EXHIBIT 10.34

                             SIXTH AMENDMENT TO THE
                            PER-SE TECHNOLOGIES, INC.
                        EMPLOYEES' RETIREMENT SAVING PLAN

         THIS SIXTH AMENDMENT made on this 16th day of December, 2003, by PER-SE
TECHNOLOGIES, INC., a corporation organized and existing under the laws of the
State of Delaware (the "Primary Sponsor");

                              W I T N E S S E T H:

         WHEREAS, the Primary Sponsor maintains the Per-Se Technologies, Inc.
Employees' Retirement Savings Plan (the "Plan") which was last amended and
restated on January 20, 2000;

         WHEREAS, the Primary Sponsor now wishes to amend the Plan primarily to
change the definition of Annual Compensation for the purposes of Internal
Revenue Code Section 401(m) nondiscrimination testing of Matching Contributions;

         NOW, THEREFORE, the Primary Sponsor does hereby amend the Plan,
effective as of January 1, 2003, by deleting the existing Section 1.5(a) and
substituting therefore the following new Section 1.5(a):

                  "(a) in determining the amount of contributions under Plan
         Section 3, allocations under Plan Section 4 made by or on behalf of an
         Employee, and for purposes of applying the provisions of Appendix A,
         Section 2, for such Plan Years as the Secretary of the Treasury may
         allow, Annual Compensation shall only include amounts received for the
         portion of the Plan Year during which the Employee was a Member. For
         purposes of applying the provisions of Appendix A, Section 5, for such
         Plan Years as the Secretary of the Treasury may allow, Annual
         Compensation shall only include amounts received for the portion of the
         Plan Year during which the Employee was eligible to receive a Matching
         Contribution, as defined by Appendix A, Section 1, from the Plan. For
         all purposes of this subsection (a), Annual Compensation shall exclude
         income from sources outside the United States, whether or not such
         income is excludable under Code Section 911."

         Except as specifically amended hereby, the Plan shall remain in full
force and effect as prior to this Sixth Amendment.



         IN WITNESS WHEREOF, the Primary Sponsor hereto has caused this Sixth
Amendment to be executed as of the day and year first above written.

                                                  PER-SE TECHNOLOGIES, INC.

                                                  By: /s/ PHILIP M. PEAD
                                                      --------------------------
                                                      Philip M. Pead
                                                      Chairman, President and
                                                      Chief Executive Officer

[CORPORATE SEAL]

ATTEST:

By: /s/ PAUL J. QUINER
    --------------------------------
    Paul J. Quiner
    Corporate Secretary