Exhibit 10.2 LETTER AMENDMENT AND WAIVER NO.1 Dated as of February 5, 1999 To the banks and other financial institutions (collectively, the "Lenders") parties to the Credit Agreement referred to below and to NationsBank, N.A., as administrative and collateral agent (the "Administrative Agent") for the Lenders and NationsBanc Montgomery Securities LLC, as Syndication Agent thereunder Ladies and Gentlemen: We refer to the Credit Agreement dated as of January 26, 1999 (as amended, supplemented or otherwise modified through the date hereof, the "Credit Agreement") among the undersigned and you. Capitalized terms not otherwise defined in this Letter Amendment and Waiver No. 1 (the "Letter Amendment") have the same meanings as specified in the Credit Agreement. Section 1. Waiver. The Lender and the Administrative Agent hereby agree that, notwithstanding Section 2.02(b)(A) and (B) of the Credit Agreement, the Borrower may select (i) Eurodollar Rate Advances for fifty percent (50%) of each Working Capital Advance and (ii) Base Rate Advances for the remaining fifty percent (50%) of each Working Capital Advance, in each case, made during the period commencing with the Initial Extension of Credit to the date ending one month thereafter (subject to satisfaction of the notice of borrowing requirements set forth in Section 2.02(a)). Section 2. Amendment to the Credit Agreement. The Credit Agreement is, effective as of the date of this Letter Amendment, hereby amended as follows: (a) The last paragraph of Section 5.01(n)(ii)(J) of the Credit Agreement is amended to insert the word "reasonable" prior to the phrase "best efforts" in the third line therein. (b) Section 5.01(o) of the Credit Agreement is hereby deleted in its entirety. (c) Section 9.07(d) of the Credit Agreement is amended to delete the phrase "[may][shall]" in the seventh line therein and substitute therefor the word "shall". (d) Schedule 4.01(b)to the Credit Agreement is hereby deleted in its entirety and the attached Schedule 4.01(b) is substituted therefor. (e) Schedule 4.01(y) Attachment B to the Credit Agreement is hereby deleted in its entirety and the attached Schedule 4.01(y) Attachment B is substituted therefor. (f) Schedule 5.02(a) to the Credit Agreement is hereby deleted in its entirety and the attached Schedule 5.02(a) is substituted therefor. Section 3. Effectiveness and Effect on the Loan Documents. (a) This Letter Amendment shall become effective as of the date first above written when, and only when, the Administrative Agent shall have received counterparts of this Letter Amendment executed by the Agents, NationsBank N.A., as Lender, the Borrower and the Guarantors. (b) On and after the effectiveness of this Letter Amendment, each reference in the Credit Agreement to "this Agreement", "hereunder", "hereof" or words of like import referring to the Credit Agreement, and each reference in the Notes and each of the other Loan Documents to "the Credit Agreement", "thereunder", "thereof" or words of like import referring to the Credit Agreement, shall mean and be a reference to the Credit Agreement, as amended by this Letter Amendment. (c) The Credit Agreement, the Notes and each of the other Loan Documents, as specifically amended by this Letter Amendment, are and shall continue to be in full force and effect and are hereby in all respects ratified and confirmed. Without limiting the generality of the foregoing, the Collateral Documents and all of the Collateral described therein do and shall continue to secure the payment of all Obligations of the Loan Parties under the Loan Documents, in each case as amended by this Letter Amendment. The execution, delivery and effectiveness of this Letter Amendment shall not, except as expressly provided herein, operate as a waiver of any right, power or remedy of any Lender or the Administrative Agent under the Credit Agreement or any of the Loan Documents, nor constitute a waiver of any provision of the Credit Agreement any of the Loan Documents. Section 4. Miscellaneous. This Letter Amendment may be executed in any number of counterparts and by different parties hereto in separate counterparts, each of which when so executed shall be deemed to be an original and all of which taken together shall constitute one and the same agreement. Delivery of an executed counterpart of a signature page to this Letter Amendment by telecopier shall be effective as delivery of a manually executed counterpart of this Letter Amendment. Section 5. Governing Law. This Letter Amendment shall be governed by, and construed in accordance with, the laws of the State of New York. Very truly yours, MEDE AMERICA CORPORATION, as Borrower By Title: President Name: Thomas P. Staudt Agreed as of the date first above written: NATIONSBANK, N.A., as Administrative Agent and as Lender By Title: NATIONSBANC MONTGOMERY SECURITIES LLC, as Syndication Agent By Title: Section 5. Governing Law. This Letter Amendment shall be governed by, and construed in accordance with, the laws of the State of New York. Very truly yours, MEDE AMERICA CORPORATION, as Borrower By Title: Agreed as of the date first above written: NATIONSBANK, N.A., as Administrative Agent and as Lender By Title: Name: Daniel Rencricca NATIONSBANC MONTGOMERY SECURITIES LLC, as Syndication Agent By Title: Name: Daniel Rencricca CONSENT OF GUARANTORS Each of the undersigned, as Guarantors under the Credit Agreement, hereby consents to the Letter Amendment and hereby confirms and agrees that notwithstanding the effectiveness of the Letter Amendment, the Guaranty is, and shall continue to be, in full force and effect and is hereby ratified and confirmed in all respects and the Collateral Documents to which such Guarantor is or will be a party as of the date hereof and all of the Collateral described therein do, and shall continue to, secure the payment of all of the Secured Obligations (as defined therein). MEDE AMERICA CORPORATION OF OHIO, as Guarantor By Title: President Name: Thomas P. Staudt HEALTHCARE INTERCHANGE, INC., as Guarantor By Title: President Name: Thomas P. Staudt Schedule 4.01(b) Subsidiaries LEGAL NAME: Healthcare Interchange, Inc. ("HII") TYPE OF ENTITY: corporation JURISDICTION OF INCORPORATION: Missouri AUTHORIZED EQUITY INTERESTS: 66,250 shares of Class A Common Stock, $1 par value, 66,250 shares of Class B Common Stock, $1 par value, 56,000 shares of Class C Common Stock, $1 par value, and 62,500 shares of Preferred Stock, $1 par value. OUTSTANDING EQUITY INTERESTS: 35,000 shares of Class A Common Stock, 35,000 shares of Class B Common Stock, 20,001 shares of Class C Common Stock and 62,500 shares of Preferred Stock. All outstanding Equity Interests of Healthcare Interchange, Inc. are owned of record and beneficially by the Borrower. LEGAL NAME: MedE America Corporation of Ohio ("MedE Ohio") FORMERLY KNOWN AS: General Computer Corporation TYPE OF ENTITY: corporation JURISDICTION OF INCORPORATION: Ohio AUTHORIZED EQUITY INTERESTS: 10,000,000 shares of Common Stock, $.10 par value, and 1,000,000 shares of Preferred Stock, $.10 par value. OUTSTANDING EQUITY INTERESTS: 100 shares of Common Stock. All outstanding Equity Interests of MedE America Corporation of Ohio are owned of record and beneficially by the Borrower. Schedule 401(y), Parts A and B, Attachment "B" Capital Leases: Lessor Lease Leased Lease Expira- Monthly Jul-98 Aug-98 Sep-98 Oct-98 Number Equipment Term tion Lease Pmt Alco Capital Resource 16,584 Canon Copier 60 May-98 838 838 838 838 838 CIT 65,222,005 Computer Equip 60 Feb-98 1,169 1,169 1,169 1,169 1,169 CIT 65,222,002 Computer Equip 60 Jul-98 1,056 1,056 CIT 65,222,003 Computer Equip 60 Aug-98 898 898 898 CIT 65,222,004 Computer Equip 60 Sep-98 690 690 690 690 CIT 89953-001*Computer Equip *The total amount of payments under this capital lease is $155,470. Wheeling Nat'l Bank 33908-02 Computer Equip 60 Oct-98 288 288 288 288 288 Wheeling Nat'l Bank 33908-01 Stratapak Drives 60 Sep-98 618 618 618 618 Hewlett Packard 4126-38351 Computer Equip 60 Jun-99 6,638 6,638 6,638 6,638 6,638 Icon cash flow partner 70,239.0 Computer Equip 60 Aug-99 1,191 1,191 1,191 1,191 1,191 Stratus Capital st607-60702 Stratus Equip 18 May-99 7,414 7,414 7,414 7,414 7,414 Sanwa Leasing Corp 0002-1166898 Cust Serv 5 Pentium PC's 36 Jun-99 436 436 436 436 436 Alan Acceptance 626190-20916 Acctg Server/Sales Logics 24 Nov-99 2,657 2,657 2,657 2,657 2,657 Colonial Pacific Alan Accept 20977 Computer Equipment 24 Dec-99 2,016 2,016 2,016 2,016 2,016 Advanta US Bankcorp 001-0236308 Laser Printer Stockton 60 Jan-01 684 684 684 684 684 Colonial Pacific US Bankcorp 126509001 Computer Equipment Stockton 36 Jun-99 1,128 1,128 1,128 1,128 1,128 Dana Commerical 438466 Computer Equipment Stockton 48 Nov-99 874 874 874 874 874 Net Credit May-99 935 935 935 935 935 Data Gen'l MedE Inc. Data Gen'l Equipmt Apr-00 4,037 4,037 4,037 4,037 4,037 Heller Fin'l MPC Data Gen'l Equipmt Aug-98 785 785 785 Mellon leasing MPC Data Gen'l Equipmt Sep-98 4,989 4,989 4,989 4,989 Moleasco (Dental) 4556 Burster 36 Aug-99 274 274 274 274 274 Moleasco (Dental) 4797 Auto Folding Machine 36 Sep-99 199 199 199 199 199 I.C. Capital (Dental) 3339252 Computer Equip 60 Aug-00 2,578 2,578 2,578 2,578 2,578 Data General 36 Jun-01 5,824 5,824 5,824 5,824 5,824 ----- ----- ----- ----- Capital Lease Payments 48,216 47,160 45,477 39,180 ------ ------ ------ ------ Nov-98 Dec-98 Jan-99 Feb-99 Mar-99 Apr-99 May-99 Jun-99 ------ ------ ------ ------ ------ ------ ------ ------ Alco Capital Resource 838 838 838 838 838 838 838 838 CIT 1,169 1,169 1,169 1,169 CIT CIT CIT CIT Wheeling Nat'l Bank Wheeling Nat'l Bank Hewlett Packard 6,638 6,638 6,638 6,638 6,638 6,638 6,638 6,638 Icon cash flow partner 1,191 1,191 1,191 1,191 1,191 1,191 1,191 1,191 Stratus Capital 7,414 7,414 7,414 7,414 7,414 7,414 7,414 Sanwa Leasing Corp 436 436 436 436 436 436 436 436 Alan Acceptance 2,657 2,657 2,657 2,657 2,657 2,657 2,657 2,657 Colonial Pacific 2,016 2,016 2,016 2,016 2,016 2,016 2,016 2,016 Advanta 684 684 684 684 684 684 684 684 Colonial Pacific 1,128 1,128 1,128 1,128 1,128 1,128 1,128 1,128 Dana Commerical 874 874 874 874 874 874 874 874 Net Credit 935 935 935 935 935 935 935 Data Gen'l 4,037 4,037 4,037 4,037 4,037 4,037 4,037 4,037 Heller Fin'l Mellon leasing Moleasco 274 274 274 274 274 274 274 274 Moleasco 199 199 199 199 199 199 199 199 I.C. Capital (Dental) 2,578 2,578 2,578 2,578 2,578 2,578 2,578 2,578 Data General 5,824 5,824 5,824 5,824 5,824 5,824 5,824 5,824 ----- ----- ----- ----- ----- ----- ----- ----- Capital Lease Payments 38,892 38,892 38,892 38,892 37,723 37,723 37,723 28,536 Schedule 5.02(a) Liens on Collateral The Borrower owns 7 certificates of deposit issued by the Bank of Akron, having an aggregate value at maturity of $268,430. All of the Borrower's right, title and interest in and to such certificates of deposit have been pledged, pursuant to an Assignment of Bank Account, dated March 7, 1995, between Latpon Health Systems Inc. (which subsequently assigned this agreement to the Borrower) and QR Management Services Inc. ("QR"), to secure indebtedness payable to QR (the amount of such indebtedness is less than the value of such certificates). Such indebtedness arose pursuant to an Asset Purchase Agreement, dated as of February 1, 1995, between Latpon and QR. MedE America Corporation of Ohio owns certain real property and improvements in Summit County, Ohio, which it acquired subject to a mortgage granted by the seller, William and Sherry Shultz d/b/a W.E.S. Properties ("WES"), in favor of Park View Federal Savings and Loan Association. Pursuant to that certain pay-off letter dated February 5, 1999 from WES to MedE America Corporation of Ohio and as required by the installment purchase agreement, WES will release all existing liens, security interest and other encumbrances securing any indebtedness, liabilities or obligations relating to such property within 45 days from the date of the Initial Extension of Credit.