice of
such  requirement  so that the Non-  Disclosing  Party  may seek an  appropriate
confidential  treatment or protective order of such confidential  information or
portions  thereof.  If in the absence of a protective order the Disclosing Party
is compelled to disclose such  confidential  information,  such Disclosing Party
may disclose such portion of such  confidential  information that in the opinion
of the  Disclosing  Party's  counsel  such  Disclosing  Party  is  compelled  to
disclose, without liability under this Agreement,  provided,  however, that such
Disclosing  Party shall give such  Non-Disclosing  Party  written  notice of the
confidential  information to be disclosed as far in advance of its disclosure as
is  practicable  and shall use  reasonable  efforts  to obtain  assurances  that
confidential  treatment,  if  available,  will be accorded to such  confidential
information.

         (c) The parties acknowledge that the term "confidential information" as
used herein will include the terms of this  Agreement  (including  any Schedules
hereto) and the Medic/MedE  System,  the Medic Data and Medic Database,  and all
specifications,   manuals,   other   documentation   and   materials,   and  all
improvements, corrections and modifications related thereto.

         (d) The  obligations  of each party  hereto under this Section 23 shall
not apply to any  information  that:  (i) was known to such  party  prior to the
disclosure  by the other party;  (ii) is or becomes  generally  available to the
public (other than by a breach of this  Agreement);  or (iii) otherwise  becomes
available  on a  non-confidential  basis by a third  party  who is not  under an
obligation  of confidence to either party  hereto.  Section 24.  Maintenance  of
Records;  Audit. (a) Each of Medic and MedE agrees that it shall maintain a copy
of this Agreement and any books, documents, records and other data of such party
as may be required to be maintained by applicable  law, for such periods as such
laws may require.

         (b)  During  the Term and for three (3) years  thereafter,  MedE  shall
maintain on its premises  all usual and proper  records and books of account and
all  usual  and  proper  entries  to  substantiate  the  number  of  claims  and
transactions  processed in connection with the MedE Services. In order to verify
statements  issued  by  MedE  and  MedE's  compliance  with  the  terms  of this
Agreement,  Medic may audit,  or cause an audit to be made of,  MedE's books and
records.  Any audit 


                                       18
<PAGE>

shall be conducted during regular business hours at MedE's  facilities upon five
(5) days' prior  written  notice.  Any audit shall be  conducted  by Medic or an
independent  certified  public  accountant  selected  by Medic  (other than on a
contingent  fee basis),  provided  that,  if Medic elects to use an  independent
certified public accountant,  such accountant shall be reasonably  acceptable to
MedE. MedE agrees to provide Medic or its designated  auditors,  as the case may
be, access to all relevant  records and  facilities of MedE, and Medic agrees to
take such  actions  as are  reasonable  to  minimize  any  disruption  to MedE's
business.  Prompt  adjustment  shall be made to  compensate  for any  errors  or
omissions  disclosed  by such  audit.  Any such audit shall be paid for by Medic
unless material discrepancies are disclosed.  "Material" shall mean at least 10%
(in Medic's  favor) of the amount that was reported.  If material  discrepancies
are disclosed, MedE agrees to pay Medic for the reasonable costs associated with
the audit. In no event shall audits be made more  frequently than  semi-annually
unless the immediately preceding audit disclosed a material discrepancy.

         Section 25.  Non-Solicitation.  (a) During the Term and for a period of
one (1) year following the  expiration or termination of the Term,  neither MedE
nor  any of its  affiliates,  nor any of its or  their  employees,  officers  or
directors, will, directly or indirectly, solicit or endeavor to entice away from
Medic or any of its affiliates or otherwise intentionally interfere with Medic's
relationship with, any person or entity who or which (i) is at the time employed
by or  otherwise  engaged to perform  services  (other than  clerical or routine
administrative  services) for Medic or any of its  affiliates or (ii) is, or has
been  within  the  two-year  period  ending  on the date of such  expiration  or
termination,  a Medic  Subscriber or other customer or client of Medic or any of
its affiliates.

         (b)  During  the Term and for a period  of one (1) year  following  the
expiration or termination of the Term,  neither Medic nor any of its affiliates,
nor any of its or their  employees,  officers or  directors,  will,  directly or
indirectly,  solicit  or  endeavor  to  entice  away  from  MedE  or  any of its
affiliates or otherwise  intentionally interfere with Medic's relationship with,
any person or entity who or which (i) is at the time  employed  by or  otherwise
engaged to perform  services  (other  than  clerical  or routine  administrative
services)  for MedE or any of its  affiliates or (ii) is, or has been within the
two-year period ending on the date of such expiration or termination, a customer
or client of MedE or any of its affiliates.

         Section 26. Force Majeure.  Neither Medic nor MedE shall be held liable
for failure to fulfill its respective  obligations  hereunder if such failure is
caused by strikes,  acts of God, flood, extreme weather,  fire, or other natural
calamity,  or similar  causes  beyond the  control of such party  (each a "Force
Majeure Event").  Notwithstanding the


                                       19
<PAGE>


foregoing,  a Force Majeure Event will not excuse MedE from  performance  of its
obligations  hereunder  if and to the  extent a  Disaster  Recovery  System  (as
provided in Section  14) would have  mitigated  any such  failure on the part of
MedE to perform such obligations.  During the pendency of a Force Majeure Event,
each of the parties  shall take all  reasonable  steps to furnish  the  services
required hereunder by other means, and, in any event, shall, upon termination of
such Force Majeure Event, forthwith resume obligations under this Agreement.

         Section  27.  Relationship  of  Parties.   Nothing  contained  in  this
Agreement  shall be  construed  as  creating  a joint  venture,  partnership  or
employment  arrangement  between the parties hereto, nor shall either party have
the right,  power or authority to create any  obligation  or duty,  expressed or
implied, on behalf of the other party hereto.

         Section  28.  Assignment.  Notwithstanding  anything  to  the  contrary
contained  in this  Agreement,  each party  hereto may  assign,  or provide  the
benefit of, this  Agreement or any rights  hereunder to any parent,  subsidiary,
affiliate  or  successor  in  interest  (including  a  successor  in interest to
substantially  all the assets of such  party).  Notwithstanding  anything to the
contrary  contained in this  Agreement,  Medic may subcontract or sublicense any
rights  granted to it under this  Agreement  to any third party person or entity
for use  for the  benefit  of  Medic  or any of its  affiliates  (such  as in an
outsourcing  arrangement),  except  any third  party  person or entity  who is a
direct  competitor  of MedE unless MedE gives its prior written  consent  (which
consent  shall  not be  unreasonably  withheld),  provided,  however,  that  all
obligations  for  performance  under  this  Agreement  shall  remain  with Medic
following such  subcontract or sublicense.  Except as provided in the foregoing,
this  Agreement  may not be assigned by either party  without the other  party's
prior written consent, which consent shall not be unreasonably withheld, and any
attempted assignment without such consent shall be null and void.

         Section  29. No  Waiver.  No  failure  on the part of  either  party to
exercise and no delay in exercising any right or remedy  hereunder shall operate
as a waiver thereof or modify the terms of this  Agreement.  The exercise of any
one remedy  shall not be deemed to waive or preclude  the  exercise of any other
remedy.

         Section 30. Entire Agreement, Amendments. This Agreement, including all
the Schedules  hereto,  constitutes  the entire  agreement,  understanding,  and
representations,  express  or  implied,  between  MedE and Medic  regarding  the
subject  matter  hereof and  supersedes  all prior  communications  between  the
parties including all oral or written proposals.  No  representation,  warranty,
promise,  inducement,  or statement  of intention  has been made by either party
which is not embodied in this Agreement, and 


                                       20
<PAGE>


neither MedE, on the one hand, nor Medic, on the other hand,  shall be bound by,
or be liable for, any alleged representation,  warranty, promise, inducement, or
statement of intention not embodied  herein.  Any  amendments to this  Agreement
must be in writing signed by both parties hereto.

         Section 31.  Severability.  In the event that any  provision  hereof is
found to be invalid or  unenforceable  pursuant to judicial  decree or decision,
the remainder of this Agreement shall remain valid and enforceable  according to
its terms.  It is expressly  understood  and agreed that each  provision of this
Agreement that provides for a disclaimer of warranties, limitation on liability,
or  exclusion  of  damages  is  intended  by the  parties  to be  severable  and
independent of any other provision and to be enforced as such.

         Section 32.  Applicable  Law;  Dispute  Resolution.  (a) This Agreement
shall be governed by and construed in  accordance  with the laws of the State of
New York without regard to conflicts of law principles.

         (b) (i) Any dispute,  controversy or claim arising out of, relating to,
or in connection  with,  this  Agreement or any breach,  termination or validity
thereof  shall be  finally  settled by  arbitration.  The  arbitration  shall be
conducted in accordance  with the Commercial  Arbitration  Rules of the American
Arbitration Association in effect at the time of the arbitration, except as they
may be modified  herein or by mutual  agreement of the parties.  The seat of the
arbitration  shall  be New  York,  and it  shall  be  conducted  in the  English
language.

         (ii) The arbitration shall be conducted by three arbitrators. The party
initiating  arbitration  ("the  Claimant")  shall appoint its  arbitrator in its
request for  arbitration  (the  "Request").  The other party ("the  Respondent")
shall appoint its  arbitrator  within thirty (30) days of receipt of the Request
and shall notify the Claimant of such appointment in writing.  If the Respondent
fails to appoint an arbitrator  within such 30-day period,  the arbitrator named
in the  Request  shall  decide the  controversy  or claim as a sole  arbitrator.
Otherwise,  the two  arbitrators  appointed by the parties shall appoint a third
arbitrator within thirty (30) days after the Respondent has notified Claimant of
the appointment of the Respondent's  arbitrator.  When the arbitrators appointed
by the Claimant and Respondent  have appointed a third  arbitrator and the third
arbitrator  has accepted the  appointment,  the two  arbitrators  shall promptly
notify  the  parties  of the  appointment  of the third  arbitrator.  If the two
arbitrators  appointed  by the parties  fail or are unable so to appoint a third
arbitrator  or so to  notify  the  parties,  then the  appointment  of the third
arbitrator  shall be made by President of the American  Arbitration  Association

                                       21
<PAGE>

which  shall  promptly  notify  the  parties  of the  appointment  of the  third
arbitrator. The third arbitrator shall act as Chairman of the panel.

         (iii) The  arbitral  award  shall be in writing  and shall be final and
binding  on the  parties.  The award may  include  an award of costs,  including
reasonable  attorneys'  fees and  disbursements.  Judgment upon the award may be
entered by any court having jurisdiction thereof or having jurisdiction over the
parties  or their  assets.  This  Section 32 shall in no way affect the right of
either  party  hereto  to  seek  interim   relief  in  any  court  of  competent
jurisdiction,  and a  request  for  such  interim  relief  shall  not be  deemed
incompatible with, or a waiver of, the agreement to arbitrate contained herein.

         Section 33.  Notices.  Notices  required  to be given  pursuant to this
Agreement  shall be in  writing  and shall be deemed to have been duly  given if
delivered  personally,  transmitted  by  confirmed  fax, or sent by a nationally
recognized  overnight  courier  service,  or by  registered  or certified  mail,
postage prepaid, as follows:


         If to MedE, send to:

               MedE America Corporation 
               90 Merrick Avenue, Suite 501
               East Meadow, NY 11554
               Attn:  David Goldwin, Esq.
               Phone (516) 542-4500 ext. 108
               Fax:  (516) 542-4508

         If to Medic, send to:

               Medic Computer Systems, Inc.
               8601 Six Forks Road, Suite 300
               Raleigh, North Carolina 27615
               Tel: (919) 847-8102
               Fax: (919) 847-7110
               Attention:

         with a copy to:

               Misys plc
               Burleigh House
               Chapel Oak


                                       22
<PAGE>


               Salford Priors   23
               Evesham, England WORCS
               WR11 5SH
               Tel: 011 44 138 687-1373
               Fax: 011 44 138-687-1045
               Attention: Ross K. Graham

or to such other address as either party shall have  designated by notice to the
other.

         Section 34. Execution in  Counterparts.  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.


                                       23
<PAGE>


IN  WITNESS  WHEREOF,  MedE and Medic  have duly  executed  and  delivered  this
Agreement as of the date first above written.

                                        MEDIC COMPUTER SYSTEMS, INC.

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

                                        MEDE AMERICA CORPORATION

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


                                       24
<PAGE>
                                                                 EXHIBIT A


                    RECOGNITION AND NONDISTURBANCE AGREEMENT

         RECOGNITION AND NONDISTURBANCE AGREEMENT (the "Agreement"), dated as of
__________by and among MedE Corporation,  a Delaware corporation ("MedE"), Medic
Computer Systems,  Inc., a North Carolina  corporation  ("Medic") and [PAYOR], a
____________corporation ("Payor"). 

                                   BACKGROUND

         WHEREAS, MedE and Payor are parties to the [Payor Agreement],  dated as
of [____], (the "Payor Agreement");

        WHEREAS, MedE and Medic are parties to the  Transaction  Processing  and
Development Agreement, dated as of [July _, 1998] (the "Transaction Agreement"),
whereby MedE has agreed to process,  via electronic  data  interchange  ("EDI"),
claims  or  other  transactions  of  Medic's  subscribers  and  customers  (such
services, the "MedE Services"); and

         WHEREAS,  the parties  hereto  desire to assure Medic of its ability to
continue submitting claims to Payor, upon the terms and conditions substantially
similar to the Payor Agreement, irrespective of termination of the MedE Services
or Medic's arrangement with MedE;

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

         Section 1. Recognition and Nondisturbance.

         (a) Medic shall immediately notify Payor in writing upon the occurrence
of any Termination Event (as defined below).

         (b) Upon occurrence of any Termination Event:

                  (i) The Payor  Agreement  will continue as a direct  agreement
     between  the  Payor and Medic  upon the terms and  conditions  of the Payor
     Agreement,  but only with respect to the claims and  transactions  of Medic
     subscribers and customers  being  processed with such Payor,  and with such
     changes as Payor and Medic may  thereafter  mutually  agree in writing  are
     appropriate under the circumstances.

                                    
<PAGE>

                  (ii) Medic will perform all of the  obligations  of MedE under
     the Payor Agreement from and after the date of such Termination  Event, but
     Medic shall have no  liability  to the Payor for acts or  omissions of MedE
     on, prior to or after the date of such Termination Event;

                  (iii)  the  Payor   acknowledges  that  Payor  shall  have  to
     cooperate  with Medic to establish an EDI electronic  link between  Medic's
     systems and the Payor's system as promptly as  commercially  practicable in
     accordance with and as  contemplated  by the terms of the Payor  Agreement;
     and

                  (iv) Payor will (i) not disturb the rights granted to Medic to
     process claims and  transactions of Medic  subscribers and customers via an
     EDI  link  with  the  Payor,  (ii)  grant  to  Medic  rights  and  benefits
     substantially  similar to those granted to MedE under its Payor  Agreement,
     including  the  rate  of  commissions  paid by  Payor  in  connection  with
     processing  claims  and  transactions  via EDI and  (iii)  perform  Payor's
     obligations  under  the  Payor  Agreement  from and  after the date of such
     Termination Event. 

         (c)  The   provisions  of  this   Agreement   shall  be  effective  and
self-operative as of the date of such Termination Event without execution of any
further instrument on the part of MedE, Payor or Medic.

         (d) Upon the  reasonable  written  request  of  either  Payor or Medic,
Payor, Medic and MedE shall execute and deliver promptly to the requesting party
such other  documents or  instruments  (in  recordable  form,  if so  requested)
reasonably  necessary  to  effectuate  or  evidence  the  intent of the  parties
hereunder.

         (e) For purposes of this Agreement,  "Termination Event" shall mean the
occurrence of any of the following events:

                  (1) MedE becomes insolvent, makes a general assignment for the
     benefit of creditors,  suffers or permits the appointment of a receiver for
     its  business  or  assets,  becomes  subject  to any  proceeding  under any
     bankruptcy or insolvency law, whether domestic or foreign,  or has wound up
     or liquidated, voluntary or otherwise; or

                  (2) the  receipt  by Medic of any  portion  of the  Medic/MedE
     System  (as  the  same  is  defined  and  referred  to in  the  Transaction
     Processing  Agreement)  to be  received by it,  including  any of the items
     deposited by MedE into escrow in accordance with the Transaction Agreement,
     whether such  termination  is due to notice of termination by Medic or MedE
     or otherwise.

                                       2
<PAGE>

         Section 2.  Consent of Payor.  Payor  consents to, and shall give Medic
the benefit of,  Medic's  assumption and  performance  of terms and  obligations
substantially similar to the duties of MedE under the Payor Agreement.

         Section  3.  Assignment.   Notwithstanding  anything  to  the  contrary
contained in this Agreement , each party hereto may assign this Agreement or any
rights hereunder to any parent,  subsidiary,  affiliate or successor in interest
(including  a  successor  in interest  to  substantially  all the assets of such
party).  Notwithstanding  anything to the contrary  contained in this Agreement,
Medic may subcontract or sublicense any rights granted to it under any Agreement
to any third party person or entity for use for the benefit of Medic (such as in
an  outsourcing  arrangement),  provided,  however,  that  all  obligations  for
performance  under  this  Agreement  shall  remain  with  Medic  following  such
assignment.  Except as  provided in the  foregoing,  this  Agreement  may not be
assigned by either party without the other party's prior written consent,  which
consent shall not be unreasonably withheld, and any attempted assignment without
such consent shall be null and void.

         Section  4. No  Waiver.  No  failure  on the  part of  either  party to
exercise and no delay in exercising any right or remedy  hereunder shall operate
as a waiver thereof or modify the terms of this  Agreement.  The exercise of any
one remedy  shall not be deemed to waive or preclude  the  exercise of any other
remedy.


         Section 5. Entire Agreement,  Amendments. This Agreement, together with
the Payor  Agreement,  constitutes  the  entire  agreement,  understanding,  and
representations,  express or implied,  among the Payor, MedE and Medic regarding
the subject matter hereof and supersedes  all prior  communications  between the
parties including all oral or written proposals.  No  representation,  warranty,
promise,  inducement,  or statement  of intention  has been made by either party
which is not embodied in this Agreement,  and neither MedE, on the one hand, nor
Medic,  on the other  hand,  shall be bound by, or be liable  for,  any  alleged
representation,  warranty,  promise,  inducement,  or statement of intention not
embodied  herein.  Any amendments to this Agreement must be in writing signed by
both parties hereto.

         Section  6.  Severability.  In the event that any  provision  hereof is
found to be invalid or  unenforceable  pursuant to judicial  decree or decision,
the remainder of this Agreement shall remain valid and enforceable  according to
its terms.  It is expressly  understood  and agreed that each  provision of this
Agreement that provides for a disclaimer of warranties, limitation on liability,
or  exclusion  of  damages  is  intended  by the  parties  to be  severable  and
independent of any other provision and to be enforced as such.

                                       3
<PAGE>

         Section 7. Applicable Law; Dispute Resolution.  This Agreement shall be
governed by and construed in  accordance  with the laws of the State of New York
without regard to conflicts of law principles.

         Section 8.  Notices.  Notices  required  to be given  pursuant  to this
Agreement  shall be in  writing  and shall be deemed to have been duly  given if
delivered  personally,  transmitted  by  confirmed  fax, or sent by a nationally
recognized  overnight  courier  service,  or by  registered  or certified  mail,
postage prepaid, as follows:


         If to Payor, send to:

         If to MedE, send to:

               MedE America Corporation
               90 Merrick Avenue, Suite 501
               East Meadow, NY 11554         
               Attn:  David Goldwin, Esq.    
               Phone (516) 542-4500 ext. 108 
               Fax:  (516) 542-4508          
               

         If to Medic, send to:

               Medic Computer Systems, Inc.  
               8601 Six Forks Road, Suite 300
               Raleigh, North Carolina 27615 
               Tel: (919) 847-8102           
               Fax: (919) 847-7110           
               Attention:                    
               
          with a copy to:

               Misys plc                 
               Burleigh House            
               Salford Priors            
               Evesham, England WORCS    
               WR11 5SH                  
               Tel: 011 44 138 687-1373  
               Fax: 011 44 138-687-1045  
               Attention: Ross K. Graham 

                                       4
<PAGE>
               
or to such other address as either party shall have  designated by notice to the
other.

         Section 9. Execution in Counterparts. 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.








                                       5
<PAGE>


IN WITNESS  WHEREOF,  each of MedE,  Medic and the Payor have duly  executed and
delivered this Agreement as of the date first above written.

                                        [PAYOR]



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



                                        MEDIC COMPUTER SYSTEMS, INC.


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


                                        MEDE AMERICA CORPORATION


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




                                       6
<PAGE>

                        Transaction Processing Agreement

                                List of Schedules
                                -----------------
<TABLE>
<S>                       <C>                               
Schedule 1                Medic/MedE System
Schedule 2(a)             Medic/MedE Transaction Processing Relationship
                                Guidelines
Schedule 2(b)             Standard Data Format
Schedule 3(a)             Payor Schedule
Schedule 3(b)             Revenue Rates
Schedule 4                Development Milestones
Schedule 5(a)             Development Specifications
Schedule 5(b)             Payor Implementation Guide
Schedule 5(d)             Medic/MedE System Performance and Scalability Criteria
Schedule 7(a)             Processing Milestones
Schedule 7(c)             Damages Relating to Processing Milestones
Schedule 8(a)             Payment Schedule
Schedule 13(b)            Customer Service
Schedule 15(b)(iii)       Third Party Software and Other Rights
Schedule 16               Escrowed Materials
</TABLE>


<PAGE>
































































                                   Schedule 1

                                Medic/MedE System

The  "Medic/MedE  System" shall include,  but not be limited to, (a) any and all
electronic links established to Medic and to any Payors,  including any software
provided  and  licensed  thereto,  (b)  hardware  including  but not  limited to
servers,  equipment for receiving and transmitting data  communications  and any
other  hardware  used by MedE to  provide  the  MedE  Services,  (c) any and all
documentation,  third party software or other rights (whether  incorporated as a
component or used in connection with development of the Medic/MedE System),  and
(d) upon the occurrence of any Termination Event (other than a Termination Event
declared by MedE under clauses (iv) or (vi) of Section  18(a)),  the source code
and other Escrowed Materials (as defined in Section 16).


                                       2
<PAGE>



                                  Schedule 2(a)

            Medic/MedE Transaction Processing Relationship Guidelines

- --       Medic will make multiple transmissions throughout the day

- --       MedE will be able to receive claims 24 hours-a-day, 7 days-a-week,  365
         days-a-year, except for scheduled maintenance and down times.

- --       The cutoff for claims transmission will be    *****

- --       MedE will provide dial backup of claims transmission.

- --       MedE will provide daily control  totals for incoming and outgoing claim
         transmission

- --       MedE will forward to Medic any status or other  messages from any Payor
         with respect to any claims or transactions of any Medic Subscriber.

- --       Medic shall be responsible for  implementing  an enrollment  process to
         enroll any Medic Subscribers with the Payors.

- --       MedE will assign to each claim or transaction a tracking number.

- --       MedE  shall  have the right to change  the  passwords  used by Medic to
         access the Medic/MedE  System every 90 days;  provided,  however,  that
         MedE shall inform Medic in advance of any such password changes.

- --       MedE will  provide  Medic with five (5)  business  days' prior  written
         notice of all scheduled down time for  maintenance  and system upgrade,
         provided, however, that in the case of an emergency, MedE shall provide
         Medic with such notice as soon as is reasonably possible.




                                       3
<PAGE>





                                  Schedule 2(b)

                              Standard Data Format
                              --------------------

The "Data Format" for  communications  for  transactions  between Medic and MedE
will  be  Medic  National  Standard  Format  (NSF)  for  claims  and  Medic  NSF
remittance.




                                       4
<PAGE>





                                  Schedule 3(a)

                                 Payor Schedule
                                 --------------

June 1998 list of commercial and  governmental  Payors as provided to MedE on or
prior to the date hereof.




                                       5
<PAGE>




                                  Schedule 3(b)

                                  Revenue Rates
                                  -------------

*****










                                       6
<PAGE>






                                   Schedule 4

                             Development Milestones
                             ----------------------

     -   *****

     -   MedE shall  provide  Medic with  development  services  to support  the
         development and implementation of ***** . MedE and Medic shall mutually
         agree  further on the  schedule  for such  remittance  development  and
         implementation.








                                       7
<PAGE>




                                  Schedule 5(a)

                           Development Specifications
                           --------------------------

- --       The   Medic/MedE   System  shall  have  the   capability   to  transmit
         transactions and claims processed by Medic via EDI to Payors,  obtain a
         result set for each such  transaction  and/or claim,  act on the result
         set and transmit the result set via EDI to Medic.

- --       MedE will furnish a weekly status report to the Medic Project  Manager,
         which  report  shall  include  the status of all active  projects  with
         respect to each Payor and each MedE developer.  These reports will also
         include  "Actual  Project  Status  versus  Goals,"  "Time Spent  versus
         Allocated,"  and  potential  problem  areas in the  development  of the
         Medic/MedE System.

- --       Development  cycle for  establishing  an electronic link with any Payor
         shall start with receipt of specifications,  contact person information
         and signed Payor Agreement with such Payor.

- --       Development does not include claim referral and eligibility.

- --       On a monthly  basis MedE will  furnish to the Medic  Project  Manager a
         status  report in  respect  of each MedE  developer  and any Payor then
         being  linked,  as well as forward  looking plans for the next 90 days,
         claims and transaction  volumes versus established goals, and projected
         claims and transaction volumes for the next 90 days.

- --       Medic will supply test claims to MedE within an appropriate  time frame
         after  signing any Payor  Agreement as the parties may  mutually  agree
         upon.







                                       8
<PAGE>







                                  Schedule 5(b)

                           Payor Implementation Guide
                           --------------------------

See attached "Payer Implementation Guide"

Commercial Claims

- --       Each  electronic  link to a Payor  shall be  considered  completed  and
         tested only if it has tested in accordance with one of the following:
          *****



Government Claims

- --       Each  electronic  link to a Payor  shall be  considered  completed  and
         tested only if it has either been: *****
          






                                       9
<PAGE>




Payor Implementation Guide

- -        INITIAL PAYOR CONTACT

         1.    Obtain  Contact  Name and  Numbers for EDI  Testing,  Production,
               Billing, and Provider Support

         2.    Order Claim, Communication, Report and Remittance Specifications

         3.    Obtain all Vendor and Provider Enrollment Forms with Instructions

         4.    Negotiate and agree upon a Payor Agreement

         5.    Agree upon procedures to establish link

- -        DEVELOPMENT

         1.    Fill out and submit Vendor Enrollment

         2.    Review specifications

         3.    Create Electronic Format and Map

         4.    Write initial Payor specific edits

         5.    Obtain or create test claims

- -        IN-HOUSE TESTING

         1.    Obtain test data

         2.    Run test data through Payor specific edits on MedE Claim

         3.    Run test data through electronic format and map

         4.    Validate output file


                                       10
<PAGE>



- -        PAYOR TESTING

         1.   Set up communication (obtain modem number, submitter ID and login)

         2.   Transmit test claims to Payor (notify Payor of transaction)

         3.   Contact Payor for test results

         4.   Make corrections if errors are found

         5.   Send out a second test for claim validation (more detailed)

         6.   Contact Payor for test results from second file

         7.   Set up router for Electronic Reports (if available)

- -        LIVE CLIENT TEST

         1.   Obtain sample of live claims for client

         2.   Follow up on Provider  Enrollment (must be completed before first
              live file is sent)

         3.   Set up Live Communication

         4.   Process and transmit claims to Payor

         5.   Pick up Electronic Reports

         6.   Route reports to Providers' directory for pick up with their next
              submission

         7.   Review reports on a daily basis, making changes when needed until
              the accept rate is ***** or above










                                       11
<PAGE>





- -        REMITTANCE (IF REQUESTED)

         1.    Work  with  Provider  and Payor to set up  Electronic  Remittance
               Advice

         2.    Follow up with details of the contract

         3.    Create Map to read  input file then  export the file based on the
               Providers' needs

         4.    If applicable, test with Payor and Provider

         5.    Pick up Electronic Remittance from Payor

         6.    Run through conversion map

         7.    Route to Provider


                                       12
<PAGE>




Payor Implementation Time Line
- ------------------------------
*****

                                       13
<PAGE>




Remittance Implementation Guide

Implementation is per Payor

- -        Initial Provider Contact (2-3 Days)

         1.    Obtain  Contact  Name and  Numbers  for EDI  Testing,  Production
               Provider Support

         2.    Develop Report and Remittance Specifications with Provider

- -        Initial Payor Contact

         (this is done in cooperation with the claim processing development)

         1.    Obtain  Contact  Name and  Numbers  for EDI  Testing,  Production
               Provider Support

         2.    Obtain Report and Remittance Specifications from Payor

         3.    Negotiate and agree upon a Payor Agreement

         4.    Agree upon procedures to establish link

- -        Development *****



                                       14
<PAGE>





- -        In-house Testing *****

         1.   Obtain test remittance

         2.   Validate test data format

         3.   Run test data through maps

         4.   Validate output file

         5.   Make changes as necessary

- -        Testing *****

         (This time frame can vary  depending  on the medium  used to obtain and
         deliver the remittance, i e. tape, electronic, etc., and the remittance
         cycle of the Payor)

         1.   Set up communication with Payor
              (this will be in place for all but new Payors)

         2.   Set up communication with Provider

              (this will be in place for most providers who submit claims)

         3.   Receive test remittance from Payor

         4.   Transmit remittance (in Provider format) to Provider

         5.   Contact Provider for test results

         6.   Make corrections per Provider requests

- -        Automate Process *****

         1.   Write scripts to automate communication and processing

         2.   Activate automated process after testing phase is complete


                                       15
<PAGE>




Remittance Implementation Guide

- -        Initial Provider Contact - *****

- -        Negotiate and agree upon a Payor Agreement

- -        Agree upon procedures to establish link

- -        Initial Payor Contact - ******

- -        Development - *****

- -        In-house Testing - *****

- -        Live Testing - ongoing

- -        Automate Process - *****

Total development time is *****.



                                       16
<PAGE>





                                  Schedule 5(d)

             Medic/MedE System Performance and Scalability Criteria
             ------------------------------------------------------

The  Medic/MedE  System shall meet the following  standards of  performance  and
scalability:

(1)      Claims  submitted by Medic for  processing by the MedE Services must be
         (i) processed  within ***** of transmission of such claims,  or (ii) if
         such claims are not processed within ***** of transmission, such claims
         must be processed *****

(2)      The MedE system  contains no limitations  in Field  Lengths,  Counters,
         etc.  that will  negatively  impact the ability to  efficiently  handle
         Medic's  current and future  volumes  (including,  without  limitation,
         ***** .

(3)      Medic  intends to exercise  its right to query the Medic  Database  for
         analysis and reporting  purposes on a regular basis. MedE warrants that
         the production  environment will provide adequate response times to the
         reasonably  necessary or desirable  number of on-line  queries  without
         negatively impacting the transaction  processing system in violation of
         (1) above. In the event that the transaction processing system does not
         complete its tasks  within the  allotted  times set forth in (1) above,
         MedE  agrees  to  enhance  the  environment  to bring  the  transaction
         processing times into compliance.

(4)      Bandwidth  provided by MedE to Medic must be  sufficient to ensure that
         the  communication  links between Medic and MedE are not a constraining
         factor  in  the  times   required  to  process  claims  and  other  EDI
         transactions.



                                       17
<PAGE>




                                  Schedule 7(a)

                              Processing Milestones
                              ---------------------

Milestone Dates                                      Processing Milestone
- ---------------                                      --------------------

   *****









                                       18
<PAGE>




                                  Schedule 7(c)

                    Damages Relating to Processing Milestones
                    -----------------------------------------

Damages for failure to meet any Processing  Milestone  shall be the amount equal
to ***** .


                                       19
<PAGE>




                                  Schedule 8(a)

                           Commission Payment Schedule
                           ---------------------------

MedE Payment Obligation
- -----------------------

Medic and MedE agree to pay to Medic      *****

Medic Payment Obligation
- ------------------------
Medic shall pay to MedE      *****


                                       20
<PAGE>





                                 Schedule 13(b)

                                Customer Service
                                ----------------

- -        MedE will provide  second-level  telephone support to Medic between the
         hours of 7:00  a.m.  to 6:00  p.m.,  Eastern  standard  time,  and will
         provide an average call  response  time of no greater than 2 hours from
         their Help Desk.

- -        MedE  will  provide  a  dedicated  person  for  Medic's  questions  and
         inquiries



                                       21
<PAGE>





                               Schedule 15(b)(iii)

                              Third Party Software
                              --------------------

The following is a list of third party  software  used in or in connection  with
the Medic/MedE System:

         Solaris Operating system

         Informix database license and software

         Mercator Data Mapping software

         Procomm Communications software

         NT Back Office




                                       22
<PAGE>





                                   Schedule 16

                               Escrowed Materials
                               ------------------

- -        Appropriate  product related  information  for all electronic  links to
         Payors will be placed into escrow with an escrow  agent  designated  by
         Medic  within 30 days of closing.  This will include but not be limited
         to:

         -    Data Communications Source Code and Specifications
         -    Business Logic
         -    Data Element Mapping
         -    End User Documentation
         -    Technical Specifications and Documentation

- -        A  backup  copy of all MedE  executable  programs  required  to run the
         Medic/MedE System and operate the MedE Services successfully.

- -        All documentation  required to effectively install,  prepare,  execute,
         and maintain the Medic/MedE System and operate the MedE Services.

- -        Escrowed  Materials  will be updated  every 30 days until and including
         July 1, 1999.  After July 1, 1999,  Escrowed  Materials will be updated
         every 60 days.









                                       23



                              [MEDE AMERICA LOGO]

                        1998 EMPLOYEE STOCK PURCHASE PLAN

The following  constitutes the provisions of the MEDE American  Corporation 1998
Employee Stock Purchase Plan.

1. Purpose.  The purpose of the Plan is to provide  employees of the Company and
   its Designated  Subsidiaries  with an opportunity to purchase Common Stock of
   the Company through accumulated  payroll  deductions.  It is the intention of
   the Company to have the Plan qualify as an  "Employee  Stock  Purchase  Plan"
   under  Section  423 of the  Internal  Revenue  Code of 1986 as  amended.  The
   provisions  of the Plan  accordingly,  shall be construed so as to extend and
   limit  participation  in a manner  consistent  with the  requirements of that
   section of the Code.

2. Definitions.

       (a) "Board" shall mean the Board of Directors of the Company.

       (b) "Code" shall mean the Internal Revenue Code of 1986 as amended.

       (c) "Common Stock" shall mean the Common Stock of the Company.

       (d) "Company"   shall   mean  MEDE   America   Corporation,   a  Delaware
           corporation, and any Designated Subsidiary of the Company.

       (e) "Compensation"  shall mean amounts  received by an Employee during an
           Offering Period for personal services rendered and which are included
           as W-2 earnings.

       (f)"Designated  Subsidiary"  shall  mean any  Subsidiary  which  has been
          designated  by the Board from time to time in its sole  discretion  as
          eligible to participate in the Plan.

       (g) "Employee"  shall  mean  any  individual  who is an  Employee  of the
           Company for tax purposes whose customary  employment with the Company
           is at least  twenty (20) hours per week and more than five (5) months
           in any  calendar  year.  For  purposes  of the Plan,  the  employment
           relationship   shall  be  treated  as  continuing  intact  while  the
           individual is on sick leave or other leave of absence approved by the
           Company.   Where  the  period  of  leave  exceeds  90  days  and  the
           individual's  right  to  reemployment  is not  guaranteed  either  by
           statute or by contract,  the employment is not  guaranteed  either by
           statute or by contract,  the employment  relationship shall be deemed
           to have terminated on the 91st day of such leave.

       (h) "Enrollment Date" shall mean the first day of each Offering Period.

<PAGE>


       (i) "Exercise Date" shall mean the last day of each Offering Period.

       (j) "Fair Market  Value"  shall mean,  as of any date the value of Common
            Stock determined as follows:

                    1.   If the Common Stock is listed on any established  stock
                         exchange  or  a  national   market  system,   including
                         limitation  the  Nasdaq  National  Market or The Nasdaq
                         SmallCap  Market of The Nasdaq Stock  Market,  its Fair
                         Market Value shall be the closing  sales price for such
                         stock (or the closing  bid, if no sales were  reported)
                         as  quoted  on such  exchange  or  system  for the last
                         market  trading day on the date of such  determination,
                         as reported  in The Wall  Street  Journal or such other
                         source as the Board deems reliable, or;

                    2.   If the Common Stock is regularly quoted by a recognized
                         securities  dealer but selling prices are not reported,
                         its Fair Market  Value shall be the mean of the closing
                         bid and asked  prices for the Common  Stock on the date
                         of such  determination,  as reported in The Wall Street
                         Journal  or  such  other  source  as  the  Board  deems
                         reliable, or;

                    3.   In the absence of an established  market for the Common
                         Stock,   the  Fair  Market  Value   thereof   shall  be
                         determined in good faith by the Board.

       (k) "Offering Period" shall mean a period of approximately six (6) months
           during which an option granted pursuant to the Plan may be exercised,
           commencing  on the first  Trading Day on or after January 1, and July
           1, and  terminating  on the last Trading Day in the period ending the
           following June 30 and December 31; provided,  however, that the first
           Offering  Period  under  the  Plan is after  the  date on  which  the
           Securities   and   Exchange   Commission   declares   the   Company's
           Registration  Statement  effective.  The duration of Offering Periods
           may be changed pursuant to Section 4 of this Plan.

       (l) "Plan" shall mean the MEDE America  Corporation  1998 Employee  Stock
           Purchase Plan.

       (m) "Purchase Price" shall mean an amount equal to 85% of the Fair Market
           Value of a share of  Common  Stock on the  Enrollment  Date or on the
           Exercise Date, whichever is lower.

       (n) "Reserves" shall mean the number of shares of Common Stock covered by
           each option under the Plan which have not yet been  exercised and the
           number of  shares of Common  Stock  which  have been  authorized  for
           issuance under the Plan but not yet placed under option.

       (o) "Subsidiary"  shall mean a corporation,  domestic or foreign of which
           not less than 50% of the voting  shares are held by the  Company or a
           Subsidiary whether or not such corporation now exists or is hereafter
           organized or acquired by the Company or a Subsidiary.

<PAGE>


       (p) "Trading Day" shall mean a day on which national stock  exchanges and
           the Nasdaq System are open for trading.

3. Eligibility

       (a) Any  Employee  who  shall  be  employed  by the  Company  on a  given
           Enrollment  Date and who has  served  at least  six  months  with the
           Company or Subsidiary thereof and is at least 18 years of age.

       (b) Any  provisions  of the  Plan  to  the  contrary  notwithstanding  no
           Employee  shall be granted an option under the Plan (i) to the extent
           that immediately  after the grant, such Employee (or any other person
           whose stock would be attributed to such Employee  pursuant to Section
           424(d) of the Code)  would own capital  stock of the  Company  and/or
           hold  outstanding  options to  purchase  such stock  possessing  five
           percent (5%) or more of the total  combined  voting power or value of
           all classes of the capital stock of the Company or of any  Subsidiary
           or (ii) to the extent that his or her rights to purchase  stock under
           all employee stock purchase plans of the Company and its subsidiaries
           accrues  at  a  rate  which  exceeds  Twenty-Five   Thousand  Dollars
           ($25,000) worth of stock  (determined at the fair market value of the
           shares at the time such option is granted) for each  calendar year in
           which such option is outstanding at any time.

4. Offering  Periods.  The Plan shall be  implemented  by  consecutive  offering
   Periods with a new Offering Period  commencing on the first Trading Day on or
   after  January  1 and  July  1 or on  such  other  date  as the  Board  shall
   determine,  and continuing  thereafter  until  terminated in accordance  with
   Section 20 hereof provided, however, that the first Offering Period under the
   Plan  shall  commence  after the date on which the  Securities  and  Exchange
   Commission declares the Company's Registration Statement effective. The Board
   shall have the power to change the  duration of Offering  Periods  (including
   the  commencement  dates  thereof) with respect to future  offerings  without
   stockholder approval if such change is announced at least five (5) days prior
   to the  scheduled  beginning  of the first  Offering  Period  to be  affected
   thereafter.

5. Participation

       (a) An  eligible  Employee  may  become  a  participant  in the  plan  by
           completing a subscription agreement authorizing payroll deductions in
           the form of Exhibit A to this Plan and  filing it with the  Company's
           Human Resources  department prior to the applicable  Enrollment Date.
           Newly eligible  Employee's may enter the Offering  Period by filing a
           subscription agreement within 30 days of their eligibility date.

       (b) Payroll  deductions  for a  participant  shall  commence on the first
           payroll  following  the  Enrollment  Date  (or,  in the case of newly
           eligible  Employees,  the next payroll after Human Resources receives
           the participant's  subscription  agreement) and shall continue unless
           terminated by the participant as provided in Section 10 hereof.

<PAGE>


       (a) At the time a participant files his or her subscription  agreement he
           or she shall elect to have  payroll  deductions  made on each pay day
           during the Offering Period between one percent (1%) and not exceeding
           ten percent  (10%) of the  Compensation  which he or she  receives on
           each pay day during the Offering Period.

       (b) All payroll  deductions  made for a participant  shall be credited to
           his or her  account  under  the Plan and shall be  withheld  in whole
           percentages only. A participant may not make any additional  payments
           into such account.

       (c) A participant may discontinue his or her participation in the Plan as
           provided in Section 10 hereof,  or may  increase or decrease the rate
           of his or her payroll  deductions  by  completing  or filing with the
           Company  a new  subscription  agreement  authorizing  a change  to be
           effective the first payroll period after the next  Enrollment Date or
           after Human Resources receives the change, whichever is designated by
           the participant. A participant may make only one change to his or her
           contribution  percentage  during an Offering  Period. A participant's
           subscription agreement shall remain in effect for successive Offering
           Periods unless terminated as provided in Section 10 hereof.

       (d) Notwithstanding the foregoing, to the extent necessary to comply with
           Section 423(b) or the Code and Section 3(b) hereof,  a  participant's
           payroll  deductions may be decreased to zero percent (0%) at any time
           during an Offering Period. Payroll deductions shall recommence at the
           rate  provided in such  participant's  subscription  agreement at the
           beginning of the first  Offering  Period which is scheduled to end in
           the following  calendar year, unless terminated by the participant as
           provided in Section 10 hereof.

       (e) At the time the option is  exercised,  in whole or in part, or at the
           time some or all of the Company's  Common Stock issued under the Plan
           is disposed of, the participant must make adequate  provision for the
           Company's federal,  state, or other tax withholding  obligations,  if
           any,  which arise upon the exercise of the option or the  disposition
           of the Common Stock.  At any time,  the Company may, but shall not be
           obligated to, withhold from the participant's compensation the amount
           necessary for the Company to meet applicable withholding  obligations
           including any  withholding  required to make available to the Company
           any  tax  deductions  or  benefits  attributable  to  sale  or  early
           disposition of Common Stock by the Employee.

7. Grant  of  Option.  On the  Enrollment  Date of each  Offering  Period,  each
   eligible  Employee  participating in such Offering Period shall be granted an
   option to  purchase  on the  Exercise  Date of such  Offering  Period (at the
   applicable  Purchase Price) up to a number of shares of the Company's  Common
   Stock determined by dividing such Employee's payroll  deductions  accumulated
   prior to such Exercise Date and retained in the  Participant's  account as of
   the  Exercise  Date by the  applicable  Purchase  Price;  provided  that such
   purchase shall be subject to the  limitations  set forth in Sections 3(b)

<PAGE>


   and 12 hereof.  Exercise  of the option  shall occur as provided in Section 8
   hereof,  unless the participant has withdrawn  pursuant to Section 10 hereof.
   The Option shall expire on the last day of the Offering Period.

8. Exercise of Option.  Unless a participant withdraws from the Plan as provided
   in Section 10 hereof,  his or her option for the  purchase of shares shall be
   exercised  automatically  on the  Exercise  Date,  and the maximum  number of
   shares (including fractional shares) subject to option shall be purchased for
   such  participant  at the  applicable  Purchase  Price  with the  accumulated
   payroll deductions in his or her account.  During a participant's lifetime, a
   participant's  option to purchase shares hereunder is exercisable only by him
   or her.

9. Delivery.  A book balance account will be established for each participant at
   a financial  institution  approved by the Board.  As promptly as  practicable
   after each  Exercise  Date on which a purchase of shares  occurs,  statements
   will be  generated  and  mailed  to all  participants  evidencing  ownership.
   Participants  will  have the  option of  receiving  a  physical  certificate,
   selling a portion or all shares  held in the account or leaving the shares in
   their account.

10. Withdrawal. A participant may withdraw all but not less than all the payroll
    deductions  credited to his or her account and not yet used to exercise  his
    or her  option  under the Plan at any time by giving  written  notice to the
    Company  in the form of  Exhibit  A to the  Plan.  All of the  participant's
    payroll  deductions  credited  to his or her  account  shall be paid to such
    participant  during the payroll period after receipt of notice of withdrawal
    and such participant's option for the Offering Period shall be automatically
    terminated,  and no further  payroll  deductions  for the purchase of shares
    shall be made for such Offering Period.  If a participant  withdraws from an
    Offering  Period,  the  participant  will not be allowed  to resume  payroll
    deductions for a period of at least six (6) months  following the end of the
    Offering  Period  in  which  he or she  withdrew  their  contributions.  The
    participant must submit a new subscription  agreement when they are eligible
    to resume payroll deductions.

11. Termination of Employment.  Upon a  participant's  ceasing to be an Employee
    for any reason,  he or she shall be deemed to have elected to withdraw  from
    the Plan and the payroll deductions  credited to such participant's  account
    during the Offering  Period but not yet used to exercise the option shall be
    returned  to such  participant  or in the  case of his or her  death  to the
    person or  persons  entitled  thereto  under  Section  15  hereof,  and such
    participant's  option  shall  be  automatically  terminated.  The  preceding
    sentence  notwithstanding  a  participant  who  receives  payment in lieu of
    notice of termination of employment  shall be treated as continuing to be an
    Employee  for the  participant's  customary  number  of  hours  per  week of
    employment  during  the period in which the  participant  is subject to such
    payment in lieu of notice.

12. Interest.   No  interest  shall  accrue  on  the  payroll  deductions  of  a
    participant in the Plan.

13. Stock

     (a)  The maximum number of shares of the Company's Common Stock which shall
          be made  available  for sale under the Plan  shall be 300,000  shares,
          subject to adjustment upon changes in capitalization of the Company as
          provided in Section 19 hereof. If on a

<PAGE>

          given  Exercise  Date,  the  number of shares  with  respect  to which
          options are to be exercised exceeds to number of shares then available
          under the Plan,  the Company  shall make a pro rata  allocation of the
          shares  remaining  available  for  purchase  in as uniform a manner as
          shall be practicable and as it shall determine to be equitable.

     (b)  The  participant  shall  have no  interest  or voting  right in shares
          covered by his option until such option has been exercised.

     (c)  Shares  to be  delivered  to a  participant  under  the Plan  shall be
          registered  in the  name  of the  participant  or in the  name  of the
          participant and his or her spouse.

14. Dividends.  Any dividends  declared by the Company in  connection  with this
    Plan will be  reinvested in the  participant's  account and shall be used to
    purchase shares.

15. Administration.  The Plan shall be  administered by the Board or a committee
    of members of the Board  appointed by the Board.  The Board or its committee
    shall have full and exclusive discretionary authority to construe, interpret
    and apply the terms of the Plan, to determine  eligibility and to adjudicate
    all  disputed  claims  filed under the Plan.  Every  finding,  decision  and
    determination  made by the Board or its committee  shall, to the full extent
    permitted by law, be final and binding upon all parties.

16. Designation of Beneficiary.

       (a) A participant may file a written  designation of a beneficiary who is
           to  receive  any  shares  and cash,  if any,  from the  participant's
           account  under  the  Plan in the  event of such  participant's  death
           subsequent  to an Exercise  Date on which the option is exercised but
           prior to delivery  to such  participant  of such shares and cash.  In
           addition,   a  participant  may  file  a  written  designation  of  a
           beneficiary who is to receive any cash from the participants  account
           under  the Plan in the  event of such  participant's  death  prior to
           exercise  of  the  option.  If  a  participant  is  married  and  the
           designated  beneficiary is not the spouse,  spousal  consent shall be
           required for such designation to be effective.

       (b) Such  designation of beneficiary may be changed by the participant at
           any  time  by  written  notice.  In  the  event  of  the  death  of a
           participant  and in the absence of a beneficiary  validly  designated
           under the Plan who is living at the time of such participant's death,
           the Company shall delivery such shares and/or cash to the executor or
           administrator  of  the  estate  of  the  participant,  or if no  such
           executor or administrator has been appointed (to the knowledge of the
           Company),  the Company,  in its discretion,  may delivery such shares
           and/or  cash  to the  spouse  or to any  one or  more  dependents  or
           relatives of the participant,  or if no spouse, dependent or relative
           is known to the Company,  then to such other person as the Company my
           designate.

17. Transferability.  Neither  payroll  deductions  credited to a  participant's
    account  nor any  rights  with  regard  to the  exercise  of an option or to
    receive  shares  under the Plan may be  assigned,  transferred,  pledged  or
    otherwise  disposed of in any way (other  than by will,  the 


<PAGE>


   laws of descent and  distribution or as provided in Section 15 hereof) by the
   participant.  Any such  attempt  at  assignment,  transfer,  pledge  or other
   disposition  shall be without effect,  except that the Company may treat such
   act as an election to withdraw  funds from an Offering  Period in  accordance
   with Section 10 hereof.

18. Use of Funds.  All payroll  deductions  and any  interest  earned on payroll
    deductions  that are  received or held by the Company  under the Plan may be
    used by the Company for any corporate purpose,  and the Company shall not be
    obligated to segregate such payroll deductions.

19. Reports. Individual accounts shall be maintained for each participant in the
    Plan.  Statements  of account shall be given to  participating  Employees at
    least  annually,  which  statements  shall set forth the  amounts of payroll
    deductions, the Purchase Price and the number of shares purchased.

20. Adjustments.  Upon  Changes  in  Capitalization,  Dissolution,  Liquidation,
    Merger or Asset Sale.

       (a) Changes  in  Capitalization.  Subject to any  required  action by the
           stockholders  of the Company,  the  Reserves,  the maximum  number of
           shares each  participant may purchase pr Offering Period (pursuant to
           Section  7), as well as the price per share and the  number of shares
           of Common  Stock  covered by each option under the Plan which has not
           yet been exercised shall be proportionately adjusted for any increase
           or decrease in the number of issued shares of Common Stock  resulting
           from  a  stock  split,   reverse  stock   dividend,   combination  or
           reclassification  of the  Common  Stock,  or any  other  increase  or
           decrease  in the number of shares of Common  Stock  effected  without
           receipt of  consideration  by the Company:  provided,  however,  that
           conversion of any convertible  securities of the Company shall not be
           deemed to have been "effected without receipt of consideration". Such
           adjustment  shall be made by the Board,  whose  determination in that
           respect shall be final,  binding and conclusive.  Except as expressly
           provided herein, no issuance by the Company of shares of stock of any
           class, or securities  convertible  into shares of stock of any class,
           shall affect,  and no adjustment by reason thereof shall be made with
           respect to, the number or price of shares of Common Stock  subject to
           an option.

       (b) Dissolution or Liquidation.  In the event of the proposed dissolution
           or liquidation of the Company,  the Offering  Period then in progress
           shall be shortened by setting a new Exercise  Date (the "New Exercise
           Date"), and shall terminate  immediately prior to the consummation of
           such proposed  dissolution or liquidation,  unless provided otherwise
           by the Board.  The New Exercise  Date shall be before the date of the
           company's proposed dissolution or liquidation. The Board shall notify
           each participant in writing, at least ten (10) business days prior to
           the New Exercise Date,  that the Exercise Date for the  participant's
           option  has  been  changed  to the New  Exercise  Date  and  that the
           participant's  option  shall be  exercised  automatically  on the New
           Exercise  Date, 


<PAGE>


           unless  prior to such date the  participant  has  withdrawn  from the
           Offering Period as provided in Section 10 hereof.

 
       (c) Merger  or Asset  Sale.  In the  event of a  proposed  sale of all or
           substantially all of the assets of the Company,  or the merger of the
           Company with or into another  corporation,  each  outstanding  option
           shall be assumed or an equivalent option substituted by the successor
           corporation  or a Parent or Subsidiary of the successor  corporation.
           In the event  that the  successor  corporation  refuses  to assume or
           substitute  for the option,  any  Purchase  Periods  then in progress
           shall be shortened by setting a new Exercise  Date (the "New Exercise
           Date") and any Offering Periods then in progress shall end on the New
           Exercise  Date. The New Exercise Date shall be before the date of the
           Company's  proposed  sale or  merger.  The Board  shall  notify  each
           participant in writing,  at least ten (10) business days prior to the
           New  Exercise  Date,  that the  Exercise  Date for the  participant's
           option  has  been  changed  to the New  Exercise  Date  and  that the
           participant's  option  shall be  exercised  automatically  on the New
           Exercise  Date,  unless  prior  to  such  date  the  participant  has
           withdrawn from the Offering Period as provided in Section 10 hereof.

21. Amendment or Termination.

       (a) The Board of  Directors  of the  Company  may at any time and for any
           reason terminate or amend the Plan.  Except as provided in Section 19
           hereof,  no such termination can affect options  previously  granted,
           provided  that an Offering  Period may be  terminated by the Board of
           Directors  on any  Exercise  Date if the  Board  determines  that the
           termination  of the Plan is in the best  interest  of the Company and
           its  shareholders.  Except as  provided  in  Section  19  hereof,  no
           amendment  may make any  changes  in any option  theretofore  granted
           which adversely affects the rights of any participant.  To the extent
           necessary  to comply with  Section 423 of the Code (or any  successor
           rule or provision or any other  applicable  law,  regulation or stock
           exchange rule, the Company shall obtain shareholder  approval in such
           a manner and to such a degree as required.

       (b) Without  shareholder  consent  and  without  regard  to  whether  any
           participant   rights  may  be  considered  to  have  been  "adversely
           affected," the Board (or its  committee)  shall be entitled to change
           the Offering Periods, limit the frequency and/or number of changes in
           the amount withheld during an Offering Period, establish the exchange
           ratio  applicable to amounts  withheld in a currency  other than U.S.
           dollars,   permit  payroll   withholding  in  excess  of  the  amount
           designated by a participant in order to adjust for delays or mistakes
           in  the  Company's  processing  of  properly  completed   withholding
           elections, establish reasonable waiting and adjustment periods and/or
           accounting  and crediting  procedures to ensure that amounts  applied
           toward the  purchase of Common  Stock for each  participant  properly
           correspond with amounts withheld from the participant's Compensation,
           and 


<PAGE>



           establish  such other  limitations or procedures as the Board (or its
           committee)  determines  in its sole  discretion  advisable  which are
           consistent with the Plan.

22. Notices. All notices or other communications by a participant to the Company
    under or in connection with the Plan shall be deemed to have been duly given
    when received in the form  specified by the Company at the  location,  or by
    the person, designated by the Company for the receipt thereof.

23. Conditions Upon Issuance of Shares.  Shares shall not be issued with respect
    to an option  unless  the  exercise  of such  option  and the  issuance  and
    delivery of such shares  pursuant  thereto shall comply with all  applicable
    provisions of law, domestic and foreign,  including without limitation,  the
    Securities Act or 1933, as amended,  the Securities Exchange Act of 1934, as
    amended,  the  rules  and  regulations  promulgated   thereunder,   and  the
    requirements of any stock exchange upon which the shares may then be listed,
    and shall be further subject to the approval of counsel for the Company with
    respect to such compliance.

    As a condition  to the  exercise  of an option,  the Company may require the
    period  exercising  such option to represent  and warrant at the time of any
    such exercise that the shares are being  purchased  only for  investment and
    without any present  intention to sell or distribute  such shares if, in the
    opinion of counsel for the Company, such a representation is required by any
    of the aforementioned applicable provisions of law.

24. Term of Plan.  The Plan shall become  effective upon the earlier to occur of
    its adoption by the Board of  Directors or its approval by the  stockholders
    of the  Company.  It shall  continue  in effect for a term of ten (10) years
    unless sooner terminated under Section 20 hereof.

<PAGE>
                                                                       EXHIBIT A

MEDE AMERICA
EMPLOYEE STOCK PURCHASE PLAN
ENROLLMENT/CHANGE FORM

EMPLOYEE NAME: ------------------------------------------

                      (Please Print)

SOCIAL SECURITY: ----------------  LOCATION: ---------------------

- --------------------------------------------------------------------------------
COMPLETE REASONS(S) FOR ENROLLMENT/CHANGE:

- ----------  New Enrollment

- ----------  Stop Deductions (This will terminate your  participation in the Plan
            for this Offering Period and the next Offering Period. Your existing
            balance  will  be  refunded  to  you  as  soon  as  administratively
            possible.)

- ----------  Change:  Contribution Rate ----------  Beneficiary ----------

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

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

PAYROLL DEDUCTION AUTHORIZATION

I authorized  deductions from each payroll check of the following  percentage of
my total compensation.

  Contribution Rate: ----------------  (1-10%, whole increments)

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

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

BENEFICIARY

- -------------------------------  ------------------  ------------------
Name                              Social Security #     Relationship

- --------------------------------------------------------------------------------
     Address

- ----------------------------------------------------
Signature of Spouse (If beneficiary other than spouse)

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

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

By signing  below,  I represent  that I have received and reviewed the Company's
Prospectus  issued in connection with my  participation in the MEDE America 1998
Employee Stock Purchase Plan. I further represent that I have carefully reviewed
and understand the terms of the Plan and such other matters as I found necessary
to understand the mechanics and risks of participation in the Plan.

- ------------------------------------------      ------------
     Employee Signature                              Date

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


- --------------------------------------------------------------------------------
(For Corporate Benefits Department Use Only)

Approved By: ----------------------------------------------

Date: ----------------       Deposit Processing Code

- --------------------------------------------------------------------------------
               Fax form to confidential fax number: 330-963-3713




                                                                   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. 2 to Registration Statement No. 333-55977
of MEDE  America  Corporation  on Form S-1 of our report dated May 8, 1998 (July
17, 1998 as to Note 13) relating to the  consolidated  financial  statements  of
MEDE America Corporation as of June 30, 1996 and 1997 and March 31, 1998 and for
each of the three  years in the period  ended June 30,  1997 and the nine months
ended  March  31,  1998  appearing  in the  Prospectus,  which is a part of this
Registration  Statement,  and to the reference to us under the heading "Experts"
in such Prospectus. 
    

Our audits of the consolidated  financial statements of MEDE America Corporation
referred to in our aforementioned  report also included the financial  statement
schedule  of MEDE  America  Corporation  listed in Part II at Item  16(b).  This
financial statement schedule is the responsibility of the Company's  management.
Our  responsibility is to express an opinion based on our audits. In our opinion
such  financial  statement  schedule,  when  considered in relation to the basic
financial  statements  taken  as a  whole,  presents  fairly,  in  all  material
respects, the information set forth therein.

Jericho, New York

   
July 22, 1998
    


                                                                   EXHIBIT 23.2

                         INDEPENDENT AUDITORS' CONSENT

MEDE America Corporation
East Meadow, New York

   
We  consent  to  the  use  in  Amendment  No.  2  to  Registration Statement No.
333-55977  of  MEDE  America Corporation on Form S-1 of our report dated October
7,  1997 relating to the statement of income of The Stockton Group, Inc. for the
year  ended  June 30, 1997, appearing in the Prospectus, which is a part of this
Registration  Statement,  and to the reference to us under the heading "Experts"
in such Prospectus.
    

DELOITTE & TOUCHE LLP
Charlotte, North Carolina
   
July 22, 1998
    



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