.
                                                                               .
                                                                               .

                                                                      EXHIBIT 21

                           SUBSIDIARIES OF REGISTRANT



                                                                    STATE OF INCORPORATION
SUBSIDIARY                                                             OR ORGANIZATION
- ----------                                                          ----------------------
                                                                 
PST Services, Inc.*                                                        Georgia

Per-Se Transaction Services, Inc.*                                         Ohio

Patient Account Management Services, Inc.*                                 Ohio

PST Products, LLC*                                                         California

Knowledgeable Healthcare Solutions, Inc.*                                  Alabama


- --------

*        Each of these subsidiaries also does business under the name "Per-Se
         Technologies."