EXHIBIT 32.1


              CERTIFICATION OF CHIEF EXECUTIVE OFFICER PURSUANT TO
                             18 U.S.C. SECTION 1350,
                             AS ADOPTED PURSUANT TO
                  SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

In connection with the Quarterly Report of ProxyMed, Inc. (the "Company") on
Form 10-Q for the period ending September 30, 2003 as filed with the Securities
and Exchange Commission on the date hereof (the "Report"), I, Michael K. Hoover,
Chief Executive Officer of the Company, certify, pursuant to 18 U.S.C. ss.1350,
as adopted pursuant to ss.906 of the Sarbanes-Oxley Act of 2002, that:

      (1) The Report fully complies with the requirements of section 13(a) or
15(d) of the Securities Exchange Act of 1934; and

      (2) The information contained in the Report fairly presents, in all
material respects, the financial condition and result of operations of the
Company.




/s/ MICHAEL K. HOOVER
- ---------------------------
Michael K. Hoover
Chief Executive Officer
November 14, 2003


A signed original of this written statement required by Section 906 has been
provided to ProxyMed, Inc. and will be retained by ProxyMed, Inc. and furnished
to the Securities and Exchange Commission or its staff upon request.