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                                                                  EXHIBIT 10.23


                   SEVENTH AMENDMENT TO MEDAPHIS CORPORATION
                        NON-QUALIFIED STOCK OPTION PLAN
                      FOR EMPLOYEES OF ACQUIRED COMPANIES

         THIS SEVENTH AMENDMENT is made as of the 21st day of January, 1999 by
MEDAPHIS CORPORATION, a corporation organized and doing business under the laws
of the State of Delaware (the "Company").

                             W I T N E S S E T H :

         WHEREAS, the Company has previously adopted the Medaphis Corporation
Non-Qualified Stock Option Plan for Employees of Acquired Companies, as amended
(the "Plan"); and

         WHEREAS, the Compensation Committee of the Board of Directors of the
Company has approved a decrease in the number of shares reserved for issuance
pursuant to the Plan to 4,515,000 shares from 6,515,000 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:

                                    "ss. 3

                         SHARES RESERVED UNDER THE PLAN

         There shall be 4,515,000 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 Seventh Amendment, the
Plan shall remain in full force and effect as prior to this Seventh Amendment.


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         IN WITNESS WHEREOF, the Company has caused this Seventh Amendment to
be executed on the day and year first above written.


                                    MEDAPHIS CORPORATION



                                    By: /s/ ALLEN W. RITCHIE                
                                       ----------------------------------------
                                        Allen W. Ritchie
                                        President and Chief Executive Officer


ATTEST:



By: /s/ RANDOLPH L. M. HUTTO   
   -------------------------------
    Randolph L. M. Hutto
    Secretary