EXHIBIT 10.31 TENTH AMENDMENT TO NON-QUALIFIED STOCK OPTION PLAN FOR NON-EXECUTIVE EMPLOYEES THIS TENTH AMENDMENT (the "Tenth Amendment") is made effective as of the 7th day of February, 2003, by PER-SE TECHNOLOGIES, INC., a Delaware corporation (the "Company"). WITNESSETH: WHEREAS, the Company has previously adopted the Per-Se Technologies, Inc. Non-Qualified Stock Option Plan for Non-Executive Employees, as amended (the "Plan"); and WHEREAS, the Compensation Committee of the Board of Directors of the Company has duly authorized an amendment of the Plan to increase the number of shares available for grant pursuant to the Plan from 3,980,361 shares to 4,480,361 shares, which is an increase of 500,000 shares. NOW, THEREFORE, Section 3 of the Plan is hereby amended by deleting Section 3 of the Plan in its entirety and replacing it with the following: SECTION 3. SHARES RESERVED UNDER THE PLAN "There shall be 4,480,361 shares of Stock reserved for issuance under this Plan, and such shares of Stock shall be reserved to the extent that the Company deems appropriate from authorized but unissued shares of Stock and from shares of Stock which have been repurchased by the Company. Furthermore, any shares of Stock subject to an Option that remain unissued after the cancellation or expiration of such Option thereafter shall again become available for use under this Plan." FURTHER, except as specifically amended by this Tenth Amendment, the Plan shall remain in full force and effect as prior to this Tenth Amendment. IN WITNESS WHEREOF, the Company has caused this Tenth Amendment to be effective as of the day and year first above written. PER-SE TECHNOLOGIES, INC. By: /s/ PHILIP M. PEAD -------------------------------------- Philip M. Pead President and Chief Executive Officer ATTEST: By: /s/ PAUL J. QUINER -------------------------------- Paul J. Quiner Corporate Secretary