MEDCOM USA INC
S-3/A, 2000-08-11
TELEPHONE COMMUNICATIONS (NO RADIOTELEPHONE)
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As filed with the Securities and Exchange Commission on August 11, 2000.

                                                    Registration No. 333-71179

                       SECURITIES AND EXCHANGE COMMISSION
                             Washington, D.C. 20549

                                    FORM S-3
                                 Amendment No. 5
                             Registration Statement
                                      Under
                           THE SECURITIES ACT OF 1933

                            Medcom USA, Incorporated
                     ---------- --------------------------
               (Exact name of registrant as specified in charter)

                                    Delaware
                            ------------ ----------
                 (State or other jurisdiction of incorporation)

                                           18001 Cowan, Suite C & D
                                              Irvine, CA  92614
    65-0287558                                 (949) 261-6665
 (IRS Employer I.D.                 (Address, including zip code, and telephone
        Number)                         number of principal executive offices)

                                  Mark Bennett
                            18001 Cowan, Suite C & D
                                Irvine, CA 92614
                                 (949) 261-6665
                   ------------------------ ----------------
          (Name and address, including zip code, and telephone number,
                   including area code, of agent for service)

         Copies of all communications, including all communications sent
                  to the agent for service, should be sent to:

                              William T. Hart, Esq.
                                  Hart & Trinen
                             1624 Washington Street
                             Denver, Colorado 80203
                                 (303) 839-0061

        APPROXIMATE DATE OF COMMENCEMENT OF PROPOSED SALE TO THE PUBLIC:
                 As soon as practicable after the effective date
                         of this Registration Statement

If the only securities  being registered on this Form are being offered pursuant
to dividend or interest reinvestment plans, please check the following box. [ ]



<PAGE>


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, other than securities offered only in connection with dividend or interest
reinvestment plans, check the following box. [X]

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

                         CALCULATION OF REGISTRATION FEE
--------------------------------------------------------------------------------


Title of each                          Proposed     Proposed
  Class of                              Maximum     Maximum
Securities               Securities    Offering    Aggregate      Amount of
  to be                    to be       Price Per    Offering    Registration
Registered               Registered     Unit (1)     Price         Fee (4)
           -----------

Common Stock (2)        12,643,901        $0.62 $   7,839,219       $2,066
Common Stock (3)         4,079,558        $0.62     2,529,326      $   664
                                                  -----------      -------

Total                                             $10,368,545       $2,730
                                                  ===========       ======

(1) Offering price computed in accordance with Rule 457(c).
(2) Shares of common stock owned by existing shareholders
(3) Shares of common stock issuable upon the exercise of warrants.  These shares
    of  common  stock may be  resold  by means of this  registration  statement.
    Includes  additional  shares  which  may be  issued  due to  adjustments  to
    warrants.
(4)  Fees  of  $3,103  have   previously  been  paid  in  connection  with  this
Registration Statement.

      Pursuant  to  Rule  416,  this   Registration   Statement   includes  such
indeterminate  number of  additional  securities as may be required for issuance
upon the conversion of the Preferred  Stock or upon the exercise of the warrants
as a result of any adjustment in the number of securities  issuable by reason of
the anti-dilution provisions of the Preferred Stock or the warrants.

      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 l933 or until the  Registration  Statement  shall become
effective on such date as the Commission,  acting pursuant to said Section 8(a),
may determine.


<PAGE>


                     SELLING SHAREHOLDER OFFERING PROSPECTUS

                            MEDCOM USA, INCORPORATED.

                        16,723,459 Shares of Common Stock

    This  prospectus  relates to the sale of common stock by certain persons who
either own or have the right to acquire shares of Medcom's  common stock.  These
persons  are   sometimes   referred  to  in  this   prospectus  as  the  selling
shareholders. See the section of this prospectus entitled "selling shareholders"
for more  information  concerning  the  selling  shareholders.  Medcom  will not
receive any proceeds from the sale of the shares by the selling shareholders.

      Neither the  Securities and Exchange  Commission nor any state  securities
commission  has  approved  or  disapproved  of the  securities  offered  by this
prospectus  or passed upon the  accuracy or  adequacy  of this  prospectus.  Any
representation to the contrary is a criminal offense.

      The securities  offered by this  prospectus are  speculative and involve a
high degree of risk. For a description of certain  important factors that should
be considered by prospective  investors,  see "Risk  Factors"  beginning on page
seven of this prospectus.

      The former name of Medcom was Sims  Communications,  Inc. In October  1999
the  shareholders  of Sims approved the change in the  corporate  name to Medcom
USA, Incorporated.

      On August 7, 2000 the closing price of Medcom's common stock on the NASDAQ
SmallCap Market was $1.84 per share. Medcom's NASDAQ symbol is EMED.

                 The date of this prospectus is August __, 2000




<PAGE>


                               PROSPECTUS SUMMARY

      Medcom USA,  Incorporated  was  incorporated in August 1991 under the name
Sims  Communications,  Inc.  The  corporate  name was  changed  to  Medcom  USA,
Incorporated in October 1999.

      Medcom's executive offices are located at 18001 Cowan, Suite C & D, Irvine
California 92614. Medcom's telephone number is (949) 261-6665.

      Medcom's initial business was the rental of cellular  telephones through a
stand-alone dispensing station known as an Automated Communications Distribution
Center.  Prior to 1996 Medcom  operated  ACDC units for its own account and also
sold franchises  which provided third parties the right to operate ACDC units at
various franchised locations.  At October 31, 1999, Medcom was not operating any
ACDC  units and  Medcom's  only  remaining  franchisee  had four  ACDC  units in
operation.

      In December 1996 Medcom acquired all the issued and outstanding  shares of
Link  International,  Inc., a corporation  which  manufactures  and  distributes
machines which dispense  prepaid  calling cards and terminals  which are used by
merchants to perform a variety of transactions, including accepting credit cards
and bank debit cards in payment for sales of merchandise  and services.  In June
1999  Medcom  sold  substantially  all of the  assets  associated  with Link and
recorded a gain on the sale of approximately $2,000.

      In May 1998 Medcom  acquired One Medical  Services,  Inc.,  a  corporation
which provides a financial  processing and  communications  network for the home
medical equipment  industry.  In July 1999 Medcom licensed its rights to the One
Medical Service  Network to an unrelated  third party for  $1,377,000,  of which
$567,000  has been paid and the  remainder of which  ($810,000)  will be paid in
accordance with the terms of an unsecured promissory note which is payable prior
to July 2006.

      In  January  2000  the  holders  of  Medcom's  Series C  preferred  shares
converted the preferred  shares into 3,490,000  shares of Medcom's common stock.
In payment of accrued  dividends  and  penalties  Medcom  made cash  payments of
$160,567  and issued  60,000  shares of its common  stock to the  holders of the
Series C preferred  shares.  For  assisting in arranging  the  conversion of the
preferred  shares,  MedCom  issued  175,000  shares  of  common  stock  to Morse
Financial  Consulting,  Inc.  The  effective  conversion  price of the  Series C
Preferred shares was $0.50 per share. The closing price of Medcom's common stock
was $0.91 per share on December 27,  1999,  the date the  agreement  was made to
convert the Series C preferred shares.

      As of the date of this prospectus  substantially  all of Medcom's revenues
were generated by its Justmed.com, Movie Vision and DCB divisions.

JustMed.com

      The JustMed.com division involves three components:

o     The Medcard health insurance verification and billing system
o     The JustMed.com website

<PAGE>

o     The Med Store

MedCard System

      In  November  1998  Medcom  acquired an  exclusive  world wide  license to
software  programs  and  related  technology  known as the MedCard  system.  The
MedCard system is an electronic  processing system which consolidates  insurance
eligibility  verification  and processes  medical claims and approvals of credit
card and debit  card  payments  in under 30  seconds  through  a  single,  small
terminal.  Using the MedCard system, health care providers are relieved from the
problems  associated  with  eligibility  confirmation  and billings,  healthcare
providers'  reimbursements are accelerated and account  receivables are reduced.
The time it takes to collect  payments from insurance  providers  decreases from
months  to  days.  Medcom  obtains  revenues  from  the  sale of its  processing
terminals  and from  fees  received  from  every  transaction  processed  by the
terminals.

      As of June 30,  2000 the  MedCard  system  was  able to  retrieve  on-line
eligibility and authorization  information from 125 medical insurance  companies
and plans and  electronically  process and submit  billings  for its  healthcare
providers to over 1650  companies.  These  insurance  providers  include  CIGNA,
Prudential,  Oxford  Health Plan,  United Health  Plans,  Blue Cross,  Medicaid,
Aetna, Blue Cross/Blue Shield and Metrahealth.

      The  license  was  acquired  from  Dream  Technologies,  LLC  and  MedCard
Management  Systems,  Inc. in consideration for $450,000 in cash, 100,000 shares
of Medcom's common stock and an option,  which was  subsequently  exercised,  to
purchase an additional 350,000 shares of common stock at a price of $1.28 at any
time prior to November 10, 2001.

      Medcom  also  agreed to pay Dream a royalty,  not to exceed  $250,000  per
month,  equal to 25% of the net  revenues  derived  by Medcom  from the  MedCard
system.  Once royalties in any month reach $250,000,  Medcom is obligated to pay
Dream 10% of the net  revenues  derived  from the  MedCard  system  during  that
particular  month. The term net revenues means the gross revenues  received from
the use of the MedCard Systems less:

o     Terminal lease costs of up to $50 per month,:

o     Commissions payable to agents which place terminals with end users; and

o       Network costs which include (i) claim fees payable to data vendors, (ii)
        charges  for  verification  of  insurance  coverage  and  (iii)  similar
        telecommunications charges related to obtaining claims processing and/or
        benefits verification information.

      In May 2000 the license  agreement with Dream was amended such that Medcom
acquired  all rights to the MedCard  system  including  all  software  programs,
intellectual  property,  trade  names  and  existing  contracts.  The  amendment
effectively  terminated the original License Agreement,  except that the royalty
provisions  of the  original  license  agreement  will  remain in  effect  until
November 2013. In  consideration  for this  amendment,  Dream  received  100,000
shares of the Medcom's restricted common stock and a warrant to purchase 400,000
shares of the Medcom's  common stock at $3.57 per share at any time prior to May
11, 2003.


<PAGE>

Website

      The JustMed.com  website is an internet website which began functioning on
July 1, 1999. The website advertises  healthcare products and services which are
available to the general public and provides medical  information to the general
public.  Persons in need of  healthcare  products  and  services  can access the
website and order products or transfer to the more detailed websites  maintained
by the  companies  which provide the products and  services.  Medcom  expects to
generate revenues from this website by charging providers of healthcare products
and services fees for advertising on the website.  Medcom will also receive fees
when a person  transfers from Medcom's  website to the websites  maintained by a
provider of healthcare products or services.  Medcom expects that advertisers on
its website will include  distributors  of  healthcare  equipment  and products,
hospitals, physician practice groups, and clinics.

Med Store

      The Med Store is a feature of Medcom's  website which allows  consumers to
use their  computers to purchase a variety of healthcare  products and services.
Items  available for purchase  include canes,  crutches,  walkers,  bath chairs,
blood pressure units, cold therapies, exercise equipment and hot and cold packs.

Movie Vision

      In January  1998  Medcom  acquired a business  known as Movie  Vision from
Moviebar USA,  Incorporated and Vectorvision,  Incorporated.  Movie Vision rents
video  cassettes,   primarily  containing  motion  pictures,  through  automated
dispensing units in hotels. Movie Vision currently has video cassette dispensing
machines in approximately 110 hotels in the United States.

DCB Actuaries & Consultants

      In April  2000,  Medcom  acquired  100% of the  stock of DCB  Actuaries  &
Consultants SRO (DCB), a Czech Republic based company and certain technology and
intellectual  property from DSM, LLC, a Florida limited liability  company.  DCB
develops and markets software  programs which are used in providing  information
to health care providers,  hospitals,  insurance  companies and insurance plans.
DCB is headquartered in Brno, Czech Republic.

      DCB's software systems have the following features:

o       Risk  Management - Actuarial  analysis and projected  monthly costs on a
        per member basis.  These  features are useful for  insurance  companies,
        managed care plans and hospitals.

o    Clinical Services - Electronic patient record system, patient care pathways
     and  on-line  medical  documents.  The care  pathways  provide  a  computer
     generated  standard  treatment program based upon the patient's  particular
     background  and  symptoms,  which can be compared  to the actual  treatment
     program being used. On-line documents include x-rays,  diagnostic  results,
     lab reports,  EKGs and physician notes.  This component allows a healthcare
     provider to review these documents on-line,  from the

<PAGE>

home or office.  More than one  physician in multiple  locations  can review the
records simultaneously, thereby improving the consultation process.

o       Administrative  and  Management  Functions - Quality  assurance,  claims
        analysis, plan performance and market/sales analysis. The system enables
        healthcare  providers  or managers to review their  performance  against
        international  standards  and budgets or the results of other  similarly
        sized or located organizations.  The reports can be tailored to meet the
        information needs of any user.

o       Patient  Services  -  Patients  will  also  benefit  from  DCB's  Health
        Information Gateway which will allow patients to monitor personal health
        profiles in addition to their own  medical  treatment  histories.  Early
        warning and reminder alerts will also be available on line.

      Medcom acquired DCB and the technology from DSM for $1,900,000 in cash and
2,850 shares of Medcom's  Series D Preferred  Stock.  In  connection  with these
acquisitions,   Medcom  incurred  costs  of  approximately   $140,000  and  paid
commissions  of  $100,000  in cash and 37,129  shares of its common  stock which
shares  were valued at  $150,000.  Medcom  also paid  $250,000  to the  existing
employees  of DCB.  The  purchase  price was the  result of an offer made by the
sellers, and a determination by Medcom that the value of the business and assets
being  acquired,  viewed in light of Medcom's  present and proposed  operations,
exceeded the offered price.

The Offering

      This prospectus relates to the sale of shares of Medcom's common stock:

o    issuable  upon the exercise of warrants and options  which were  previously
     issued by Medcom, and
o       held by certain  persons who either  purchased the shares from Medcom in
        private offerings,  received the shares for services provided to Medcom,
        or received the shares in settlement of amounts owed to these persons by
        Medcom.

         The holders of the warrants and  options,  to the extent they  exercise
the warrants or options,  and the owners of the shares of common stock described
above are referred to in this  prospectus  as the selling  shareholders.  If all
warrants and options held by the selling shareholders are exercised, Medcom will
receive  approximately   $4,768,000,   which  will  be  used  to  fund  Medcom's
operations.  Medcom will not receive any proceeds from the sale of the shares by
the selling shareholders.

      As of August 7, 2000, Medcom had 31,845,966  outstanding  shares of common
stock.  Assuming all warrants and options held by the selling  shareholders  are
exercised,   there  will  be  35,925,524  shares  of  common  stock  issued  and
outstanding.  The number of  outstanding  shares  before and after this offering
does not give  effect to shares  which may be issued  upon the  exercise  and/or
conversion  of other  options,  warrants or  convertible  securities  previously
issued by Medcom. See "Comparative Share Data".



<PAGE>


Statement of Operations Data:
----------------------------

                                                            Nine months ended
                                 Years Ended June 30,         March 31, 2000
                                1999              1998
                                ----              ----
Revenue:
Telecommunications            $142,672         $446,524
Financial Processing           625,801          147,533
Automated movie rentals        860,126          371,416
                               -------          -------
Total Revenues from Intelligent
    Vending Machines (1)     1,628,599          965,473            577,024
Medical transaction processing   583,777         15,478          1,634,773
                              ----------     ----------          ---------
Total Revenues               2,212,376          980,951          2,211,797
Cost of Services              (634,518)        (523,479)          (773,267)
Operating and other
    Expenses                (8,666,818)      (7,503,483)        (6,985,263)
Loss from Discontinued
    Operations                      --          (63,737)                --
                    ------------------    --------------------------------
Net Loss                   $(7,088,960)     $(7,109,748)       $(5,546,733)
                           ============     ============       ============

Balance Sheet Data:
------------------
                                                June 30,
                          ------------------------------------------------------
March 31,
                            1999                 1998             2000

Current Assets           $1,168,055             $787,998       $5,820,185
Total Assets              6,374,862            5,602,751       11,068,219
Current Liabilities       2,142,550            2,785,015          818,916
Total Liabilities         2,268,256            3,372,542        1,634,940
Working Capital (Deficit)  (974,495)          (1,997,017)       5,001,269
Shareholders' Equity      4,106,606            2,230,209        9,433,279

(1)  Subsequent   to  June   30,   1999,   Medcom   classified   revenues   from
     telecommunications,  financial  processing and automated movie rentals into
     one category  which is referred to as "Revenues  from  Intelligent  Vending
     Machines".

No common stock dividends have been declared by Medcom since its inception.

                                  RISK FACTORS

      Prospective  investors  should be aware that ownership of Medcom's  common
stock involves risks which could adversely affect the value of their holdings of
common stock.  Medcom does not make,  nor has it authorized  any other person to
make,  any  representations  about the future  market  value of Medcom's  common
stock.

      The securities  offered should be purchased only by persons who can afford
to lose their entire investment.  Prospective  investors should read this entire
prospectus and carefully  consider,  among others, the following risk factors in
addition  to the  other  information  in this  prospectus  prior  to  making  an
investment.

<PAGE>


There  can be no  assurance  that  Medcom  will be able to  generate  sufficient
revenues and become profitable.

      Medcom has incurred  losses since it was formed in 1991.  From the date of
its  formation   through  March  31,  2000,   Medcom   incurred  net  losses  of
approximately $(33,000,000).  During the nine months ended March 31, 2000 Medcom
had a loss of  $(5,600,000).  Medcom  expects to continue to incur  losses until
such time, if ever, as it earns net income. During the year ending June 30, 2000
Medcom was not able to pay all of its  liabilities as they became due.  MedCom's
independent  accountants  have  stated  in their  report to  MedCom's  financial
statements  for the year  ended  June 30,  1999 that due to  MedCom's  recurring
losses from  operations  there is  substantial  doubt as to MedCom's  ability to
continue in business.

Medcom Needs Additional Capital to Continue in Business.

      This  offering  is being made on behalf of certain  selling  shareholders.
Medcom will not receive any proceeds from the sale of the shares  offered by the
selling  shareholders.  If  Medcom  is  unable to  finance  the  acquisition  of
additional  equipment  needed for its  operations,  Medcom projects that it will
need  approximately  $1,000,000 in additional  funding before Medcom's  revenues
equals its expenses, although there is no assurance that Medcom's projections in
this regard will be accurate. There can be no assurance that Medcom will be able
to obtain additional  funding,  if needed, or if available on terms satisfactory
to Medcom, in which case Medcom may be unable to continue in business.

Options,  Warrants  and  Convertible  Securities  issued by Medcom may result in
substantial dilution to Medcom's Shareholders.

      Medcom has issued options, warrants and other convertible securities which
allow the  holders to acquire up to  15,039,905  additional  shares,  or 47%, of
Medcom's common stock. Medcom has agreed, at its expense, to register for public
sale  up to  4,079,558  shares  of  common  stock  underlying  these  derivative
securities.  The sale of these  shares over a short period of time may cause the
price of Medcom's common stock to decline. See "Comparative Share Data" for more
information concerning the derivative securities issued by Medcom.

Medcom's operations in foreign countries involves numerous risks.

      As a result of Medcom's acquisition of DCB Actuaries & Consultants Medcom,
through DCB, now operates in foreign locations.  As a result,  Medcom is subject
to certain  business  risks which  arise from  operating  in foreign  countries,
including  exposure to  periodically  volatile  foreign  economic,  monetary and
currency  conditions,  compliance  with foreign law and  regulations  as well as
issues  relating to the conduct of day-to-day  business in foreign  language and
foreign culture business environments.  Additional international  considerations
include  high  travel  costs  as well  as  time  and  distance  barriers  in the
management  and  development  of the  business.  There can be no assurance  that
Medcom will be able to operate successfully in foreign countries.



<PAGE>


Medcom's  need for capital may result in the  issuance of  additional  shares of
common stock which may result in substantial dilution to Medcom's shareholders.

      This  offering  is being made on behalf of certain  selling  shareholders.
Medcom will not receive any proceeds from the sale of the shares  offered by the
selling  shareholders.  Due to  Medcom's  history of losses,  it is likely  that
Medcom's  continued  operations will depend upon funds received from the sale of
Medcom's common or preferred stock. The issuance of these shares and their sale,
or potential  for resale,  in the public  market may cause the price of Medcom's
common stock to decline.  There can be no assurance  that Medcom will be able to
obtain additional  funding,  if needed, or if available on terms satisfactory to
Medcom.  During the twelve  months  ending  June 30, 2000  Medcom's  outstanding
shares increased from 16,727,500 shares to 31,820,966 shares.

      Prices for  Medcom's  Common  Stock have been highly  volatile and will be
influenced  by a number of factors,  including  the depth and  liquidity  of the
market  for  Medcom's  Common  Stock,   Medcom's  financial  results,   investor
perceptions of Medcom, and general economic and other conditions.

There is No Assurance  that Medcom's  Common Stock Will Continue to be Listed on
NASDAQ.

      Although Medcom's Common Stock is currently listed on the NASDAQ Small-Cap
Market,  the National  Association of Securities  Dealers,  Inc.  requires,  for
continued  inclusion on the NASDAQ Small-Cap  Market,  that Medcom must maintain
$2,000,000 in tangible net worth and that the bid price of Medcom's Common Stock
must be at least $1.00.

      If Medcom's  securities  were delisted from the NASDAQ  Small-Cap  Market,
Medcom's securities would trade in the unorganized interdealer  over-the-counter
market  through  the  OTC  Bulletin  Board  which  provides  significantly  less
liquidity than the NASDAQ Small-Cap  Market.  Securities which are not traded on
the NASDAQ  Small-Cap Market may be more difficult to sell and may be subject to
more price volatility than NASDAQ listed  securities.  There can be no assurance
that Medcom's securities will remain listed on the NASDAQ Small-Cap Market.

      If  Medcom's  Common  Stock  was  delisted  from  NASDAQ,  trades  in such
securities may then be subject to Rule 15g-9 under the  Securities  Exchange Act
of 1934,  which rule imposes  certain  requirements on  broker/dealers  who sell
securities  subject to the rule to persons other than established  customers and
accredited investors. For transactions covered by the rule, brokers/dealers must
make a special  suitability  determination  for purchasers of the securities and
receive the purchaser's written agreement to the transaction prior to sale. Rule
15g-9, if applicable to sales of Medcom's securities,  may affect the ability of
broker/dealers  to sell Medcom's  securities  and may also affect the ability of
investors in this offering to sell such  securities in the secondary  market and
otherwise affect the trading market in Medcom's securities.

      The   Securities   and  Exchange   Commission   has  rules  that  regulate
broker/dealer practices in connection with transactions in "penny stocks". Penny
stocks  generally are equity  securities  with a price of less than $5.00 (other
than securities registered on certain national securities exchanges or quoted on
the NASDAQ  system,  provided  that current  price and volume

<PAGE>

information  with respect to  transactions  in that  security is provided by the
exchange or system).  The penny stock rules require a broker/dealer,  prior to a
transaction in a penny stock not otherwise  exempt from the rules,  to deliver a
standardized  risk disclosure  document prepared by the Commission that provides
information  about  penny  stocks and the nature and level of risks in the penny
stock market.  The broker/dealer also must provide the customer with current bid
and offer quotations for the penny stock, the compensation of the  broker/dealer
and its salesperson in the transaction,  and monthly account  statements showing
the market value of each penny stock held in the customer's account. The bid and
offer   quotations,   and  the   broker/dealer   and  salesperson   compensation
information,  must be  given  to the  customer  orally  or in  writing  prior to
effecting the transaction and must be given to the customer in writing before or
with the customer's  confirmation.  These  disclosure  requirements may have the
effect of reducing the level of trading  activity in the secondary  market for a
stock that becomes subject to the penny stock rules.

    Although  Medcom's  common  stock has never  been  delisted  from the NASDAQ
SmallCap market,  and although as of June 30, 2000 Medcom met all conditions for
continued listing on the NASDAQ SmallCap market,  Medcom's common stock has been
the subject of several NASDAQ delisting proceedings during the past three years.

Medcom's recent changes in its business may not result in profits.

      During the summer of 1999 Medcom began  directing its efforts  towards its
JustMed.com  division.  The  JustMed.com  division  is in  the  early  stage  of
development and has a limited operating history.  The success of the JustMed.com
division will be dependent on convincing healthcare providers to use the Medcard
system for insurance  verification  and billing.  There is no assurance that the
JustMed.com  division  will gain  acceptance  from  healthcare  providers or the
general public or that the JustMed.com division will generate any profits.

      In April 2000 Medcom acquired DCB Actuaries & Consultants.  The success of
Medcom's DCB division will depend upon Medcom's  ability to sell DCB's  software
systems  to  hospitals  and  insurance  companies  and  plans.  There  can be no
assurance that Medcom's DCB division will be profitable.

There can be no assurance  that Medcom will be able to compete with the numerous
other companies which are engaged in Medcom's lines of business.

    There  are many  companies  that will  compete  with  Medcom at some  level.
Competing health insurance  processing  systems include Envoy,  Medical Manager,
Medic, Spot Check and Mediphis. Leading consumer healthcare websites include AOL
Health   Channel,   Thrive  Online,   drkoop.com,   Mayo  Clinic  Health  Oasis,
InteliHealth,  Mediconsult.com,  and OnHealth.  Medcom  anticipates that its DCB
division   will  compete  with   Eclipsys,   Healtheon/Web   MD,   Medisoft  and
McKesson/HBOC.  Many of these competitors are far better capitalized than Medcom
and control significant market share in their respective industry segments.

Medcom is  Dependent on the  Internet  and  Telecommunications  Carriers for its
Operations.

      Medcom's  website is dependent  upon the ability of the general  public to
use the internet.

<PAGE>


Medcom's   Medcard  system  and  certain  features  of  DCB's  systems  rely  on
telecommunications   carriers  to  transmit  data.  A  major  equipment  failure
affecting   the  systems  of  internet   service   providers   or  providers  of
telecommunications  services, or the inability of telecommunications carriers to
provide or expand  their  current  levels of  service  to  Medcom,  could have a
material adverse effect on Medcom's operations.

Medcom may face potential liability for information carried on its website.

    The legal  obligations  and potential  liability of companies  which provide
information by means of the internet are not well defined and are evolving.  Any
liability  of Medcom  resulting  from  information  carried  on or  disseminated
through  its  website  could have a  material  adverse  effect on its  business,
operating results and financial condition.

Medcom may be unable to protect its technology.

    Certain  technology used by Medcom is covered by U.S.  patents.  There is no
assurance  that any patents  issued or licensed to Medcom will protect  Medcom's
technology as disputes may arise  between  Medcom and others as to the scope and
validity  of these or other  patents.  Any  defense of the  patents  could prove
costly and time consuming and there can be no assurance that Medcom will be in a
position, or will deem it advisable, to carry on such a defense. With respect to
Medcom's unpatented  proprietary  technology,  there is no assurance that others
may not acquire or independently develop the same or similar technology.

                       DOCUMENTS INCORPORATED BY REFERENCE

      Medcom will provide, without charge, to each person to whom a copy of this
prospectus is delivered,  including any  beneficial  owner,  upon the written or
oral request of such person, a copy of any or all of the documents  incorporated
by reference herein (other than exhibits to such documents, unless such exhibits
are  specifically  incorporated  by reference  into this  prospectus).  Requests
should be directed to:

                            Medcom USA, Incorporated
                            18001 Cowan, Suite C & D
                                Irvine, CA 92614
                                 (949) 261-6665
                              (949) 261-0323 (fax)

     The following  documents filed with the Securities and Exchange  Commission
by Medcom  (Commission  File No.  0-25474) are hereby  incorporated by reference
into this Prospectus:

    (1) Annual Report on Form 10-KSB/A for the fiscal year ended June 30, 1999.

    (2)  Proxy  Statement  relating  to  October  14,  1999  Annual  Meeting  of
Shareholders.

    (3) Proxy  Statement  relating  to  October  14,  1999  Special  Meeting  of
Shareholders.

<PAGE>


    (4)  Quarterly reports on Form 10-QSB/A for the quarters ended September 30,
         1999, December 31, 1999, and March 31, 2000.

    (5)  Proxy   Statement   relating  to  June  27,  2000  Special  Meeting  of
Shareholders.

(6)      Description  of Medcom's  common stock as  contained in a  registration
         statement  on Form 8-A and filed under the  Securities  Exchange Act of
         1934.

      All documents filed with the Securities and Exchange  Commission by Medcom
pursuant to Sections 13(a), 13(c), 14 or 15(d) of the Securities Exchange Act of
1934  subsequent to the date of this  prospectus and prior to the termination of
this  offering  shall be  deemed  to be  incorporated  by  reference  into  this
prospectus  and to be a part of this  prospectus  from the date of the filing of
such documents.  Any statement contained in a document incorporated or deemed to
be  incorporated  by reference  shall be deemed to be modified or superseded for
the purposes of this prospectus to the extent that a statement contained in this
prospectus or in any  subsequently  filed document which also is or is deemed to
be  incorporated  by  reference  modifies or  supersedes  such  statement.  Such
statement so modified or superseded  shall not be deemed,  except as so modified
or superseded, to constitute a part of this prospectus.

                             ADDITIONAL INFORMATION

      Medcom has filed with the  Securities  and  Exchange  Commission,  450 5th
Street,  N.W.,  Washington,  D.C.  20001,  a  Registration  Statement  under the
Securities Act of l933, as amended,  with respect to the  securities  offered by
this  prospectus.  This  Prospectus  does not contain all of the information set
forth in the  Registration  Statement.  For further  information with respect to
Medcom and such securities,  reference is made to the Registration Statement and
to the exhibits filed with the registration  statement.  Statements contained in
this  Prospectus  as to the  contents  of any  contract or other  documents  are
summaries,  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  qualified in all respects by the actual terms of the document.
Medcom is subject to the requirements of the Securities Exchange Act of l934 and
is required to file reports,  proxy  statements and other  information  with the
Securities and Exchange  Commission.  Copies of the exhibits to the registration
statement,  as well  as  copies  of any  reports,  proxy  statements  and  other
information filed by Medcom, can be inspected and copied at the public reference
facility  maintained  by the  Commission at Room 1024,  450 Fifth Street,  N.W.,
Washington,  D.C. and at the Commission's  Regional offices in New York (7 World
Trade Center,  Suite 1300, New York,  New York 10048) and Chicago  (Northwestern
Atrium  Center,  500  West  Madison  Street,   Suite  1400,  Chicago,   Illinois
60661-2511).  Copies of such material can be obtained from the Public  Reference
Section of the Commission at its office in Washington,  D.C. 20549 at prescribed
rates.  Certain information  concerning Medcom is also available at the Internet
Web Site maintained by the Securities and Exchange Commission at www.sec.gov.

                             COMPARATIVE SHARE DATA

         As of August 7, 2000,  Medcom  had  31,845,966  shares of common  stock
issued and  outstanding.  Assuming  all warrants and options held by the selling
shareholders  are  exercised,  there will be  35,925,524  shares of common stock
issued and  outstanding.  The following table describes the origin of the shares
offered by this prospectus.

<PAGE>

                                           Number of Shares     Note Reference

Shares outstanding as of August 7, 2000     31,845,966

Shares offered by existing shareholders     12,643,901

Shares  issuable  upon  exercise of            113,333               A
warrants held by former  Series C
Preferred shareholders.

Shares which may be acquired by sales agent.    40,500               A

Shares issuable upon exercise of warrants
sold to private  investors and upon
exercise of warrants issued to sales agents
and financial consultants                    3,925,725               B

Shares which will be outstanding,
assuming exercise of all options and
warrants listed above                       35,925,524

Percentage of Medcom's  common stock
represented by shares offered by this
prospectus, assuming the exercise of
all options and warrants listed above              47%

Other Shares Which May Be Issued:
--------------------------------

      The following table lists additional shares of Medcom's common stock which
are not  offered  by this  prospectus  but may be  issued  as the  result of the
exercise of outstanding options,  warrants or the conversion of other securities
issued by Medcom:

                                            Number                 Note
                                           of Shares             Reference

Shares issuable upon the exercise
of warrants sold to  private
investors and upon exercise of
warrants issued to sales agents
and consultants                           1,963,347                  B

Shares issuable upon exercise of options  8,597,000                  C
previously granted by Medcom

Additional shares issuable in connection
with the acquisition of:
     One Medical Services, Inc.           1,485,000                  D
     MedCard System                         400,000

Shares issuable upon conversion of Series D
  Preferred Stock                           577,000                  E

A.  Between  November  1998 and January  1999,  Medcom sold 1,700  shares of its
series C preferred  stock (the  "Preferred  Stock") to a group of  institutional
investors for  $1,700,000.  In

<PAGE>


connection   with  this   offering,   Medcom   issued  to   Settondown   Capital
International,  Ltd.,  the sales agent for the  offering,  45 shares of series C
preferred stock. The Series C preferred shares were subsequently  converted into
3,490,000 shares of Medcom's common stock.

      In  connection  with the  issuance of the Series C Preferred  Stock Medcom
also:

(i)         Issued to the holders of the Series C Preferred Stock, on a pro rata
            basis,  warrants which  collectively allow for the purchase of up to
            113,333   shares  of  Medcom's   common  stock.   The  warrants  are
            exercisable  at a price of $1.00 per share at any time prior to July
            31, 2004.
(ii)        Issued to Settondown Capital  International,  Ltd., warrants for the
            purchase of 37,500 shares of Medcom's common stock and 14,769 shares
            of common stock.  The warrants for the purchase of the 37,500 shares
            of common stock are exercisable at a price ranging between $1.27 and
            $1.50 per share at any time prior to December 31, 2003.  Settondown,
            as the holder of 45 shares of the  Series C  preferred  stock,  also
            received  3,000  warrants  which have the same terms as the warrants
            referred to in (i) above.

B. In connection  with certain private  offerings,  Medcom sold shares of common
stock and warrants. The warrants sold in these private offerings are exercisable
at prices ranging between $0.44 and $2.17 per share and expire between  November
2002 and April 2004.  Medcom has also entered into a number of  agreements  with
various  financial  and  other  consultants.  Pursuant  to the  terms  of  these
agreements,  Medcom has issued to the consultants  shares of common stock,  plus
warrants to purchase additional shares of common stock. The warrants referred to
above are  exercisable at prices  ranging  between $0.59 and $5.00 per share and
expire between July 2001 and April 2004. Up to 3,925,725  shares of common stock
issuable  upon the exercise of warrants  held by certain  private  investors and
consultants  are being  offered to the public by means of this  prospectus.  See
"Selling Shareholders".

C.   Options are held by present and former officers, directors and employees of
     Medcom.  The options may be exercised at prices  ranging  between $0.52 and
     $8.00  per  share.   Approximately  75%  of  these  options  are  currently
     exercisable.

D.  Effective  May 30,  1998  Medcom  acquired  One  Medical  Services,  Inc. in
consideration   for  142,350  shares  of  common  stock  and  187,500   warrants
exercisable  at $2.00 per share at any time  prior to May 30,  2003.  The shares
issuable  upon the exercise of these  warrants  are being  offered for resale by
means of this  prospectus.  Medcom has also agreed to issue to the former owners
of One Medical up to 1,485,000  additional  shares of common stock  depending on
the future  operating  of One  Medical.  The number of shares to be issued  each
quarter will be  determined  by dividing the quarterly net income of One Medical
(for each fiscal quarterly beginning June 30, 1998 and ending June 30, 2001), by
the  average  closing  price of Medcom's  common  stock for the five day trading
period  prior to the end of each  quarter.  As of August 7, 2000  Medcom had not
issued any additional shares to the former owners of One Medical.

      In  November  1998  Medcom  acquired an  exclusive  world wide  license to
software programs and related technology know as the MedCard system. The license
was acquired from Dream Technologies,  LLC and MedCard Management Systems,  Inc.
in consideration for cash, shares of Medcom's common stock and an option,  which
was subsequently  exercised,  to


<PAGE>

purchase an additional 350,000 shares of common stock at a price of $1.28 at any
time prior to November 10, 2001.  In May 2000 the license  agreement was amended
such that  Medcom  acquired  all  rights to the  MedCard  system  including  all
software programs, intellectual property, trade names and existing contracts. In
consideration for this amendment,  Dream received 100,000 shares of the Medcom's
restricted common stock and a warrant to purchase 400,000 shares of the Medcom's
common stock at $3.57 per share at any time prior to May 11, 2003.

E. In April 2000,  Medcom issued 2,850 shares of its Series D Preferred Stock in
connection  with the  acquisition  of DCB  Actuaries &  Consultants  and related
technology.  Each Series D  Preferred  share is  convertible  at any time at the
option of the holder into 202.43 shares of Medcom's  common stock.  The Series D
Preferred  shares  will,  at Medcom's  option,  convert  into shares of Medcom's
common stock, in the manner  described above, at any time after April 15 2001 so
long as the bid price of Medcom's  common stock  exceeds $4.94 and the shares of
common stock issuable upon the  conversion of the Series D Preferred  shares are
either covered by an effective  registration  statement or are eligible for sale
pursuant to Rule 144 of the Securities and Exchange Commission.

      The shares  which are  referred to in Notes A and B (limited to  3,925,725
shares in the case of Note B), as well as  12,643,901  shares  owned by existing
shareholders, are being registered for public sale by means of this prospectus.

      A total of 2,957,000  shares  issuable  upon the exercise of options,  and
which are referred to in Note C, have been  registered  for public sale by means
of a  registration  statement on Form S-8 filed with the Securities and Exchange
Commission

                              SELLING SHAREHOLDERS

The Offering

      This prospectus relates to the sale of shares of Medcom's common stock:

o    issuable  upon the exercise of warrants and options  which were  previously
     issued by Medcom, and
o       held by certain  persons who either  purchased the shares from Medcom in
        private offerings,  received the shares for services provided to Medcom,
        or received the shares in settlement of amounts owed to these persons by
        Medcom.

         The holders of the warrants and  options,  to the extent they  exercise
the warrants or options,  and the owners of the common stock described above are
referred to in this prospectus as the selling shareholders. Medcom has agreed to
pay the  expenses  associated  with  registering  the  shares  to be sold by the
selling shareholders which, as of August 7, 2000, were approximately $55,000.

      Medcom has agreed with Augustine Fund, LP, Gilston  Corporation Ltd., HSBC
James Capel Canada, Inc.,  Manchester Asset Management Ltd.,  Settondown Capital
International Ltd., and Tonga Partners LP to file a registration  statement,  of
which this  prospectus  is a part,  to  register  for public  sale the shares of
common stock  issuable  upon the exercise of the warrants  held by these selling
shareholders.  Medcom also agreed to keep this  registration  statement

<PAGE>

current  until  two  years  after the date the  warrants  held by these  selling
shareholders are exercised.

      Medcom  agreed  with  American  Nortel  Communications,  Inc.  to  file  a
registration  statement,  of which this  prospectus is a part,  registering  for
public sale 1,111,111  shares of common stock sold to American Nortel in October
1999.  Medcom has issued 300,000 shares of common stock to American  Nortel as a
penalty  due to the fact  that  this  registration  statement  was not  declared
effective by February 15, 2000.  Medcom is not required to issue any  additional
shares to American Nortel with respect to the effective date of the registration
statement.

      Medcom agreed with Great Neck Partners to file a  registration  statement,
of which this prospectus is a part, registering for public sale shares of common
stock and common stock purchase  warrants sold to Great Neck Partners in January
1999. Medcom has issued 233,331 shares of common stock to Great Neck Partners as
a penalty  due to the fact that this  registration  statement  was not  declared
effective by June 1999. Medcom is not required to issue any additional shares to
Great Neck  Partners  with  respect to the  effective  date of the  registration
statement.

      Medcom has  agreed  with the other  selling  shareholders  to include  the
shares sold to the selling shareholders in this registration statement.

            The names of the selling shareholders are:

                                            Shares
                                            Which
                                            May be                      Share
                                            Acquired      Shares to    Owner-
                                            Upon Ex-        be Sold      ship
                                   Shares   ercise of        in this    After
      Name                        Owned     Warrants     Offering (1) Offering
----------------                --------    --------     ------------ --------

Alston, Patrick                   1,000                     1,000
American Nortel
    Communications            1,411,111     200,000     1,611,111
Aron, Don and Camberg, Roy                    6,250         6,250
Asian Restaurants                67,800                    67,800
Augustine Fund, LP                          152,000       152,000
Baker, Donald                    10,000                    10,000
Barghols, Kent                  140,000                   140,000
Baritex, Inc.                    20,000                    20,000
Baron, George                       350                       350
Benda, Russell P.                10,000       2,000        12,000
Berger, Gregg                     6,858                     6,858
Berger, Marvin                    7,000                     7,000
Bering Cape Ltd.                 29,133                    29,133
Bevingtion International
      Management S.A.            43,750                    43,750


<PAGE>


                                            Shares
                                            Which
                                            May be                      Share
                                            Acquired      Shares to    Owner-
                                            Upon Ex-        be Sold      ship
                                   Shares   ercise of        in this    After
      Name                       Owned     Warrants   Offering (1)   Offering
----------------               --------    --------   ------------   --------

Bhatia, Lalit                     4,500                     4,500
Bieler, Bruno                     1,500                     1,500
Big Apple Consulting                         50,000        50,000
Borst, George                     6,000                     6,000
Brook, Philip                    40,000                    40,000
Burlington Securities
Corporation                     250,000                   250,000
Caprio, James                   150,000                   150,000
Carlson, Brett                   20,000                    20,000
Chelverton Fund Limited         150,000      70,000       220,000
Cobb, Debi                        4,500                     4,500
Colby, Clark A.                  85,000      17,000       102,000
Colby, Clark A. Jr.              35,000       7,000        42,000
Colby, Thomas E.                 35,000       7,000        42,000
Colby-Jackson, Kimberly A.       25,000       5,000        30,000
Collins, Andrew                  40,000                    40,000
Continental Capital & Equity
     Corporation                            200,000       200,000
Corchia, Robert                  60,975      12,195        73,170
Corn, Dennis                      3,500                     3,500
Cowan, David                     15,000                    15,000
Crowder, Robert                  19,200                    19,200
Crowder, William                 19,200                    19,200
Cugliandro, Nicole                  600                       600
Denner, Keith                   633,278     126,656       759,934
Dennis, W. Sam                  378,000           75,600  453,600
Dieterich & Associates           23,140                    23,140
Dieterich, Chris                 20,856                    20,856
Dietrich, Zora                   57,900      40,000        97,900
Dream Technologies, Inc.        100,000                   100,000
Doctor, Lori                     24,000       4,800        28,800
Eickenberg, William              21,000                    21,000
Elliot, Scott                    40,000                    40,000
Euromarket Advisory Services     30,000                    30,000
Faelnar, Jeffrey                  4,500                     4,500
Falleo, BettyAnn                  1,500                     1,500
Fegen, Nicholas                 190,000   1,000,000     1,190,000
Fingleson, Rodney                            30,000        30,000
First Choice Money
     Resources, Inc.             20,000      20,000        40,000


<PAGE>

                                            Shares
                                            Which
                                            May be                      Share
                                            Acquired      Shares to    Owner-
                                            Upon Ex-        be Sold      ship
                                   Shares   ercise of        in this    After
      Name                        Owned     Warrants     Offering (1) Offering
----------------                --------    --------     ------------ --------

Fohson, Ltd.                                 30,000        30,000
Gales, Richard                    2,100                     2,100
Gales, Toni                       7,432                     7,432
Gallear, James                      600                       600
Gifts of Joy Incorporated       233,142     160,000       393,142
Gilston Corporation Ltd.                     16,667        16,667
Goatley, William M.              25,000       5,000        30,000
Gonzalez, Brenda                 15,000       3,000        18,000
Goslar, Chad                     10,000       2,000        12,000
Great Neck Partners             233,331     133,333       366,664
Hanson, Larry                    10,000                    10,000
Harbor Financial                             29,250        29,250
Hasan, Nabeel                    20,000       4,000        24,000
Healy, Margaret                     400                       400
Heartland Systems Company       533,333     106,667       640,000
Herbol, Robert - Instacall      147,255                   147,255
Hernandez, Maria                  2,000                     2,000
Hiniker, Ken                     50,000      10,000        60,000
HSBC James Capel Canada, Inc.                16,667        16,667
Hughes, Michael                   5,000      44,000        49,000
Iverson, Thor                    50,000      10,000        60,000
Johns, Brian                     10,000                    10,000
Johnson Capital Consulting, Inc.100,000                   100,000
Jones, John                     123,428                   123,428
Jones, Nancy                     45,714                    45,714
Kaplan, Errol                   113,571      22,714       136,285
Kaplan, Lynne                                20,000        20,000
Kinley, Craig                    10,000                    10,000
Kitay, Ruben                     11,428                    11,428
Knight Press                     30,000                    30,000
Kubba, Ammar                     65,284                    65,284
Kurfis, Diane                     4,000                     4,000
Ladd, Leon                       90,020                    90,020
Leiner, Melvin                               15,625        15,625
Levit, Jack                     800,834                   800,834
Levy, Lynne                       7,927       1,585         9,512
LHL Holdings                    172,268                   172,268
Lyon, E.B, III                   12,500                    12,500
Mahin, John                      15,000       3,000        18,000
Manchester Asset Management Ltd.             21,666        21,666

<PAGE>

                                            Shares
                                            Which
                                            May be                      Share
                                            Acquired      Shares to    Owner-
                                            Upon Ex-        be Sold      ship
                                   Shares   ercise of        in this    After
      Name                        Owned     Warrants     Offering (1) Offering
----------------                --------    --------     ------------ --------

Marenco, Luis                     6,500                     6,500
Market Search International Inc. 13,333                    13,333
Markham Holdings Limited         43,750                    43,750
Marks, Darren                                15,625        15,625
Massengill, Jessee                9,600                     9,600
McKay, Jeff                      25,000                    25,000
Meltzer, Sam                    122,856                   122,856
Messer, Jerry                    30,000       6,000        36,000
Michael Associates              222,222     104,444       326,666
Milam, Jeb L.                    10,000                    10,000
Morse Financial, Inc.           350,100                   350,100
Morse, Debra                     20,000      20,000        40,000
Movie Bar Company USA           147,000                   147,000
Muehlburger, Karl                            20,000        20,000
Niemerow, Celia                   4,000                     4,000
Niemerow, Richard                 5,000      95,625       100,625
Novembre, Lou                     3,000                     3,000
Nunez, Jeffrey                   51,991                    51,991
OAC Joint Venture, Inc.          45,714                    45,714
Olszewski, Tracey                12,000                    12,000
O'Neill, Claudia                  5,000                     5,000
Palmero, Vito                    10,000                    10,000
Phelps, Marsh                     6,500                     6,500
Piazza, Linda                     6,500                     6,500
Piazza, William                  80,000      16,000        96,000
Picou, Deborah                   70,000                    70,000
Pipia, Vincent                   10,368                    10,368
Pizzolo, Anthony                190,000                   190,000
Pizzolo, Ronald                 190,000                   190,000
Powell, Ann                       2,500                     2,500
Proskin, Arnold and Martha       25,000       5,000        30,000
Quenneville, Charles             50,000      10,000        60,000
Rabe, Brian and Felicity         36,000                    36,000
Raff, Rebecca                    50,000                    50,000
Renna, Thomas                     8,250                     8,250
Rhodes, John Travis              10,000                    10,000
Richmark Capital                110,000     250,000       360,000
Roark, Larry                    300,000      40,000       340,000
Rook, Lisa                      200,000                   200,000
Ross, Christopher                10,000                    10,000

<PAGE>

                                            Shares
                                            Which
                                            May be                     Share
                                            Acquired      Shares to    Owner-
                                            Upon Ex-        be Sold      ship
                                   Shares   ercise of        in this    After
      Name                        Owned     Warrants     Offering (1) Offering
----------------                --------    --------     ------------ --------

Rothstein, Richard              400,000      80,000       480,000
S.R.G. & Associates Ltd.         37,500                    37,500
Sabb, Maria                       3,500                     3,500
Sabb, Marlo                       2,500                     2,500
Sandler, Jack                   115,000      23,000       138,000
Santuro, Jessica                  9,142                     9,142
Scharf, Aron D.                  36,572                    36,572
Sciacca, Joseph                  12,000       2,400        14,400
Seganti, Edward                  25,800       5,160        30,960
Settondown Capital
International, Ltd.              14,769      40,500        55,269
Severance, Fayette               16,667                    16,667
Shaifer, Carl                    25,000       5,000        30,000
Simay, Lynn                      28,800                    28,800
Sink, James                      25,000                    25,000
SMP Financial Consultants       190,000      50,000       240,000
Sorg, Kevin                      10,000                    10,000
Spielman, Michael                 6,097       1,219         7,316
Stevens, Robert                   7,000                     7,000
Stilger, Kenneth                 25,000       5,000        30,000
Stone, David                      9,142                     9,142
Sullivan, Robert                 25,000                    25,000
Suppan, Robert                   22,500       4,500        27,000
The Rockies Fund, Inc.          400,000      80,000       480,000
Thomas, William E.              200,000      40,000       240,000
Tonga Partners, LP                           38,333        38,333
Trieu, Tho                        3,500                     3,500
Turkiewicz, Hal                   7,318       1,464         8,782
United Pharmaceutical
   Network, Inc.                             75,000        75,000
U.S. Automotive, Inc.           246,275     160,000       406,275
Vogel, Robert W.                  5,000       1,000         6,000
Wagner, James                   712,764                   712,764
Weitzberg, Bruce                  5,000                     5,000
Weldon, John P. III              10,000                    10,000
Wheet, Charles                   20,000      25,000        45,000
Woodard, Hall & Primm, PC                     6,250         6,250
Worthington, Matthew              4,000                     4,000
Yasmeh, Bruce                   121,951     166,265       288,216
Yazzo, John                      80,000                    80,000
Zapara Inc.                      45,714                    45,714
Zubay, Kenneth                   30,488       6,098        36,586
                           ------------------------ -------------

<PAGE>

   TOTAL                     12,643,901   4,079,558    16,723,459
                             ==========   =========    ==========

(1)  Assumes  all  shares  owned,  or  which  may be  acquired,  by the  selling
shareholders, are sold to the public by means of this prospectus.

    None of the selling  shareholders  will own more than 1% of Medcom's  common
stock  after  this  offering.   With  the  exception  of  Burlington  Securities
Corporation,  Continental  Capital & Equity  Corporation,  and Richmark  Capital
Corporation,   which  are  registered   broker-dealers,   none  of  the  selling
shareholders,  to the knowledge of Medcom,  are broker-dealers or are affiliated
with broker-dealers.

    The names of the natural  persons who exercise  control  over those  selling
shareholders which are corporations, partnerships, or similar entities are:

            American Nortel Communications, Inc.  Bill Williams
            Asian Restaurants                     Morris Salem
            Augustine Fund, LP                    Thomas Duszynski
            Baritex, Inc.                         Joseph Riccio
            Big Apple Consulting                  Warren White
            Burlington Securities Corporation     Vincent Molinari
            Chelverton Fund Limited               James P. Morton
            Continental Capital & Equity          John Manion
              Corporation
            Dieterich & Associates                Christopher Dieterich
            Dream Technologies, Inc.              Michael Fufidio
            Euromarket Advisory Services          Deborah Picou
            First Choice Money Resources, Inc.    Craig Morse
            Gifts of Joy Incorporated             Warin Nakashima
            Gilston Corporation Ltd.              Dawn Davies
            Great Neck Partners                   Marv Lyons
            Harbor Financial                      Patrick Riccio
            Heartland Systems Company             Harold Carpenter
            HSBC James Capel Canada, Inc.         Giora Lavie
            Johnson Capital Consulting, Inc.      Peter Johnson
            LHL Holdings, Ltd.                    Jack Levit
            Manchester Asset Management Ltd.      Dierdie M. McCoy
            Market Search International, Inc.     Russ Militello
            Michael Associates                    Albert Riccardi
            Morse Financial Consulting, Inc.      James Morse
            Movie Bar Company USA                 Jack Levit
            OAC Joint Venture, Inc.               Aron Scharf
            Richmark Capital                      Richard Monello
            S.R.G. & Associates, Ltd.             Scott Griffith
            Settondown Capital                    Anthony L.J. Inder Rieden
               International, Ltd.
            SMP Financial Consultants             James Caprio
            The Rockies Fund, Inc.                Stephen Calendrella
            Tonga Partners, LP                    Carlo Cannell
            United Pharmaceutical Network, Inc.   David Breslow
            U.S. Automotive, Inc.                 Zora Speert

<PAGE>

            Woodard, Hall & Primm, P.C.           Stephen Andrews
            Zapara, Inc.                          Michael Zapara

      The following selling shareholders have relationships with Medcom:

Name                              Nature of Relationship

Bhatia, Lalit                       Employee of Medcom

Borst, George                       Employee of Medcom

Cobb, Debi                          Employee of Medcom

Corn, Dennis                        Employee of Medcom

Cugliandro, Nicole                  Employee of Medcom

Eickenberg, William                 Employee of Medcom

Falleo, Betty Ann                   Employee of Medcom

Healy, Margaret                     Employee of Medcom

Hernandez, Maria                    Employee of Medcom

Hughes, Michael                     Employee of Medcom

Kurfis, Diane                       Employee of Medcom

Muehlburger, Karl                   Employee of Medcom

Olszewski, Tracey                   Employee of Medcom

Piazza, Linda                       Employee of Medcom

Pizzolo, Anthony                    President of Medcom's Medcard Division.

Pizzolo, Ronald                     Executive Vice President of Medcom's Medcard
                                    Division.

Powell, Ann                         Employee of Medcom

Stevens, Robert                     Employee of Medcom

Trieu, Tho                          Employee of Medcom

Weitzberg, Bruce                    Employee of Medcom

<PAGE>


Name                               Nature of Relationship

Worthington, Matthew                Employee of Medcom

Continental Capital &
  Equity Corporation                Consultant - Investor Relations

Richmark Capital Corporation        Sales Agent for Medcom's common stock

Baritex, Inc.                       Financial Consulting

Fegen, Nicholas                     Sales Agent for Medcom's common stock and
                                    Investor Relations Consultant

Barghols, Kent                      Sales Agent for Medcom's common stock and
                                    Investor Relations Consultant

Johnson Capital Consulting, Inc.    Consultant - Justmed.com division

Big Apple Consulting                Consultant - Investor Relations

Fingleson, Rodney                   Consultant - Justmed.com division

Fohson, Ltd.                        Consultant - International Markets

Caprio, James                       Consultant - International sale of ACDC
                                    Machines and former officer and director of
                                    Medcom

SMP Financial Consultants           Consultant - Mergers, Acquisitions and
                                    Investment Banking

Settondown Capital                  Sales Agent for Medcom's Series C Preferred
 International, Ltd.                Stock

Meltzer, Sam                        Consultant - Websites

SMP Financial Consultants           Consultant - Mergers, Acquisitions and
                                    Investment Banking

United Pharmaceutical Network, Inc. David Breslow, a director of Medcom, is the
                                    Executive Director of United Pharmaceutical
                                    Network, Inc.

      Manner  of Sale.  The  shares  of  common  stock  owned,  or which  may be
acquired,  by the selling  shareholders may be offered and sold by means of this
prospectus from time to time as market conditions permit in the over-the-counter
market,  or otherwise,  at prices and terms then prevailing or at prices related
to the then-current  market price, or in negotiated  transactions.  These shares
may be sold by one or more of the following methods, without limitation:  (a) by
a broker or dealer as agent for a selling shareholder; (b) purchases by a broker
or dealer as  principal  and  resale by such  broker or dealer  for its  account
pursuant  to  this   prospectus;   (c)


<PAGE>

ordinary  brokerage  transactions  and transactions in which the broker solicits
purchasers;  and (d)  face-to-face  transactions  between sellers and purchasers
without a broker/dealer.  In effecting sales,  brokers or dealers engaged by the
selling  shareholders  may arrange for other brokers or dealers to  participate.
Such  brokers or dealers may  receive  commissions  or  discounts  from  selling
shareholders in amounts to be negotiated.

      A  Selling   Shareholder   may  enter  into  hedging   transactions   with
broker-dealers  and the  broker-dealers  may engage in short  sales of  Medcom's
common  stock in the course of  hedging  the  positions  they  assume  with such
Selling  Shareholder,  including,  without  limitation,  in connection  with the
distribution  of  Medcom's  common  stock  by  such  broker-dealers.  A  Selling
Shareholder may also enter into option or other transactions with broker-dealers
that  involve the delivery of the common  stock to the  broker-dealers,  who may
then resell or otherwise  transfer such common stock. A Selling  Shareholder may
also loan or pledge the common stock to a  broker-dealer  and the  broker-dealer
may sell the  common  stock so  loaned  or upon  default  may sell or  otherwise
transfer the pledged common stock.

      Broker-dealers,  underwriters or agents  participating in the distribution
of  Medcom's  common  stock as agents may  receive  compensation  in the form of
commissions,  discounts  or  concessions  from the Selling  Shareholders  and/or
purchasers of the common stock for whom such broker-dealers may act as agent, or
to  whom  they  may  sell as  principal,  or both  (which  compensation  as to a
particular   broker-dealer   may  be  less  than  or  in  excess  of   customary
commissions).  Selling Shareholders and any broker-dealers who act in connection
with the sale of common  stock  hereunder  may be  deemed  to be  "Underwriters"
within the meaning of the Securities Act, and any  commissions  they receive may
be deemed to be underwriting discounts and commissions under the Securities Act.
Neither Medcom nor any Selling  Shareholder can presently estimate the amount of
such compensation.  Medcom knows of no existing arrangements between any selling
shareholder,  any  other  stockholder,  broker,  dealer,  underwriter  or  agent
relating to the sale or distribution of Medcom's common stock.

      Medcom has advised the selling  shareholders  that they and any securities
broker/dealers or others who may be deemed to be statutory  underwriters will be
subject to the  Prospectus  delivery  requirements  under the  Securities Act of
1933.  Medcom has also advised the Selling  Shareholders  that in the event of a
"distribution"  of the shares  owned by the Selling  Shareholder,  such  Selling
Shareholders, any "affiliated purchasers", and any broker/dealer or other person
who  participates  in such  distribution  may be  subject  to Rule 102 under the
Securities  Exchange Act of 1934 ("1934 Act") until their  participation in that
distribution  is  completed.  A  "distribution"  is  defined  in Rule  102 as an
offering of securities "that is distinguished from ordinary trading transactions
by the magnitude of the offering and the presence of special selling efforts and
selling methods". Medcom has also advised the Selling Shareholders that Rule 102
under the 1934 Act prohibits any "stabilizing bid" or "stabilizing purchase" for
the purpose of pegging,  fixing or stabilizing  the price of the Common Stock in
connection with this offering.  Rule 101 makes it unlawful for any person who is
participating  in a distribution  to bid for or purchase stock of the same class
as is the subject of the distribution.



<PAGE>


                            DESCRIPTION OF SECURITIES

Common Stock Medcom is  authorized to issue  80,000,000  shares of common stock.
Holders of common  Stock are each  entitled to cast one vote for each share held
of record on all matters  presented to  shareholders.  Cumulative  voting is not
allowed;  hence,  the holders of a majority of the outstanding  common stock can
elect all directors.

      Holders of common stock are  entitled to receive such  dividends as may be
declared by the Board of Directors out of funds legally available  therefor and,
in the event of liquidation,  to share pro rata in any  distribution of Medcom's
assets after  payment of  liabilities.  The board is not  obligated to declare a
dividend.  It is not anticipated  that dividends will be paid in the foreseeable
future.

      Holders of common  stock do not have  preemptive  rights to  subscribe  to
additional  shares if issued by  Medcom.  There are no  conversion,  redemption,
sinking fund or similar provisions regarding the common stock.

Preferred Stock

      Medcom is authorized to issue up to 1,000,000  shares of preferred  stock.
Medcom's  Articles of Incorporation  provide that the Board of Directors has the
authority to divide the preferred  stock into series and, within the limitations
provided  by  Delaware   statute,   to  fix  by  resolution  the  voting  power,
designations,  preferences, and relative participation,  special rights, and the
qualifications,  limitations  or  restrictions  of the  shares of any  series so
established.  As the Board of Directors has authority to establish the terms of,
and to issue, the preferred stock without  shareholder  approval,  the preferred
stock could be issued to defend against any attempted takeover of Medcom.

      In April 1995,  Medcom issued  25,250 shares of Series A preferred  stock.
Each Series A  preferred  share is  convertible  into 0.2 of a share of Medcom's
common stock. As of June 30, 2000, 21,000 shares of the Series A preferred stock
had been converted into shares of Medcom's common stock.

      In March  1996,  Medcom  issued  100,000  shares of its Series B preferred
stock.  Each Series B  preferred  share is  convertible  into 0.25 of a share of
Medcom's  common stock. As of July 31, 1999 all shares of the Series B preferred
stock had been converted into 25,000 shares of Medcom's common stock.

      Between  November  1998 and January  1999 Medcom sold 1,745  shares of its
Series C preferred stock. Medcom sold these shares because it needed capital and
no other source of capital was  available  at that time.  In January  2000,  the
Series C preferred shares were  subsequently  converted into 3,490,000 shares of
Medcom's common stock.

      In  April  2000  Medcom's  Board of  Directors  established  the  Series D
Preferred  Stock and  authorized  the  issuance of up to 2,900 shares as part of
this series.  Medcom issued 2,850 Series

<PAGE>

D  Preferred  shares in  connection  with the  acquisition  of DCB  Actuaries  &
Consultants and the technology from DSM LLC.

      Each Series D Preferred  share is convertible at any time at the option of
the holder into 202.43 shares of Medcom's  common stock.  The Series D Preferred
shares will, at Medcom's  option,  convert into shares of Medcom's common stock,
in the manner  described  above, at any time after April 15, 2001 so long as the
bid price of Medcom's  common stock exceeds $4.94 and the shares of common stock
issuable upon the conversion of the Series D Preferred shares are either covered
by an effective registration statement or are eligible for sale pursuant to Rule
144 of the Securities and Exchange Commission.

      The Series D Preferred  shareholders  are  entitled to receive  cumulative
annual  cash  dividends  of $40.00 per share  payable  each year on March 31. At
Medcom's  option  dividends may be paid in cash or in shares of Medcom's  common
stock.  For dividends paid in shares of common stock, the number of shares to be
issued will be  determined by dividing the dollar amount of the dividends by the
average  price of Medcom's  common  stock for the ten trading  days ending three
days prior to the dividend payment date.

      Each  Series D Preferred  share is entitled to 202.43  votes on any matter
submitted to Medcom's shareholders for their consideration and approval.

      In the event of any  liquidation,  dissolution or winding up (voluntary or
involuntary)  of  Medcom,  the  holders  of the  Series D  Preferred  shares are
entitled  to receive  out of  Medcom's  assets  available  for  distribution  to
shareholders,  and  before  any  distribution  of assets is made to  holders  of
Medcom's  common stock,  liquidating  distributions  in the amount of $1,000 per
share plus accumulated and unpaid dividends.

Transfer Agent

     Corporate Stock Transfer,  Inc., of Denver, Colorado, is the transfer agent
for Medcom's common stock.

                                     EXPERTS

      The financial  statements as of June 30, 1999 incorporated by reference in
this  prospectus  from Medcom's annual report on Form 10-KSB/A have been audited
by Ehrhardt Keefe Steiner & Hottman PC independent  auditors, as stated in their
report which is incorporated herein by reference,  and have been so incorporated
in reliance  upon the report of such firm given upon their  authority as experts
in accounting and auditing.

                                 INDEMNIFICATION

      Medcom's Bylaws authorize indemnification of a director, officer, employee
or agent of Medcom  against  expenses  incurred  by him in  connection  with any
action, suit, or proceeding to which he is named a party by reason of his having
acted or served in such capacity,  except for  liabilities  arising from his own
misconduct  or  negligence  in  performance  of his duty.  In  addition,  even a
director,  officer,  employee,  or agent of  Medcom  who was  found  liable  for
misconduct  or  negligence  in the  performance  of his  duty  may  obtain  such
indemnification  if, in

<PAGE>


view of all the  circumstances  in the case, a court of  competent  jurisdiction
determines  such person is fairly and  reasonably  entitled to  indemnification.
Insofar as indemnification  for liabilities  arising under the Securities Act of
1933 may be permitted to  directors,  officers,  or persons  controlling  Medcom
pursuant  to the  foregoing  provisions,  Medcom has been  informed  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.

      No  dealer,  salesman  or other  person  has been  authorized  to give any
information or to make any  representations,  other than those contained in this
prospectus.  Any information or representation  not contained in this prospectus
must not be relied upon as having been  authorized  by Medcom.  This  prospectus
does not constitute an offer to sell, or a solicitation  of an offer to buy, the
securities  offered hereby in any state or other  jurisdiction  to any person to
whom it is unlawful to make such offer or solicitation.



                                TABLE OF CONTENTS
                                                                  Page

Prospectus Summary................................
Risk Factors......................................
Documents Incorporated by Reference...............
Additional Information............................
Comparative Share Data............................
Selling Shareholders..............................
Description of Securities.........................
Experts...........................................
Indemnification...................................



                                  Common Stock

                            MEDCOM USA, INCORPORATED

                                   PROSPECTUS






<PAGE>


                                     PART II

                     Information Not Required in Prospectus


Item 14.  Other Expenses of Issuance and Distribution
          -------------------------------------------
    SEC Filing Fee                                            $   3,103
         Blue Sky Fees and Expenses                               2,000
         Printing and Engraving Expenses                          2,000
         Legal Fees and Expenses                                 40,000
         Accounting Fees and Expenses                             3,000
         Miscellaneous Expenses                                   4,897
                                                             ----------

             TOTAL                                             $ 55,000
                                                               ========

             All expenses other than the S.E.C. filing fees are estimated.

Item 15.  Indemnification of Officers and Directors.
          -----------------------------------------

         The Delaware  General  Corporation  Law and Medcom's Bylaws that Medcom
may  indemnify any and all of its  officers,  directors,  employees or agents or
former officers,  directors,  employees or agents, against expenses actually and
necessarily  incurred  by them,  in  connection  with the  defense  of any legal
proceeding or threatened  legal  proceeding,  except as to matters in which such
persons  shall be  determined  to not have  acted in good  faith and in the best
interest of Medcom.

Item 16.  Exhibits

         Exhibits                                           Page Number

1        Underwriting Agreement                                 N/A
                                                      ----------------------

3.1      Certificate of Incorporation,                           (1)
                                                      ------------------------
          as amended

3.1.1    Amendment to Articles of Incorporation                  (1)
                                                      ------------------------

3.2      Bylaws                                                  (l)
                                                      -------------------------

4.1      Incentive Stock Option Plan                             (5)
                                                      ---------------------

4.2      Non-Qualified Stock Option Plans                         (5)
                                                      ----------------------

4.3      Stock Bonus Plans                                        (5)
                                                      ----------------------

4.4      Designation of Series C Preferred Stock                 (4)
                                                      ----------------------

4.5      Certificate of Designation of the Powers,                (6)
                                                      ----------------------
         Preferences and Relative, Participating,
         Optional and Other Special Rights of

<PAGE>


         Preferred  Stock  and  Qualifications,
         Limitations  and  Restrictions thereof,
         relating to Series D Cumulative
         Convertible Preferred Stock.

5     Opinion of Counsel
                                                          -----------------

10    Series C Preferred Stock Purchase Agreement,
      Escrow Agreement, Registration Rights Agreement            (4)
      and Form of Warrant                                 ----------------


10.1     Agreement relating to acquisition of
         Medcard System                                   Previously filed

10.2     Agreement relating to sale of assets of Link
         International                                    Previously filed

10.3     Employment Agreement with Mark Bennett           Previously filed

10.4     Employment Agreement with Michael Malet          Previously filed

10.5  July 1999 Licensing Agreement relating                    (5)
                                                         ----------------
         to One Medical System.

10.6     Shareholder Agreement dated March 31,                  (6)
                                                         ----------------
         2000 between Medcom USA, Inc. and
         Vladimir Havlena.

10.7     Shareholder Agreement dated March 31,                  (6)
                                                         ----------------
         2000 between Medcom USA, Inc. and
         Vladimir Kanovsky.

10.8     Shareholder Agreement dated March 31,                  (6)
         2000 between Medcom USA, Inc. and Petr Hamza.   ----------------


10.9     Shareholder Agreement dated March 31, 2000             (6)
         between Medcom USA, Inc. and Martin Chvatal.    ----------------


10.10    Shareholder Agreement dated March 31, 2000             (6)
         between Medcom USA, Inc. and Pavel Juranek.     ----------------


10.11    Shareholder Agreement dated March 31, 2000             (6)
         between Medcom USA, Inc. and Karel Barak.       ----------------


10.12    Supplement to Shareholder Agreement, dated             (6)
         April 13, 2000, between Medcom USA, Inc. and
         Vladimir Kanovsky.                               ----------------



10.13    Supplement to Shareholder Agreement, dated             (6)
         April 13, 2000, between Medcom USA, Inc. and     ----------------
         Petr Hamza.


<PAGE>


10.14    Supplement to Shareholder Agreement, dated             (6)
         April 13, 2000, between Medcom USA, Inc. and     ----------------
         Martin Chvatal.

10.15    Supplement to Shareholder Agreement, dated             (6)
         April 13, 2000, between Medcom USA, Inc. and     ----------------
         Pavel Juranek.

10.16    Supplement to Shareholder Agreement, dated             (6)
         April 13, 2000, between Medcom USA, Inc. and     ----------------
         Karel Barak.

10.17    Share Purchase Agreement dated as of April 15,         (6)
         2000 by and among DCB Actuaries and              ----------------
         Consultants, SRO, David Robinson, Vladimir
         Havlena and Medcom USA, Inc.

10.18    Technology Purchase Agreement dated as of              (6)
         April 15, 2000 by and between DSM, LLC and       ----------------
         Medcom USA, Inc.

10.19    Amendment to License Agreement between
         Dream Technologies, LLC, MedCard Management      ----------------
         Systems, Inc. and MedCom USA, Incorporated.

23.1     Consent of Hart and Trinen                        _______________

23.2     Consent of Ehrhardt Keefe Steiner & Hottman, PC    _______________

24.      Power of Attorney                            Included as part of the
                                                      Signature Page

(1)  Incorporated  by reference  to the same  exhibit  filed as part of Medcom's
     Registration Statement on Form SB-2 (Commission File No. 33-70546-A).

(2)  Incorporated by reference,  and as same exhibit number,  from  Registration
Statement on Form SB-2 (Commission File Number 33-70546-A).

(3)  Incorporated by reference, and as same exhibit number, from Amendment No. 1
     to Registration Statement on Form SB-2 (Commission File Number 33-70546-A).

(4)  Incorporated by reference,  and as same exhibit number,  from the Company's
report on 8-K dated December 14, 1998.

(5)  Incorporated  by  reference to the same  exhibit  filed with the  Company's
     Annual Report on Form 10-KSB/A for the year ending June 30, 1999.

(6)  Incorporated  by reference to the same exhibit filed with the Company's 8-K
     Report dated April 15, 2000.


<PAGE>

Item 17. Undertakings.
         ------------

         The undersigned Registrant hereby undertakes:

         (1) To file, during any period in which offers or sales are being made,
a post-effective amendment to this Registration Statement.

              (i) To include any Prospectus  required by Section l0(a)(3) of the
Securities  Act of l933;  (ii) To reflect in the  Prospectus any facts or events
arising  after the  effective  date of the  Registration  Statement (or the most
recent  post-effective   amendment  thereof)  which,   individually  or  in  the
aggregate,  represent a fundamental  change in the  information set forth in the
Registration Statement;

              (iii) To include any material information with respect to the plan
of distribution not previously  disclosed in the  Registration  Statement or any
material change to such  information in the  Registration  Statement,  including
(but not limited to) any addition or deletion of a managing underwriter.

         (2) That,  for the  purpose  of  determining  any  liability  under the
Securities Act of l933, each such post-effective amendment 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.

         (3) To remove from registration by means of a post-effective  amendment
any of the securities being registered which remain unsold at the termination of
the offering.

         Insofar as indemnification for liabilities arising under the Securities
Act of l933 may be permitted to directors,  officers and controlling  persons of
the  Registrant,  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 of 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.




<PAGE>



                                POWER OF ATTORNEY

         The  registrant  and each person whose  signature  appears below hereby
authorizes the agent for service named in this Registration Statement, with full
power to act alone,  to file one or more  amendments  (including  post-effective
amendments)  to this  Registration  Statement,  which  amendments  may make such
changes  in  this  Registration  Statement  as  such  agent  for  service  deems
appropriate,  and the Registrant and each such person hereby appoints such agent
for service as attorney-in-fact, with full power to act alone, to execute in the
name and in behalf of the  Registrant and any such person,  individually  and in
each capacity stated below, any such amendments to this Registration Statement.

                                   SIGNATURES

         Pursuant  to the  requirements  of the  Securities  Act  of  l933,  the
Registrant certifies that it has reasonable grounds to believe that it meets all
the  requirements  for filing on Form S-3 and has duly caused this  Registration
Statement  to be  signed  on its  behalf  by  the  undersigned,  thereunto  duly
authorized,  in the  City of  Irvine,  State of  California,  on the 11th day of
August, 2000.

                                       MEDCOM COMMUNICATIONS INC.


                                  By: /s/ Mark Bennett
                                      -------------------------------
                                          MARK BENNETT, President


                                  By: /s/ Alan Ruben
                                      -------------------------------
                                         ALAN RUBEN, Principal Financial Officer
                                         and Chief Accounting Officer

         Pursuant  to the  requirements  of the  Securities  Act of  l933,  this
Registration  Statement  has  been  signed  by  the  following  persons  in  the
capacities and on the dates indicated.

Signature                            Title                    Date

 /s/ Mark Bennett
Mark Bennett                        Director              August 11, 2000

 /s/ Michael Malet
Michael Malet                       Director              August 11, 2000

 /s/ David Breslow
David Breslow                       Director              August 11, 2000


Julio Curra                         Director



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