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

I, Philip M. Pead, the Chairman, President and Chief Executive Officer of Per-Se
Technologies, Inc. (the "Company"), in compliance with 18 U.S.C. Section 1350,
as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, hereby
certify that Amendment No. 1 to the Company's Annual Report on Form 10-K/A for
the period ended December 31, 2003, filed with the Securities and Exchange
Commission: (i) fully complies with the requirements of Section 13(a) or 15(d)
of the Securities Exchange Act of 1934; and (ii) the information contained in
such Annual Report fairly presents, in all material respects, the financial
condition and results of operations of the Company.



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

Date: March 4, 2005