EXHIBIT NO. 10. 8

                           LEASE AND LICENSE AGREEMENT

                                      WITH

                             COMPANION TECHNOLOGIES

                                      -102-




                             COMPANION TECHNOLOGIES

              Division of Blue Cross Blue Shield of South Carolina

                           LEASE AND LICENSE AGREEMENT

Customer Name:             Doctor's Care - Central          Acct #:
                                                            Term #:
Address:                   6168 St. Andrews Road            Business:
                           Columbia, SC  29212              Rep.:
                           Attn:  Mr. Mehta

                           (803) 772-8840

This Agreement between the Customer named hereinbelow and Companion Technologies
Division of Blue Cross Blue Shield of South Carolina (the Corporation) shall
commence on October 1, 1994.

The Corporation agrees to provide and the Customer agrees to lease and license
the following for business use in South Carolina:

1.       LEASE OF HARDWARE AND PERIPHERALS

                  Quantity                  Type/Model               Serial #

                             Refer to Attachment A.

II.      LICENSE OF STANDARD SYSTEM SOFTWARE PROGRAMS

                             Refer to Attachment A.

III.     PASS THROUGH LICENSE OF OPTIONAL SOFTWARE PROGRAMS

                             Refer to Attachment A.

IV.      TERM

         The term of this Agreement shall be from the date of installation,
         unless it is terminated by either party in accordance with the
         Termination section set forth below.

V.       PAYMENTS

         Payment of $ ( Refer to Attachment B ) is due from the Customer on the
         date this Agreement is signed. Then $ (See Selected Payment Option
         Below), for as long as this contract remains in force.

       Payment Option    Payment Term                 Payment Amount

         (  )      A     Month-to-Month Lease           $
         (  )      B     Annual Lease (Paid Annually)   $
         (  )      C     Annual Lease (Paid Monthly)    $
         (  )      D     Term of 60 Months              $14,924.85*


                  *Ownership of equipment will transfer to Doctor's Care at the
                  end of 60 months' payments for an additional payment of $1.00.

                                     -103-



     Charges for  Month-to-Month  Leases (Option A) can be increased upon thirty
(30) days prior written notice by the Corporation to the Customer.

         Charges for Term Leases (Options B, C and D) cannot be increased during
         the initial contract period. Term Leases will revert to Month-to-Month
         Leases after the initial contract period.

         The above charges do not include the fee for access to the PAID TM
         Network for transmission and receipt of data between the provider and
         the Corporation's Data Center.

VI.      PARTIES' RESPONSIBILITIES

         The Customer agrees it will:

     (bullet)  Pay the  Corporation  the full rent and service fee in advance by
the first of each month if a Monthly Payment Option is selected at V. above.

     (bullet) Pay the full rent and service fee on or before the  termination of
this lease and agreement.

     (bullet) Not hold the Corporation  liable for injuries caused by the misuse
of, or malfunction in, their service, software, hardware or equipment.

     (bullet) ONLY use the PAID TM system  software as designated and instructed
by the  Corporation's  user manuals and  personnel.  Other uses of such material
must be  approved,  in writing,  by the  Corporation.  The  provider may use the
equipment to run other software.

     (bullet) Make no alterations in or additions to the equipment.

     (bullet) Obtain the written  authorization of the Corporation  prior to any
movement of the equipment.

     (bullet)  Pay for repairs or  replacements  not covered by the  maintenance
agreement.

     (bullet)  Pay  interest on any  delinquent  payments at the rate of 18% per
annum.

     (bullet) Maintain insurance to indemnify the Corporation in the event the
system is lost, damaged, stolen or destroyed.

     (bullet) Keep the system free and clear of all liens and encumbrances.

     (bullet) Return the system (hardware and software) to the Corporation under
termination of this Agreement in good repair, ordinary wear and tear from proper
use alone excepted,  and return all manuals and other  materials  related to the
system.

     (bullet) Hold the information  contained in the software program  material,
changes,  additions,  and enhancements in confidence and not disclose, or permit
its employees to disclose, such information to any other party.

     (bullet) Use the system  solely at its own  location in South  Carolina and
that it will not copy,  reproduce,  assign, or otherwise  transfer the system or
any part thereof.

     (bullet)  Allow the  Corporation  to inspect and observe the system  during
normal business hours.

     (bullet)  Sign a statement  attesting that the system belongs to the  
Corporation for filing with the Secretary of State.

                                 -104-



     The Corporation and the Customer understand and agree as follows:

     (bullet) Charges and fees are exclusive of all federal,  state,  municipal,
or other  government,  excise,  sales, use,  occupational,  or like taxes now in
force or  enacted  in the  future  and,  therefore,  charges  are  subject to an
increase equal in amount to any tax the  Corporation  may be required to collect
or pay upon the delivery of items leased or licensed.

     (bullet) The system is personal  property of the  Corporation and shall not
be affixed or attached to any building or other real property.

     (bullet) The  equipment is and remains the sole and  exclusive  property of
the Corporation and the Corporation's  identification must remain affixed to the
equipment.

     (bullet) In the event of default by the provider,  the Corporation can take
possession of the system  (hardware and software),  declare the entire amount of
the rent due and payable without notice or demand,  terminate the lease,  sue to
recover all rents and other payments and pursue any other remedy. These remedies
are cumulative and may be exercised concurrently or separately.

         THE CORPORATION MAKES NO WARRANTIES EITHER EXPRESS OR IMPLIED, AS TO
         ANY MATTER WHATSOEVER, INCLUDING, WITHOUT LIMITATION, THE CONDITION OF
         THE EQUIPMENT OR SOFTWARE, ITS MERCHANTABILITY OR ITS FITNESS FOR ANY
         PARTICULAR PURPOSE. THE CORPORATION SHALL HAVE NO LIABILITY TO CUSTOMER
         FOR ANY CLAIM, LOSS OR DAMAGE CAUSED OR ALLEGED TO BE CAUSED DIRECTLY,
         INDIRECTLY, INCIDENTALLY OR CONSEQUENTIALLY BY THE EQUIPMENT OR
         SOFTWARE, BY ANY INADEQUACY THEREOF OR DEFICIENCY OR DEFECT THEREIN, BY
         ANY INCIDENT WHATSOEVER IN CONNECTION THEREWITH, ARISING IN CONTRACT,
         STRICT LIABILITY, NEGLIGENCE OR OTHERWISE, OR IN ANY WAY RELATED TO OR
         ARISING OUT OF THIS AGREEMENT, OR USE PERFORMANCE OF THE SYSTEM.

VII.     PAID TM SERVICES

         The Corporation agrees to deliver the following to the Customer:

                  (1) PAID TM Manual; (2) Access to the help desk for questions
                  and problems connected with software, hardware, and
                  maintenance; and, (3) Initial training of the Customer's
                  personnel in the use of the equipment by representatives of
                  the Corporation. (Continued requests by the Customer for
                  retraining will be subject to a fee by the Corporation.)

                  Charges for these items can be assessed or increased upon
                  thirty (30) days prior written notice by the Corporation to
                  the Customer.

         This software enables you to utilize the Corporation's PAID System for
         patient injury, electronic mail with the Corporation, and filing of
         claims electronically.

VIII.    SOFTWARE AND HARDWARE MAINTENANCE

     Improvements:  During  the term of this  Agreement,  the  Corporation  will
supply the Customer with any improvements or modifications to the software which
are not charged for as options.

         Coverage: Except as stated otherwise herein, during the term of this
         Agreement, the Corporation will correct or replace software and
         hardware and/or provide services necessary to remedy any programming
         error or problem which is attributed to the Corporation and which
         significantly 

                                  -105-



         affects use of the software. The Corporation may provide
         preventative and remedial maintenance to the hardware, including labor
         and parts required for good operating condition when such labor and
         parts are required because of normal wear and tear. Exchanged parts
         removed from the system become the property of the Corporation. Such
         correction, replacement or services will be promptly accomplished after
         the Customer has identified and notified the Corporation of any such
         error in accordance with the Corporation's reporting procedures. The
         maintenance services shall be performed during normal working hours
         which are defined as 8:00 am to 5:00 pm Monday through Friday,
         exclusive of the Corporation's observed holidays.

         The Corporation shall not be responsible for maintaining Customer
         modified portions of the software or hardware or for maintaining
         portions of the software or hardware affected by Customer modified
         portions of the software or hardware.

         Corrections for difficulties or defect traceable to Customer errors or
         system changes will be billed at the Corporation's standard time and
         material rates.

         EXCLUSIONS AND CONDITIONS OF SERVICE: The Corporation shall be under no
         obligation to furnish maintenance service should repair be required
         because of (1) improper use or misuse; (2) natural disasters such as
         flood or earthquake; (3) strikes, riots or acts of war or nuclear
         disaster; (4) repairs, maintenance, modifications or relocation and
         reinstallation made by other than the Corporation's personnel or
         without the Corporation's supervision and approval; (5) unusual shock
         or electrical damage, accident, fire or water damage, neglect, air
         conditioning failure, damage during transportation by Customer or other
         causes other than ordinary use; or (6) overhaul or refurbishment of the
         equipment due to age or prolong use. If maintenance service is required
         as a result of the causes stated above, such service shall be offered
         at the Corporation's published rates for labor, travel and material in
         effect at the time of service.

         The Corporation's maintenance service does not include operating
         supplies and consumables; refinishing the products or furnishing
         materials for that purpose; electrical work external to the products;
         maintenance of accessories, attachments or products not specified in
         this Agreement; and equipment calibrations.

         RESPONSIBILITIES OF THE CUSTOMER: The Customer agrees (1) to provide
         the Corporation access to the software and hardware to perform
         maintenance; (2) to provide adequate working space and facilities close
         to the software and hardware for use by the Corporation; (3) to provide
         access to and use of all information and facilities determined
         necessary by the Corporation to maintain the software and hardware;
         (Insofar as these items may contain propriety or classified
         information, the Customer shall assume full responsibility for
         safeguards and protection for wrongful use): (4) to provide routine
         operator maintenance as specified in the Corporation's Operating
         Instructions for the software and hardware; and, (5) to provide
         operating supplies and consumables.

         LIMITATIONS OF REMEDIES: THE CORPORATION'S LIABILITY TO THE CUSTOMER,
         WHETHER IN CONTRACT, TORT, NEGLIGENCE, OR STRICT LIABILITY OR OTHERWISE
         SHALL NOT EXCEED THE TOTAL CHARGES PAID OR PAYABLE DURING ONE YEAR
         UNDER THIS AGREEMENT. IN NO EVENT SHALL THE CORPORATION BE LIABLE FOR
         LOST PROFITS, DATA OR ANY INDIRECT OR CONSEQUENTIAL DAMAGES.

     DISCLAIMER:  THE CORPORATION  DISCLAIMS ALL WARRANTIES,  INCLUDING  IMPLIED
WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE.

                                    -106-



         TERMINATION: Either party may terminate a month-to-month agreement at
         any time by giving 30 days prior written notice to the other party.
         Either party may terminate a yearly agreement at any time after the
         term of the Agreement by giving 30 days prior written notice to the
         other party.

         The Corporation may terminate this Agreement in the event of default by
         the Customer, which includes, but is not limited to, Customer's failure
         to make timely payments under this Agreement. If termination occurs for
         any reason, the Corporation has the right to take possession of all
         hardware indicated in Section I and Software indicated in Section II
         and retain all payments previously made by the Customer under this
         Agreement. Upon termination of this Agreement, the Customer shall
         return the hardware and software to the Corporation in good repair,
         ordinary wear and tear from proper use alone excepted.

IX.      GENERAL PROVISIONS

         The Provider agrees it will not hold the Corporation liable for any
         damages caused by the misuse of, or malfunction of, any software,
         hardware or services.

         This Agreement shall constitute the entire agreement between the
         Provider and the Corporation for the leased equipment, software and
         services described in the Agreement and may only be amended by a
         separate writing signed by both parties.

         This Agreement is not assignable without the prior written consent of
         the Corporation. Any attempt by the Customer to assign any of the
         rights, duties or obligations of the Agreement without such consent is
         void.

         No action, regardless of form, arising out of this Agreement may be
         brought by either party more than two years after the cause of action
         has arisen, or, in the case of non-payment, more than two years from
         the date of the last payment. In any action for enforcement of any
         provision of this Agreement, the Corporation shall be entitled to
         reasonable attorney fees, the cost of the action, and prejudgement
         interest.

         Doctor's Care - Central
            (Customer Name)

/s/  M.F. McFarland            President                        03/30/94
By:                            Title                          Date Signed

This Agreement is not enforceable until accepted by an officer of the
Corporation in Columbia, South Carolina and will be governed by the laws of the
State of South Carolina.

Accepted By:

/s/ Curtis Oliver                           Senior Director            03/30/94
Companion Technologies                      Title                   Date Signed

Division of Blue Cross Blue Shield of SC
in Columbia, South Carolina

                                   -107-




                                  ATTACHMENT A
                              BUSINESS PROPOSAL TO

                      CONSOLIDATE DOCTOR'S CARE FACILITIES

                           Submitted By: Curtis Oliver
                                 March 28, 1994

            Hardware

 1     RISC/6000 990, 4 Gigabyte Hard Disk, 5.0 Gigabyte Tape
       Backup Unit, 1.44 Megabyte Diskette Drive, 10 Backup
       Tapes ................................................ $   124,500.00
 1     3270 Connection Adapter ..............................         618.00
 1     256 Megabyte Memory Select ...........................      26,200.00
 1     256 Port Async Controller ............................       2,590.00
 1     256 Port Async 4.5M Controller Cabling ...............         120.00
14     256 Port Async 23CM Controller Cabling ...............         560.00
16     16 Port Concentrators ................................      23,920.00
64     RJ-45 to DB-25 Converters ............................       7,680.00
 1     Power GT31 ...........................................       1,855.00
 1     Power Display, Keyboard, Mouse (3 button) ............       2,760.00
 2     Data Products LM815 Line Printer (600 LPM) ...........      19,700.00
 1     Clary Online UPS 800 Watt w/Oneac Line Conditioner ...       1,710.00
38     Wyse 60 Terminals ....................................      22,762.00
34     Eight port multiplexer with CSU/DSU ..................      67,660.00
       Hardware Total ....................................... $   302,635.00

     NOTE:  Current  desktop or TI880  printers will be supplied by the site for
remote locations.

Software


                                                                              
     -        AIX      -        64 User License                                     $ 14,610.00
                       -        AIX Windows
                       -        AIX 3270 Host Connect
                       -        AIX Load

     -        PAID IV Plus (a private label of the Medical Manager TM)
              accounts receivable and billing system                                  55,900.00

              -        Standard Management Reports
              -        Data Merge Language
              -        77 Terminal Serialization
              -        Refund Check Writer
              -        Lab Interface (one company)
              -        Prescription Writer
              -        Facet Term (8 users)
              -        Contract Module
              -        Electronic Data Interface (one company)
              -        Chart Tracking
              -        Delinquent Report Module
              -        Company Insurance Reporting
              -        Location Reporting
              -        Electronic Claim Module, Blue Cross, Medicaid,
                         Medicare, CHAMPUS, Commercial

         -    Collections Module                                                       2,500.00
         -    Report Writer - Allows center the capability to produce
                custom reports                                                         2,495.00
         -    Automated conversion ($2,000.00 each)                                   20,400.00
                                                 Software Total                     $ 95,905.00




                                  -108-




                                                                          
Installation                                                                        $ 22,000.00
         -        Complete installation and wiring to connect equipment
                    to RISC/6000
         -        Bring all sites to production

                  -        Testing all remote locations

                  -        Testing Communications

Training                                                                           $ 16,100.00
         -        (2) 40 hour group sessions (regional)
         -        (1) 40 hour group session (central)
         -        6 hours at each location follow-up

Custom Programming/Consulting (200 Hours)                                          $ 24,000.00
         -        Used to identify and code corporate financial reports
         -        Time will be reported to Doctor's Care on all activity
                    related to the corporate reports

NOTE!!!  If 200 hours of programming/consulting time is
                  attained prior to the completion of all corporate
                  reports, additional hours will be billed at $80.00
                  per hour.

                                            TOTAL SYSTEM PRICE                     $460,640.00




Monthly Maintenance Fees

         Hardware (above only)                       $3,531.00
         Telephone and Software Support               1,170.00
         Electronic Claims                               65.00


Accepted By:   /s/ M.F. McFarland     Accepted By:      /s/ Curtis Oliver
               Doctor's Care                            Companion Technologies

Date:                   03/30/94      Date:                     03/30/94

                  * * *Proposal Valid Until April 25, 1994* * *

                             C O N F I D E N T I A L

                                     -109-




                                  ATTACHMENT B
                                  DOCTOR'S CARE

                                FINANCIAL SUMMARY

                                 MARCH 14, 1994

Downpayment       =        PPI, Inc. Software Cost - Plus          $   2,225.00
                                                                      12,600.00
                                                                         480.00
                                                                         700.00
                                                                         950.00

                  =        Automated Conversions                      10,200.00
                  =        Installation                               11,000.00
                  =        Training                                    8,050.00
                                                                   ------------
                                                                   $  46,205.00

                           Total Trade-In                            (17,723.00)
                                                                   ------------
                           Total Downpayment Due                   $  28,482.00


May Be Paid as Follows:

         Pay $9,461.00 upon time of initial installment

         Pay $9,461.00 August
         Pay $9,461.00 October

System Price                       $460,640.00
Plus Payoff                          89,700.00
Less Downpayment                    (46,205.00)
                                   -----------
Balance to be Financed             $504,135.00  @ 8% for 60 months = $10,223.85
                                               per month installment beginning
                                                October 1, 1994

NOTE!!! Doctor's Care will continue payment current fees until system is
completely installed and will begin above payment schedule on October 1, 1994.

                                     -110-




                                  DOCTOR'S CARE

                              ITEMS TO BE TRADED-IN

 8   APC 450 Watt ............ @ $125 ea.     $    1,000.00
 1   TSI UPS ................. @ $100 ea.            100.00
 6   Clary UPS ............... @ $350 ea.          2,100.00


15   ALTOS 1000 CPU's ........ @ $800 ea.         12,000.00
     Tape backup, 440 hard disk


33   Terminals - ALTOS ....... @ $ 50 ea.          1,650.00

15   2400 Baud Modem ......... @ $ 75 ea.          1,125.00
                                              -------------
             Subtotal                             17,975.00

             Less: Shipping                         (252.00)
                                              -------------
             Total                            $   17,723.00


                           -111-