AGREEMENT

                  AGREEMENT  dated as of December 18,  1995,  among MEDE AMERICA
CORPORATION,  a Delaware corporation (the "Company"),  WELSH, CARSON, ANDERSON &
STOWE V,  L.P.,  a Delaware  limited  partnership  ("WCAS  V"),  WELSH,  CARSON,
ANDERSON & STOWE VI, L.P., a Delaware limited  partnership  ("WCAS VI"), WILLIAM
BLAIR  LEVERAGED   CAPITAL  FUND  LIMITED   PARTNERSHIP,   an  Illinois  limited
partnership, ("Blair LF") and WILLIAM BLAIR CAPITAL PARTNERS V, L.P., a Delaware
limited  partnership,  ("Blair V";  WCAS V, WCAS VI,  Blair LF and Blair V being
hereinafter  referred to individually  as a "Guarantor" and  collectively as the
"Guarantors").

                  WHEREAS,  the Guarantors are collectively the owners of 80% of
the outstanding common and preferred stock of the Company; and

                  WHEREAS,  the Company and the Guarantors  have determined that
it is imperative  to the future  viability of the Company that the Company enter
into that certain  Credit  Agreement  dated as of December 18, 1995 (the "Credit
Agreement")  between  the  Company and Bank of America  Illinois  (the  "Bank"),
providing  for the  extension by the Bank to the Company of a revolving  line of
credit in the amount of $10,000,000 (the "Line of Credit"); and

                  WHEREAS,  the  Bank is  unwilling  to enter  into  the  Credit
Agreement or make the Line of Credit available to the Company unless the payment
of the  Company's  obligations  to the  Bank  thereunder  is  guaranteed  by the
Guarantors;

                  WHEREAS, in order to protect their existing substantial equity
investments  in the  Company  and  to  ensure  the  Company's  future  financial
viability,  the  Guarantors are willing to assume  additional  financial risk in
their role as  stockholders  of the Company by giving certain  guarantees to the
Bank with respect to the Line of Credit; and

                  WHEREAS,  in  consideration  of the  Guarantors  assuming such
additional  financial  risk by making such  guarantees the Company is willing to
issue to the Guarantors the warrants to purchase shares of its Common Stock.

                  NOW,  THEREFORE,  in  consideration  of the  foregoing and the
mutual agreements contained herein, the parties hereby agree as follows:






I.

                              ISSUANCE OF WARRANTS

                  Section 1.01. Issuance of Warrants. (a) Upon the execution and
delivery by each  Guarantor of its guarantee in  substantially  the form annexed
hereto as Exhibit 1 (the  "Guarantee" and collectively  the  "Guarantees"),  the
Company will execute and deliver to each Guarantor a warrant or warrants, in the
form annexed hereto as Exhibit 2 (individually a "Warrant" and  collectively the
"Warrants")  to purchase  shares of the Company's  Common Stock,  $.01 par value
("Common Stock"), at an initial exercise price of $1.00 per share, as follows:

                  Each  Guarantor  shall be  entitled  to Warrants to purchase a
number of shares equal to 240,000  shares  multiplied  by the  percentage  shown
opposite  such  Guarantor's  name in  Schedule  I hereto  in the  column  headed
"Percentage" (hereinafter called such Guarantor's "Percentage").

                  Section 1.02.  Tax and Accounting  Treatment.  The Company and
the Guarantors agree that for federal, state and local income tax as well as for
financial  accounting  purposes,  the issuance of the Warrants by the Company to
the  Guarantors  is  in  the  nature  of a  dividend  distribution  and  is  not
compensation  (or a payment) for any  services,  and each hereby agrees to treat
the  issuance of the Warrants in such manner for all such  purposes,  all to the
maximum extent permitted by applicable law.

                                       II.

                  REPRESENTATIONS AND WARRANTIES OF THE COMPANY

                  The Company  represents  and warrants to, and agrees with, the
Guarantors as follows:

                  Section 2.01. Organization.  The Company is a corporation duly
incorporated,  validly existing and in good standing under the laws of the State
of  Delaware  and is duly  licensed  or  qualified  to do  business as a foreign
corporation  in good  standing in each of the  jurisdiction  in which it owns or
leases any real  property  or in which the nature of business  transacted  by it
makes such licensing or  qualification  necessary and where the failure to be so
licensed or  qualified  would have a material  adverse  affect on the  business,
operations or financial condition of the Company.  The Company has the corporate
power and authority to own and hold its  properties and to carry on its business
as currently conducted,  to execute,  deliver and perform this Agreement and the
Warrants and to issue, sell and deliver the shares 


                                        2






of Common  Stock  issuable  upon the  exercise  of the  Warrants  (the  "Warrant
Shares").

                  Section  2.02.  Authorization  of  Agreement,   etc.  (a)  The
execution,  delivery and  performance  by the Company of this  Agreement and the
Warrants,  and the  issuance,  sale and  delivery  of the  Warrant  Shares  upon
exercise of the Warrants have been duly  authorized  by all requisite  corporate
action and will not  violate  any  provision  of law,  any order of any court or
other agency of government,  the Certificate of  Incorporation or By-laws of the
Company,  or any provision of any  indenture,  agreement or other  instrument by
which  the  Company  or any  of its  subsidiaries  or  any of  their  respective
properties or assets is bound or affected,  or conflict with, result in a breach
of or  constitute  (with due notice or lapse of time or both) a default any such
indenture,  agreement  or  other  instrument,  or  result  in  the  creation  or
imposition  of any lien,  charge or  incumbrance  of any nature  upon any of the
properties or assets of the Company or any of its subsidiaries.

                  (b) The Warrant  Shares have been duly  reserved  for issuance
upon  exercise of the Warrants  and,  when so issued,  will be duly  authorized,
validly issued and outstanding,  fully paid and non assessable  shares of Common
Stock.  Neither the  execution and delivery of the Warrants nor the issuance and
delivery  of  the  Warrant  Shares  upon  exercise  thereof  is  subject  to any
preemptive  rights  of  shareholders  of the  Company  or to any  right of first
refusal or other similar right in favor of any person.

                  Section 2.03. Validity.  This Agreement has been duly executed
and  delivered  by the  Company  and  constitutes  the legal,  valid and binding
obligation  of the  Company,  enforceable  in  accordance  with its  terms.  The
Warrants,  when  executed in accordance  with this  Agreement,  will  constitute
legal, valid and binding  obligations of the Company,  enforceable in accordance
with their respective terms.

                                      III.

                REPRESENTATIONS AND WARRANTIES OF THE GUARANTORS

                  Each Guarantor  represents and warrants to the Company that it
is acquiring the Warrants, and will, upon exercise thereof,  acquire the Warrant
Shares,  for its own account for purpose of investment and not with a view to or
for sale in connection with any  distribution  thereof.  Each Guarantor  further
represents  that it  understands  (i) that  neither the Warrants nor the Warrant
Shares have been registered under the Securities Act by reason of their issuance
in transactions exempt from the registration  requirements of the Securities Act
pursuant to Section 4(2) thereof,  (ii) the Warrants and, upon exercise thereof,
the Warrant Shares must be held indefinitely unless a


                                        3






subsequent  disposition  thereof is registered  under the  Securities  Act or is
otherwise  exempt from such  registration,  (iii) the  Warrants  and the Warrant
Shares  will  bear a legend  to such  effectand  (iv) the  Company  will  make a
notation  on  its  transfer  books  to  such  effect.   Each  Guarantor  further
understands that the exemption from registration  afforded by Rule 144 under the
Securities Act depends on the  satisfaction  of various  conditions and that, if
applicable, affords the basis of sales of the Warrants and/or the Warrant Shares
in limited  amounts under certain  conditions.  Each Guarantor (i)  acknowledges
that it has had a full opportunity to request from the Company to review and has
received all information deemed relevant in making a decision to enter into this
Agreement and consummate  the  transactions  contemplated  thereby and (ii) will
comply with the  restrictions  on  transferability  of the  Warrants and Warrant
Shares  contained in the Warrant.  Each  Guarantor is an  "Accredited  Investor"
within the meaning of Rule 501(a) of the Securities Act.

                                       IV.

                         AGREEMENTS AMONG THE GUARANTORS

                  The  Guarantors  agree with one another that all payments made
by them pursuant to their respective  Guarantees shall be allocated between them
in the  proportions  shown  opposite  their  respective  names  on  Schedule  I,
regardless  of whether  claims shall have been  asserted  under one  Guarantor's
Guarantee and not the other,  and without regard to any release of any Guarantee
by any beneficiary thereof.

                                       V.

                            AGREEMENTS OF THE COMPANY

                  The  Company  covenants  and agrees  that any right to payment
received by the Guarantors in respect of the Credit Agreement and their guaranty
thereof,  whether by way of purchase,  subrogation or otherwise,  and regardless
whether and to what extent the same shall be subordinated to other  indebtedness
to the Banks or shall have been waived pending certain  events,  may be applied,
both as to principal and accrued and unpaid interest,  dollar for dollar, by the
Guarantors,  or any of them,  as the  purchase  price of any  equity  securities
offered by the Company to investors for cash. In addition, in the event that the
Company  shall be unable  to make a payment  under  the  Credit  Agreement,  the
Guarantors  shall  have the  right  (but  not the  obligation)  (i) to  purchase
additional  equity  securities of the Company and (ii) to require the Company to
use the net  proceeds  of such  purchase to make such  payment  under the Credit
Agreement.  The right set forth in the preceding  sentence may only be exercised
upon joint approval by the Guarantors,  and the securities so purchased shall


                                        4






be issued at fair value,  based upon current market  conditions for the issuance
of equity  securities.  The  Company  shall use its best  efforts to provide the
Guarantors  with  sufficient  notice in advance of a payment  default  under the
Credit  Agreementto  enable the  Guarantors to exercise  their rights under this
Article V.

                                       VI.

                                  MISCELLANEOUS

                  Section 6.001.  Expenses.  Each party  hereto will pay its own
expenses in connection with the transactions contemplated hereby, whether or not
such  transactions  shall be consummated,  provided,  however,  that the Company
shall pay the fees and disbursements of the Guarantors' special counsel, Messrs.
Reboul, MacMurray, Hewitt, Maynard & Kristol and Kirkland & Ellis.

                  Section 6.002.   Survival  of   Agreements.   All   covenants,
agreements,  representations  and  warranties  made  herein  shall  survive  the
execution and delivery of this Agreement and the Warrants and the issuance, sale
and delivery of the Warrant Shares.

                  Section 6.003.   Parties  in  Interest.   All  covenants  and
agreements  contained  in this  Agreement  by or on behalf of any of the parties
hereto  shall bind and inure to the  benefit of the  respective  successors  and
assigns of the parties hereto whether so expressed or not.

                  Section 6.004.  Notices.  All notices,  requests,  consent and
other communications  hereunder shall be in writing and shall be mailed by first
class registered mail, postage prepaid,  or sent by a recognized courier service
addressed as follows:

                  If to the Company to it at:

                        333 Ovington Boulevard, Suite 702
                        Mitchell Field, New York 11553

                        Attention: Thomas P. Staudt, Chief Executive
                                       Officer

                  If to any  Guarantor,  to it at its  address  as set  forth in
Schedule 1, or,

                  in any such case,  at such other address or addresses as shall
have been furnished in writing my such party to the others.

                  Section 6.005. Law Governing. This Agreement shall be governed
by and construed in accordance with the laws of the State of New York.


                                        5





                  Section 6.006. Entire Agreement.  This  Agreement  constitutes
the entire  Agreement of the parties with respect to the subject  matter  hereof
and may not be modified or amended except in writing.

                  Section 6.07. Counterparts.  This Agreement may be executed in
two or more counterparts,  each of which shall be deemed an original, but all of
which together shall constitute one and the same instrument.


                                        6






                  IN  WITNESS  WHEREOF,  the  Company  and the  Guarantors  have
executed this Agreement as of the day and year first above written.

                                         MEDE AMERICA CORPORATION

                                         By
                                           -------------------------------------
                                                Thomas P. Staudt,
                                                  Chief Executive Officer

                                         WELSH, CARSON, ANDERSON &
                                           STOWE V, L.P.
                                         By WCAS V Partners, General Partner

                                         By
                                           -------------------------------------
                                                        General Partner

                                         WELSH, CARSON, ANDERSON &
                                           STOWE VI, L.P.
                                         By WCAS VI Partners, L.P., General
                                           Partner

                                         By
                                           -------------------------------------
                                                     General Partner

                                         WILLIAM BLAIR LEVERAGED CAPITAL
                                          FUND LIMITED PARTNERSHIP

                                         By  William Blair Leveraged Capital
                                                  Management, L.P.

                                         By William Blair & Company,
                                                  General Partner

                                         By
                                           -------------------------------------

                                         WILLIAM BLAIR CAPITAL
                                          PARTNERS V, L.P.

                                         By William Blair Capital Partners, LLC,
                                                  General Partner

                                         By
                                           -------------------------------------


                                        7






                                   Schedule 1

Name and Address of
    Guarantor                                                         Percentage
- -------------------                                                   ----------

Welsh, Carson, Anderson & Stowe V, L.P.                                   40%
  One World Financial Center
  Suite 3601
  New York, N.Y. 10281

Attention:  Anthony J. de Nicola

Welsh, Carson, Anderson & Stowe VI, L.P.                                  40
  One World Financial Center
  Suite 3601
  New York, N.Y. 10281

Attention:  Anthony J. de Nicola

William Blair Leveraged                                                    6.7
  Capital Fund  Limited Partnership
  222 W. Adams Street
  Chicago, Illinois  60606

Attention:  Timothy M. Murray

William Blair Capital                                                     13.3
  Partners V, L.P.
  222 W. Adams Street
  Chicago, Illinois  60606

Attention:  Timothy M. Murray

                                                                        100.00%
                                                                        ======


                                       8






          THIS WARRANT HAS BEEN ISSUED IN RELIANCE  UPON THE  REPRESENTATION  OF
          THE HOLDER THAT IT HAS BEEN ACQUIRED FOR  INVESTMENT  PURPOSES AND NOT
          WITH A VIEW TOWARDS THE RESALE OR OTHER DISTRIBUTION THEREOF.  NEITHER
          THIS WARRANT NOR THE SHARES ISSUABLE UPON THE EXERCISE OF THIS WARRANT
          HAVE BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933.

                            MEDE AMERICA CORPORATION
                           Stock Subscription Warrant

Warrant to Subscribe                                           December 18, 1995
for 96,000 shares

                          Void After December 17, 2005
                          ----------------------------

                             -----------------------

                  THIS  CERTIFIES  that,  for  value  received,  WELSH,  CARSON,
ANDERSON & STOWE VI, L.P., a Delaware  limited  partnership  ("Holder"),  or its
registered  assigns, is entitled to subscribe for and purchase from MEDE AMERICA
CORPORATION,  a Delaware corporation (hereinafter called the "Corporation"),  at
the price of $1.00 per share  (such price as from time to time to be adjusted as
hereinafter  provided being hereinafter called the "Warrant Exercise Price"), at
any time prior to December 18, 2005, up to NINETY SIX THOUSAND (96,000) (subject
to adjustment as hereinafter  provided) fully paid and  nonassessable  shares of
Common Stock, $.01 par value, of the Corporation (hereinafter called the "Common
Stock"),  subject,  however, to the provisions and upon the terms and conditions
hereinafter  set forth.  This  Warrant and any warrant or warrants  subsequently
issued upon exchange or transfer  hereof and each other warrant issued  pursuant
to the  Agreement  dated as of  December  18, 1995 (the  "Agreement")  among the
Corporation  and the  stockholders  of the  Corporation  named therein,  and any
warrant or warrants  subsequently issued upon exchange or transfer thereof,  are
hereinafter collectively called the "Warrants".


                                        1






                  Section 1.  Exercise of Warrant.

                  (a) Method of Exercise. The rights represented by this Warrant
         may be  exercised  by the holder  hereof,  in whole at any time or from
         time to time in part, but not as to a fractional share of Common Stock,
         by the surrender of this Warrant  (properly  endorsed) at the office of
         the  Corporation as it may designate by notice in writing to the holder
         hereof at the  address  of such  holder  appearing  on the books of the
         Corporation, and as further provided below in this Section 1:

                  (i)        Cash Exercise. By payment to the Corporation of
         the Warrant Exercise Price in cash or by certified or offi-
         cial bank check, for each share being purchased;

             (ii) Surrender of Indebtedness of or Claims Against Corporation. By
         surrender to the Corporation for cancellation of any indebtedness of or
         claim against the Corporation  (including  without limitation any claim
         against the  Corporation as subrogee in the event the Holder shall have
         performed under its Guarantee, as defined in the Agreement),  or of any
         portion  thereof,  for which  credit  shall be given toward the Warrant
         Exercise  Price for each share being  acquired  on a  dollar-for-dollar
         basis with reference to the principal amount cancelled;

            (iii) Net Issue  Exercise.  By an  election  to  receive  shares the
         aggregate  fair  market  value of which as of the date of  exercise  is
         equal to the fair market value of this Warrant (or the portion  thereof
         being  exercised)  on such date, in which event the  Corporation,  upon
         receipt of notice of such election,  shall issue to the holder hereof a
         number of shares of the  Corporation's  Common  Stock  equal to (A) the
         number of shares of Common Stock acquirable upon exercise of all or any
         portion of this Warrant being exercised, as at such date, multiplied by
         (B) the balance  remaining  after  deducting  (x) the Warrant  Exercise
         Price, as in effect on such date, from (y) the fair market value of one
         share of the  Corporation's  Common  Stock as at such date and dividing
         the result by (C) such fair market value; or

             (iv)  Combined  Payment  Method.  By  satisfaction  of the  Warrant
         Exercise Price for each share being acquired in any  combination of two
         or more of the methods described in clauses (i), (ii) and (iii) above.

                  (b)  Mandatory   Exercise.   Upon  the   consummation   of  an
         underwritten  public  offering  pursuant to an  effective  registration
         statement under the Securities Act of 1933, covering


                                        2






         the sale of the Corporation's  Common Stock at a price to the public of
         $3.00 or more (such  price as from time to time to be  adjusted  in the
         manner  provided for in paragraphs  (d), (h) and (j) for the adjustment
         of the  Warrant  Exercise  Price),  this  Warrant,  to the  extent  not
         previously  exercised,  shall be surrendered (properly endorsed) at the
         office of the  Corporation  as it may designate by notice in writing to
         the holder hereof at the address of such holder  appearing on the books
         of the  Corporation,  accompanied by payment to the  Corporation of the
         Warrant  Exercise  Price  by one or more of the  methods  specified  in
         clauses  (a)(i)-(iv)  above;  and to the extent not so surrendered,  it
         shall be deemed  exercised  in the manner  provided in clause  (a)(iii)
         above and,  upon  delivery of the shares of Common Stock  determined in
         accordance therewith, this Warrant shall be cancelled.

                  (c) Definition of Fair Market Value.  For the purposes of this
         Section 1, "fair  market  value"  shall mean,  as to any  security,  as
         follows:  if that  security  is listed or admitted to trading on one or
         more national  securities  exchanges,  the average of the last reported
         sales prices per share regular way or, in case no such  reported  sales
         takes place on any such day,  the average of the last  reported bid and
         asked  prices per share  regular  way, in either case on the  principal
         national  securities  exchange  on which  that  security  is  listed or
         admitted to trading, for the 20 trading days immediately  preceding the
         date upon which the fair market value is determined (the "Determination
         Date");  if that  security  is not listed or  admitted  to trading on a
         national  securities  exchange  but is  quoted  by the  NASD  Automated
         Quotation  System  ("NASDAQ"),  the average of the last reported  sales
         prices per share  regular way or, in case no reported  sale takes place
         on any such day or the last  reported  sales prices are not then quoted
         by NASDAQ,  the average for each such day of the last  reported bid and
         asked prices per share, for the 20 trading days  immediately  preceding
         the  Determination  Date as furnished by the National  Quotation Bureau
         Incorporated  or  any  similar  successor  organization;  and  if  that
         security is not listed or admitted to trading on a national  securities
         exchange  or  quoted  by  NASDAQ  or any  other  nationally  recognized
         quotation  service,  the "fair  market  value"  shall be the fair value
         thereof  determined  jointly  by the  Corporation  and  the  registered
         holders of Warrants  outstanding  representing a majority of the shares
         of Common Stock  acquirable  upon exercise of the  Warrants,  provided,
         however,  that if such parties are unable to reach  agreement  within a
         reasonable  time,  the "fair market  value" shall be determined in good
         faith by an independent investment banking firm selected jointly by the
         Corporation  and  the  registered   holders  of  Warrants   outstanding
         representing a majority of the shares of Common Stock


                                        3






         issuable upon exercise of the Warrants or, if that selection  cannot be
         made within 15 days, by an independent investment banking firm selected
         by the American  Arbitration  Association in accordance with its rules.
         Anything in this  paragraph  (c) to the contrary  notwithstanding,  the
         fair  market  value of this  Warrant or any  portion  thereof as of any
         Determination  Date shall be equal to (i) the fair market  value of the
         shares of Common Stock  issuable upon exercise of this Warrant (or such
         portion   thereof),   (determined  in  accordance  with  the  foregoing
         provisions of this  paragraph  (c)),  minus (ii) the aggregate  Warrant
         Exercise Price of this Warrant (or such portion thereof).

                  (d)  Delivery  of  Certificates,  Etc.  In  the  event  of any
         exercise of the rights  represented  by this Warrant,  a certificate or
         certificates for the shares of Common Stock so purchased, registered in
         the name of the holder,  shall be delivered to the holder hereof within
         a reasonable time, not exceeding ten days, after the rights represented
         by this Warrant shall have been so exercised;  and, unless this Warrant
         has expired, a new Warrant  representing the number of shares (except a
         remaining fractional share), if any, with respect to which this Warrant
         shall not then have been  exercised  shall also be issued to the holder
         hereof within such time. The person in whose name any  certificate  for
         shares of Common Stock is issued upon  exercise of this  Warrant  shall
         for all  purposes be deemed to have become the holder of record of such
         shares on the date on which the Warrant was  surrendered and payment of
         the Warrant  Exercise Price and any applicable  taxes was made,  except
         that, if the date of such  surrender and payment is a date on which the
         stock transfer books of the Corporation  are closed,  such person shall
         be  deemed to have  become  the  holder of such  shares at the close of
         business on the next  succeeding date on which the stock transfer books
         are open.

                  Section  2.   Adjustment  of  Number  of  Shares.   Upon  each
adjustment of the Warrant Exercise Price as provided in Section 3, the holder of
this Warrant shall  thereafter be entitled to purchase,  at the Warrant Exercise
Price resulting from such  adjustment,  the number of shares  (calculated to the
nearest tenth of a share) obtained by multiplying the Warrant  Exercise Price in
effect  immediately prior to such adjustment by the number of shares purchasable
pursuant  hereto  immediately  prior to such adjustment and dividing the product
thereof by the Warrant Exercise Price resulting from such adjustment.


                                        4






                  Section 3.  Adjustment of Price Upon Issuance of Common Stock.
If and  whenever  the  Corporation  shall issue or sell any shares of its Common
Stock for a  consideration  per share less than the  Warrant  Exercise  Price in
effect immediately prior to the time of such issue or sale, then, forthwith upon
such  issue or sale the  Warrant  Exercise  Price  shall be reduced to the price
(calculated  to the nearest $.01)  determined by dividing (i) an amount equal to
the sum of (a) the  number of shares of  Common  Stock  outstanding  immediately
prior to such issue or sale (including as outstanding all shares of Common Stock
issuable  upon  conversion  of  all  outstanding   Convertible   Securities  (as
hereinafter  defined) or exercise of outstanding Warrants multiplied by the then
existing Warrant Exercise Price, and (b) the consideration,  if any, received by
the  Corporation  upon such issue or sale, by (ii) the total number of shares of
Common Stock  outstanding  immediately  after such issue or sale  (including  as
outstanding  all  shares  of  Common  Stock  issuable  upon  conversion  of  all
outstanding  Convertible  Securities or exercise of  outstanding  Warrants).  No
adjustments of the Warrant Exercise Price,  however,  shall be made in an amount
less  than $.01 per  share,  but any such  lesser  adjustment  shall be  carried
forward  and  shall be made at the time and  together  with the next  subsequent
adjustment  which together with any  adjustments so carried forward shall amount
to $.01 per share or more.

                  For purposes of this Section 3, the following  paragraphs  (a)
to (p), inclusive, shall also be applicable:

                  (a)  Issuance  of Rights or  Options.  In case at any time the
         Corporation   shall  in  any  manner  grant  (whether  directly  or  by
         assumption in a merger or otherwise)  any rights to subscribe for or to
         purchase, or any options for the purchase of, Common Stock or any stock
         or securities  convertible  into or exchangeable for Common Stock (such
         rights or options being herein called  "Options",  and such convertible
         or exchangeable  stock or securities  being herein called  "Convertible
         Securities")  whether  or not such  Options  or the right to convert or
         exchange any such Convertible  Securities are immediately  exercisable,
         and the price per share for which  Common  Stock is  issuable  upon the
         exercise  of  such  Options  or upon  conversion  or  exchange  of such
         Convertible Securities (determined by dividing (i) the total amount, if
         any, received or receivable by the Corporation as consideration for the
         granting  of  such  Options,  plus  the  minimum  aggregate  amount  of
         additional  consideration  payable to the Corporation upon the exercise
         of all such Options,  plus, in the case of such Options which relate to
         Convertible  Securities,  the minimum  aggregate  amount of  additional
         consideration,  if  any,  payable  upon  the  issue  or  sale  of  such
         Convertible  Securities and upon the conversion or exchange thereof, by
         (ii) the total maximum  number of shares of Common Stock  issuable upon
         the exercise of such Options


                                        5






         or upon the conversion or exchange of all such  Convertible  Securities
         issuable  upon the  exercise  of such  Options)  shall be less than the
         Warrant Exercise Price in effect  immediately  prior to the time of the
         granting of such Options,  then the total  maximum  number of shares of
         Common  Stock  issuable  upon  the  exercise  of such  Options  or upon
         conversion or exchange of the total maximum amount of such  Convertible
         Securities  issuable  upon the exercise of such Options shall be deemed
         to have been issued for such price per share as of the date of granting
         of such  Options  and  thereafter  shall be deemed  to be  outstanding.
         Except as otherwise  provided in paragraph  (c), no  adjustment  of the
         Warrant  Exercise  Price  shall be made upon the  actual  issue of such
         Common Stock or of such  Convertible  Securities  upon exercise of such
         Options or upon the actual issue of such Common  Stock upon  conversion
         or exchange of such Convertible Securities.

                  (b)   Issuance  of   Convertible   Securities.   In  case  the
         Corporation   shall  in  any  manner  issue  (whether  directly  or  by
         assumption  in  a  merger  or   otherwise)  or  sell  any   Convertible
         Securities, whether or not the rights to exchange or convert thereunder
         are immediately  exercisable,  and the price per share for which Common
         Stock is  issuable  upon such  conversion  or exchange  (determined  by
         dividing (i) the total amount received or receivable by the Corporation
         as consideration for the issue or sale of such Convertible  Securities,
         plus the minimum aggregate amount of additional consideration,  if any,
         payable to the Corporation  upon the conversion or exchange of all such
         Convertible  Securities)  shall be less than the Warrant Exercise Price
         in effect immediately prior to the time of such issue or sale, then the
         total maximum number of shares of Common Stock issuable upon conversion
         or exchange of all such Convertible  Securities shall be deemed to have
         been  issued  for such  price  per share as of the date of the issue or
         sale of such  Convertible  Securities and thereafter shall be deemed to
         be  outstanding,  provided  that (i) except as  otherwise  provided  in
         paragraph (c) below, no adjustment of the Warrant  Exercise Price shall
         be made upon the actual issue of such Common Stock upon  conversion  or
         exchange of such Convertible Securities,  and (ii) if any such issue or
         sale of such Convertible Securities is made upon exercise of any Option
         to purchase any such  Convertible  Securities for which  adjustments of
         the  Warrant  Exercise  Price have been or are to be made  pursuant  to
         other  provisions  of this  Section  3, no  further  adjustment  of the
         Warrant Exercise Price shall be made by reason of such issue or sale.

                  (c)  Change  in  Option  Price or  Conversion  Rate.  Upon the
         happening of any of the following events, namely, if the purchase price
         provided for in any Option referred to in paragraph (a), the additional
         consideration, if any, payable


                                        6






         upon the conversion or exchange of any Convertible  Securities referred
         to in  paragraph  (a) or (b),  or the  rate at  which  any  Convertible
         Securities  referred to in paragraph (a) or (b) are convertible into or
         exchangeable  for Common  Stock  shall  change at any time  (other than
         under or by reason of provisions designed to protect against dilution),
         the  Warrant  Exercise  Price in effect at the time of such event shall
         forthwith be readjusted to the Warrant  Exercise Price which would have
         been in effect at such time had such Options or Convertible  Securities
         still outstanding provided for such changed purchase price,  additional
         consideration  or  conversion  rate,  as the case  may be,  at the time
         initially  granted,  issued or sold;  and on the expiration of any such
         Option or the termination of any such right to convert or exchange such
         Convertible  Securities,  the  Warrant  Exercise  Price  then in effect
         hereunder  shall  forthwith be increased to the Warrant  Exercise Price
         which  would  have  been in effect  at the time of such  expiration  or
         termination  had such  Option or  Convertible  Security,  to the extent
         outstanding immediately prior to such expiration or termination,  never
         been issued,  and the Common Stock issuable  thereunder shall no longer
         be deemed to be outstanding.

         If the purchase  price  provided for in any such Option  referred to in
         paragraph (a) or the rate at which any Convertible  Securities referred
         to in paragraph (a) or (b) are  convertible  into or  exchangeable  for
         Common  Stock,  shall be  reduced  at any time  under or by  reason  of
         provisions with respect thereto  designed to protect against  dilution,
         then in case of the  delivery of Common  Stock upon the exercise of any
         such Option or upon  conversion  or  exchange  of any such  Convertible
         Security,  the Warrant  Exercise Price then in effect  hereunder  shall
         forthwith  be  adjusted  to such  respective  amount as would have been
         obtained had such Option or  Convertible  Security never been issued as
         to such Common Stock and had adjustments been made upon the issuance of
         the shares of Common  Stock  delivered as  aforesaid,  but only if as a
         result of such  adjustment  the Warrant  Exercise  Price then in effect
         hereunder is thereby reduced.

                  (d) Stock Dividends.  In case the Corporation  shall declare a
         dividend  or  make  any  other  distribution  upon  any  stock  of  the
         Corporation payable in Common Stock, Options or Convertible Securities,
         any Common Stock,  Options or Convertible  Securities,  as the case may
         be,  issuable  in payment of such  dividend  or  distribution  shall be
         deemed to have been issued or sold without consideration.

                  (e)  Consideration  for  Stock.  In case any  shares of Common
         Stock,  Options or Convertible  Securities  shall be issued or sold for
         cash,  the  consideration  received  therefor shall be deemed to be the
         amount received by the Corporation


                                        7






         therefor,  without deduction  therefrom of any expenses incurred or any
         underwriting   commissions  or  concessions  paid  or  allowed  by  the
         Corporation  in  connection  therewith.  In case any  shares  of Common
         Stock, Options or Convertible  Securities shall be issued or sold for a
         consideration  other than cash, the amount of the  consideration  other
         than cash  received by the  Corporation  shall be deemed to be the fair
         value of such  consideration as determined by the Board of Directors of
         the  Corporation,  without  deduction of any  expenses  incurred or any
         underwriting   commissions  or  concessions  paid  or  allowed  by  the
         Corporation in connection therewith. The amount of consideration deemed
         to be received by the Corporation  pursuant to the foregoing provisions
         of this  paragraph  (e) upon any issuance  and/or sale,  pursuant to an
         established  compensation  plan  of  the  Corporation,   to  directors,
         officers or  employees  of the  Corporation  in  connection  with their
         employment   of  shares  of  Common  Stock,   Options  or   Convertible
         Securities,  shall  be  increased  by the  amount  of any  tax  benefit
         realized by the  Corporation as a result of such issuance  and/or sale,
         the amount of such tax  benefit  being the amount by which the  Federal
         and/or State income or other tax liability of the Corporation  shall be
         reduced  by  reason of any  deduction  or  credit  in  respect  of such
         issuance and/or sale. In case any Options shall be issued in connection
         with  the  issue  and  sale of  other  securities  of the  Corporation,
         together  comprising  one  integral  transaction  in which no  specific
         consideration is allocated to such Options by the parties thereto, such
         Options shall be deemed to have been issued without  consideration.  In
         case any  shares of Common  Stock,  Options or  Convertible  Securities
         shall be issued in connection with any merger or consolidation in which
         the   Corporation   is  the  surviving   corporation,   the  amount  of
         consideration  therefor  shall  be  deemed  to be  the  fair  value  as
         determined by the Board of Directors of the Corporation of such portion
         of the assets and  business of the  non-surviving  corporation  as such
         Board shall determine to be attributable to such Common Stock,  Options
         or  Convertible  Securities,  as the case may be.  In the  event of any
         consolidation  or merger of the Corporation in which the Corporation is
         not the  surviving  corporation  or in the  event of any sale of all or
         substantially  all of the assets of the  Corporation for stock or other
         securities of any corporation,  the Corporation shall be deemed to have
         issued a number of shares of its Common  Stock for stock or  securities
         of the other  corporation  computed on the basis of the actual exchange
         ratio on which the  transaction  was predicated and for a consideration
         equal to the fair market value on the date of such  transaction of such
         stock  or  securities  of  the  other  corporation,  and  if  any  such
         calculation  results in adjustment of the Warrant  Exercise Price,  the
         determination  of the number of shares of Common Stock receivable under
         this Warrant immediately prior to such


                                        8






         merger,  consolidation or sale, for purposes of paragraph (j), shall be
         made after giving  effect to such  adjustment  of the Warrant  Exercise
         Price.

                  (f) Record Date. In case the  Corporation  shall take a record
         of the holders of its Common  Stock for the purpose of  entitling  them
         (i) to  receive a  dividend  or other  distribution  payable  in Common
         Stock, Options or Convertible  Securities,  or (ii) to subscribe for or
         purchase  Common Stock,  Options or Convertible  Securities,  then such
         record  date shall be deemed to be the date of the issue or sale of the
         shares of  Common  Stock  deemed  to have been  issued or sold upon the
         declaration  of such dividend or the making of such other  distribution
         or the date of the granting of such right of  subscription or purchase,
         as the case may be.

                  (g)  Treasury  Shares.  The  number of shares of Common  Stock
         outstanding at any given time shall not include shares owned or held by
         or for the account of the Corporation,  and the disposition of any such
         shares  shall be  considered  an issue or sale of Common  Stock for the
         purposes of this Section 3.

                  (h)   Subdivision  or  Combination  of  Stock.   In  case  the
         Corporation  shall at any time  subdivide  its  outstanding  shares  of
         Common  Stock into a greater  number of shares,  the  Warrant  Exercise
         Price  in  effect  immediately  prior  to  such  subdivision  shall  be
         proportionately reduced, and conversely, in case the outstanding shares
         of Common  Stock of the  Corporation  shall be combined  into a smaller
         number of shares,  the  Warrant  Exercise  Price in effect  immediately
         prior to such combination shall be proportionately increased.

                  (i) Certain Issues of Common Stock  Excepted.  Anything herein
         to the contrary notwithstanding,  the Corporation shall not be required
         to make any adjustment of the Warrant Exercise Price in the case of the
         issuance of shares of Common  Stock upon  exercise  of  employee  stock
         options approved by the Board of Directors of the Corporation.

                  (j) Reorganization, Reclassification, Consolidation, Merger or
         Sale.  If any  capital  reorganization  or  reclassi-  fication  of the
         capital stock of the Corporation or any  consolidation or merger of the
         Corporation   with  another   corporation,   or  the  sale  of  all  or
         substantially  all  of its  assets  to  another  corporation  shall  be
         effected in such a way that  holders of Common  Stock shall be entitled
         to receive  stock,  securities or assets with respect to or in exchange
         for  Common  Stock,  then,  as  a  condition  of  such  reorganization,
         reclassification,  consolidation,  merger or sale,  lawful and adequate
         provisions shall be made whereby


                                        9






         each holder of the Warrants shall  thereafter have the right to receive
         upon the basis and upon the terms and conditions  specified  herein and
         in lieu of the shares of Common  Stock of the  Corporation  immediately
         theretofore  receivable  upon the exercise of such Warrant or Warrants,
         such shares of stock,  securities or assets  (including cash) as may be
         issued  or  payable  with  respect  to or in  exchange  for a number of
         outstanding  shares of such Common  Stock equal to the number of shares
         of  such  stock   immediately   theretofore   so  receivable  had  such
         reorganization,  reclassification,  consolidation,  merger  or sale not
         taken place, and in any such case  appropriate  provision shall be made
         with respect to the rights and interests of such holder to the end that
         the provisions  hereof  (including  without  limitation  provisions for
         adjustments  of  the  Warrant   Exercise  Price)  shall  thereafter  be
         applicable,  as nearly as may be, in  relation  to any shares of stock,
         securities or assets  thereafter  deliverable upon the exercise of such
         exercise rights (including an immediate  adjustment,  by reason of such
         reorganization  or  reclassification,  of the Warrant Exercise Price to
         the  value  for  the  Common  Stock  reflected  by the  terms  of  such
         reorganization  or  reclassification  if the value so reflected is less
         than the Warrant  Exercise  Price in effect  immediately  prior to such
         reorganization  or  reclassifica-  tion).  In the  event of a merger or
         consolidation  of the  Corporation  as a result of which a  greater  or
         lesser  number of shares of common stock of the  surviving  corporation
         are issuable to holders of Common Stock of the Corporation  outstanding
         immediately prior to such merger or consolidation, the Warrant Exercise
         Price in effect immediately prior to such merger or consolidation shall
         be adjusted in the same manner as though  there were a  subdivision  or
         combination  of  the   outstanding   shares  of  Common  Stock  of  the
         Corporation.  The Corporation  will not effect any such  consolidation,
         merger  or any  sale  of  all or  substantially  all of its  assets  of
         properties,  unless  prior to the  consummation  thereof the  successor
         corporation  (if  other  than  the  Corporation)  resulting  from  such
         consolidation or merger or the corporation purchasing such assets shall
         assume by written  instrument  executed and mailed or delivered to each
         holder of the Warrants at the last address of such holder  appearing on
         the books of the Corporation,  the obligation to deliver to such holder
         such shares of stock,  securities or assets as, in accordance  with the
         foregoing provisions, such holder may be entitled to receive.

                  (k) Notice of  Adjustment.  Upon any adjustment of the Warrant
         Exercise Price,  then and in each such case, the Corporation shall give
         written notice thereof, by first class mail, postage prepaid, addressed
         to each  holder of the  Warrants at the address of such holder as shown
         on the books of the Corporation, which notice shall state the Warrant


                                       10






         Exercise  Price  resulting  from  such  adjustment,  setting  forth  in
         reasonable  detail the method of  calculation  and the facts upon which
         such calculation is based.

                  (l)  Certain  Events.  If any event  occurs as to which in the
         opinion  of the  Board  of  Directors  of  the  Corporation  the  other
         provisions of this Section 3 are not strictly applicable or if strictly
         applicable  would  not  fairly  protect  the  exercise  rights  of this
         Warrant, in accordance with the essential intent and principles of such
         provisions to protect  against  dilution,  then such Board of Directors
         shall in good  faith  make an  adjustment  in the  application  of such
         provisions, in accordance with such essential intent and principles, so
         as to protect such exercise rights as aforesaid.

                  (m) Stock to Be Reserved.  The  Corporation  will at all times
         reserve and keep  available out of its  authorized  Common Stock or its
         treasury  shares,  solely for the purpose of issue upon the exercise of
         this Warrant as herein provided,  such number of shares of Common Stock
         as shall  then be  issuable  upon the  exercise  of this  Warrant.  The
         Corporation covenants that all shares of Common Stock which shall be so
         issued   shall  be  duly  and   validly   issued  and  fully  paid  and
         nonassessable  and free from all taxes,  liens and charges with respect
         to the issue  thereof,  and,  without  limiting the  generality  of the
         foregoing,  the  Corporation  covenants  that it will from time to time
         take all such action as may be  requisite  to assure that the par value
         per share of the Common Stock is at all times equal to or less than the
         effective  Warrant  Exercise Price.  The Corporation will take all such
         action as may be  necessary  to assure  that all such  shares of Common
         Stock may be so  issued  without  violation  of any  applicable  law or
         regulation,  or of any requirements of any national securities exchange
         upon  which the Common  Stock of the  Corporation  may be  listed.  The
         Corporation will not take any action which results in any adjustment of
         the  Warrant  Exercise  Price if the  total  number of shares of Common
         Stock  issued and  issuable  after such  action  upon  exercise of this
         Warrant  would  exceed the total  number of shares of Common Stock then
         authorized  by  the  Corporation's   Articles  of  Incorporation.   The
         Corporation  has not  granted  and will not  grant  any  right of first
         refusal with respect to shares  issuable upon exercise of this Warrant,
         and there are no preemptive rights associated with such shares.

                  (n) Issue Tax.  The  issuance  of  certificates  for shares of
         Common Stock upon exercise of the Warrants shall be made without charge
         to the holders of such Warrants for any issuance tax in respect thereof
         provided  that the  Corporation  shall not be  required  to pay any tax
         which  may be  payable  in  respect  of any  transfer  involved  in the
         issuance


                                       11






         and  delivery  of any  certificate  in a name  other  than  that of any
         holder of the Warrants.

                  (o) Closing of Books.  The  Corporation  will at no time close
         its transfer  books  against the transfer of the shares of Common Stock
         issued or  issuable  upon the  exercise  of this  Warrant in any manner
         which interferes with the timely exercise of this Warrant.

                  (p)  Definition  of  Common  Stock.  As used  herein  the term
         "Common Stock" shall mean and include the Common Stock, $.01 par value,
         of the  Corporation  as  authorized  on December  18, 1995 and also any
         capital stock of any class of the  Corporation  hereinafter  authorized
         which shall not be limited to a fixed sum or  percentage  in respect of
         the rights of the holders thereof to participate in dividends or in the
         distribution  of assets upon the voluntary or involuntary  liquidation,
         dissolution or winding up of the Corporation,  provided,  however, that
         the shares  purchasable  pursuant to this  Warrant  shall  include only
         shares  designated as Common Stock,  $.01 par value, of the Corporation
         on December 18, 1995, or shares of any class or classes  resulting from
         any reclassification or reclassifications thereof which are not limited
         to any such fixed sum or  percentage  and are not subject to redemption
         by the  Corporation  and,  in case at any time there shall be more than
         one such  resulting  class,  the shares of each class then so  issuable
         shall be  substantially  in the  proportion  which the total  number of
         shares of such class resulting from all such reclassifications bears to
         the total number of shares of all such classes  resulting from all such
         reclassifications.

                  Section 4.  Notices of Record Dates.  In the event of

                  (1) any taking by the  Corporation  of a record of the holders
         of any class of securities for the purpose of  determining  the holders
         thereof who are entitled to receive any dividend or other  distribution
         (other  than cash  dividends  out of earned  surplus),  or any right to
         subscribe for, purchase or otherwise acquire any shares of stock of any
         class or any other  securities  or  property,  or to receive  any other
         right, or

                  (2)  any  capital  reorganization  of  the  Corporation,   any
         reclassification  or  recapitalization  of  the  capital  stock  of the
         Corporation or any transfer of all or  substantially  all the assets of
         the Corporation to or  consolidation  or merger of the Corporation with
         or into any other corporation, or

                  (3) any voluntary or involuntary  dissolution,  liquidation or
         winding-up of the Corporation,


                                       12







then and in each such event the  Corporation  will give  notice to the holder of
this Warrant specifying (i) the date on which any such record is to be taken for
the purpose of such dividend,  distribution  or right and stating the amount and
character of such dividend,  distribution  or right,  and (ii) the date on which
any   such   reorganization,   reclassification,   recapitalization,   transfer,
consolidation,  merger, dissolution, liquidation or winding-up is to take place,
and the time, if any is to be fixed, as of which the holders of record of Common
Stock will be entitled to exchange  their shares of Common Stock for  securities
or other property  deliverable  upon such  reorganization,  reclassifi-  cation,
recapitalization,  transfer, consolidation,  merger, dissolution, liquidation or
winding-up.  Such  notice  shall be given at least 20 days and not more  than 90
days prior to the date therein  specified,  and such notice shall state that the
action in  question  or the record  date is subject  to the  effectiveness  of a
registration  statement  under the Securities Act of 1933 or to a favorable vote
of stockholders, if either is required.

                  Section 5.  [omitted]

                  Section 6. No Stockholder Rights or Liabilities.  This Warrant
shall not entitle the holder  hereof to any voting  rights or other  rights as a
stockholder  of the  Corporation.  No provi-  sion  hereof,  in the  absence  of
affirmative  action by the holder hereof to purchase shares of Common Stock, and
no mere enumera-  tion herein of the rights or privileges of the holder  hereof,
shall give rise to any liability of such holder for the Warrant  Exercise  Price
or as a stockholder  of the  Corporation,  whether such liability is asserted by
the Corporation or by creditors of the Corporation.

                  Section 7. Investment  Representation  and Legend. The holder,
by acceptance of the Warrant, represents and warrants to the Corporation that it
is acquiring  the Warrant and the shares of Common  Stock (or other  securities)
issuable upon the exercise  hereof for  investment  purposes only and not with a
view  towards  the resale or other  distribution  thereof and agrees that (a) it
will not offer, sell, transfer,  encumber or otherwise dispose of the Warrant or
any of the  shares of  Common  Stock (or  other  securities)  issuable  upon the
exercise hereof unless either (i) there is an effective  registration  statement
under said Act relating  thereto or (ii) the Corporation has received an opinion
of counsel,  reasonably  satisfactory in form and substance to the  Corporation,
stating that such  registration  is not required;  and (b) the  Corporation  may
affix upon this Warrant the following legend:

                  "This   Warrant  has  been   issued  in   reliance   upon  the
         representation  of the holder that it has been acquired for  investment
         purposes and not with a view towards the resale


                                       13






         or other  distribution  thereof.  Neither  this  Warrant nor the shares
         issuable upon the exercise of this Warrant have been  registered  under
         the Securities Act of 1933."

The holder,  by acceptance of this Warrant,  further agrees that the Corporation
may affix the following legend to certificates for shares of Common Stock issued
upon exercise of this Warrant:

                  "The  securities  represented  by this  certificate  have been
         issued in reliance upon the representation of the holder that they have
         been acquired for  investment  and not with a view toward the resale or
         other  distribution  thereof,  and have not been  registered  under the
         Securities Act of 1933.  Neither the securities  evidenced hereby,  nor
         any interest therein, may be offered, sold, transferred,  encumbered or
         otherwise   disposed  of  unless  either  (i)  there  is  an  effective
         registration  statement  under  said Act  relating  thereto or (ii) the
         Corporation has received an opinion of counsel, reasonably satisfactory
         in  form  and   substance  to  the   Corporation,   stating  that  such
         registration is not required."

                  Section 8. Lost, Stolen,  Mutilated or Destroyed  Warrant.  If
this Warrant is lost,  stolen,  mutilated or destroyed,  the Corporation may, on
such terms as to indemnity or otherwise as it may in its  discretion  reasonably
impose (which shall, in the case of a mutilated  Warrant,  include the surrender
thereof),  issue a new Warrant of like  denomination and tenor as the Warrant so
lost, stolen,  mutilated or destroyed.  Any such new Warrant shall constitute an
original contractual obligation of the Corporation, whether or not the allegedly
lost, stolen, mutilated or destroyed Warrant shall be at any time enforceable by
anyone.

                  Section  9.   Notices.   All   notices,   requests  and  other
communications required or permitted to be given or delivered hereunder shall be
in writing, and shall be delivered,  or shall be sent by certified or registered
mail,  postage  prepaid  and  addressed,  if to the holder to such holder at the
address  shown on such  holder's  Warrant or at such other address as shall have
been  furnished  to the  Corporation  by notice from such  holder.  All notices,
requests and other communications required or permitted to be given or delivered
hereunder  shall be in  writing,  and  shall be  delivered,  or shall be sent by
certified or registered  mail,  postage prepaid and addressed to the Corporation
at such  address as shall have been  furnished  to the holder by notice from the
Corporation.


                                       14






                  IN WITNESS WHEREOF, MedE America Corporation has executed this
Warrant on and as of the day and year first above written.

                                            MEDE AMERICA CORPORATION

                                            By
                                              ----------------------------------


                                       15






                             SUBSCRIPTION AGREEMENT

To:

Dated:

                  The  undersigned,  pursuant to the provisions set forth in the
within Warrant, hereby agrees to subscribe for and purchase [ ] shares of Common
Stock of MedE America  Corporation,  a Delaware  Corporation (the "Corporation")
covered by such  Warrant,  and makes  payment  herewith in full therefor [at the
price per share provided by such Warrant [in cash] [by surrender of indebtedness
of the Corporation as provided in Section 1(a)(ii) of such Warrant] [as provided
in Section 1(a)(iii) of such Warrant].

                                            Signature
                                                     ---------------------------

                                            ------------------------------------


                                            Address
                                                   -----------------------------

                                            ------------------------------------




















          THIS WARRANT HAS BEEN ISSUED IN RELIANCE  UPON THE  REPRESENTATION  OF
          THE HOLDER THAT IT HAS BEEN ACQUIRED FOR  INVESTMENT  PURPOSES AND NOT
          WITH A VIEW TOWARDS THE RESALE OR OTHER DISTRIBUTION THEREOF.  NEITHER
          THIS WARRANT NOR THE SHARES ISSUABLE UPON THE EXERCISE OF THIS WARRANT
            HAVE BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933.

                            MEDE AMERICA CORPORATION
                           Stock Subscription Warrant

Warrant to Subscribe                                           December 18, 1995
for 96,000 shares

                          Void After December 17, 2005
                          ----------------------------

                             -----------------------

                  THIS  CERTIFIES  that,  for  value  received,  WELSH,  CARSON,
ANDERSON & STOWE VI, L.P., a Delaware  limited  partnership  ("Holder"),  or its
registered  assigns, is entitled to subscribe for and purchase from MEDE AMERICA
CORPORATION,  a Delaware corporation (hereinafter called the "Corporation"),  at
the price of $1.00 per share  (such price as from time to time to be adjusted as
hereinafter  provided being hereinafter called the "Warrant Exercise Price"), at
any time prior to December 18, 2005, up to NINETY SIX THOUSAND (96,000) (subject
to adjustment as hereinafter  provided) fully paid and  nonassessable  shares of
Common Stock, $.01 par value, of the Corporation (hereinafter called the "Common
Stock"),  subject,  however, to the provisions and upon the terms and conditions
hereinafter  set forth.  This  Warrant and any warrant or warrants  subsequently
issued upon exchange or transfer  hereof and each other warrant issued  pursuant
to the  Agreement  dated as of  December  18, 1995 (the  "Agreement")  among the
Corporation  and the  stockholders  of the  Corporation  named therein,  and any
warrant or warrants  subsequently issued upon exchange or transfer thereof,  are
hereinafter collectively called the "Warrants".

















          THIS WARRANT HAS BEEN ISSUED IN RELIANCE  UPON THE  REPRESENTATION  OF
          THE HOLDER THAT IT HAS BEEN ACQUIRED FOR  INVESTMENT  PURPOSES AND NOT
          WITH A VIEW TOWARDS THE RESALE OR OTHER DISTRIBUTION THEREOF.  NEITHER
          THIS WARRANT NOR THE SHARES ISSUABLE UPON THE EXERCISE OF THIS WARRANT
            HAVE BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933.

                            MEDE AMERICA CORPORATION
                           Stock Subscription Warrant

Warrant to Subscribe                                           December 18, 1995
for 96,000 shares

                          Void After December 17, 2005
                          ----------------------------

                            ------------------------

                  THIS  CERTIFIES  that,  for  value  received,  WELSH,  CARSON,
ANDERSON & STOWE V, L.P.,  a Delaware  limited  partnership  ("Holder"),  or its
registered  assigns, is entitled to subscribe for and purchase from MEDE AMERICA
CORPORATION,  a Delaware corporation (hereinafter called the "Corporation"),  at
the price of $1.00 per share  (such price as from time to time to be adjusted as
hereinafter  provided being hereinafter called the "Warrant Exercise Price"), at
any time prior to December 18, 2005, up to NINETY SIX THOUSAND (96,000) (subject
to adjustment as hereinafter  provided) fully paid and  nonassessable  shares of
Common Stock, $.01 par value, of the Corporation (hereinafter called the "Common
Stock"),  subject,  however, to the provisions and upon the terms and conditions
hereinafter  set forth.  This  Warrant and any warrant or warrants  subsequently
issued upon exchange or transfer  hereof and each other warrant issued  pursuant
to the  Agreement  dated as of  December  18, 1995 (the  "Agreement")  among the
Corporation  and the  stockholders  of the  Corporation  named therein,  and any
warrant or warrants  subsequently issued upon exchange or transfer thereof,  are
hereinafter collectively called the "Warrants".














         THIS WARRANT HAS BEEN ISSUED IN RELIANCE UPON THE REPRESENTATION OF THE
         HOLDER THAT IT HAS BEEN ACQUIRED FOR INVESTMENT PURPOSES AND NOT WITH A
         VIEW  TOWARDS THE RESALE OR OTHER  DISTRIBUTION  THEREOF.  NEITHER THIS
         WARRANT NOR  THE SHARES ISSUABLE UPON THE EXERCISE OF THIS WARRANT HAVE
           BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933.

                            MEDE AMERICA CORPORATION
                           Stock Subscription Warrant

Warrant to Subscribe                                           December 18, 1995
for 16,080 shares

                          Void After December 17, 2005
                          ----------------------------

                              -------------------

                  THIS  CERTIFIES  that,  for  value  received,   WILLIAM  BLAIR
LEVERAGED  CAPITAL FUND LIMITED  PARTNERSHIP,  an Illinois  limited  partnership
("Holder"), or its registered assigns, is entitled to subscribe for and purchase
from MEDE AMERICA CORPORATION,  a Delaware  corporation  (hereinafter called the
"Corporation"), at the price of $1.00 per share (such price as from time to time
to be adjusted as  hereinafter  provided being  hereinafter  called the "Warrant
Exercise Price"), at any time prior to December 18, 2005, up to SIXTEEN THOUSAND
EIGHTY (16,080)  (subject to adjustment as hereinafter  provided) fully paid and
nonassessable  shares  of  Common  Stock,  $.01 par  value,  of the  Corporation
(hereinafter called the "Common Stock"), subject, however, to the provisions and
upon the terms and  conditions  hereinafter  set  forth.  This  Warrant  and any
warrant or warrants  subsequently  issued upon  exchange or transfer  hereof and
each other warrant  issued  pursuant to the  Agreement  dated as of December 18,
1995  (the  "Agreement")  among  the  Corporation  and the  stockholders  of the
Corporation named therein, and any warrant or warrants  subsequently issued upon
exchange  or  transfer  thereof,   are  hereinafter   collectively   called  the
"Warrants".













         THIS WARRANT HAS BEEN ISSUED IN RELIANCE UPON THE REPRESENTATION OF THE
         HOLDER THAT IT HAS BEEN ACQUIRED FOR INVESTMENT PURPOSES AND NOT WITH A
         VIEW  TOWARDS THE RESALE OR OTHER  DISTRIBUTION  THEREOF.  NEITHER THIS
         WARRANT NOR THE SHARES ISSUABLE UPON THE EXERCISE OF  THIS WARRANT HAVE
           BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933.

                            MEDE AMERICA CORPORATION
                           Stock Subscription Warrant

Warrant to Subscribe                                           December 18, 1995
for 32,640 shares

                          Void After December 17, 2005
                          ----------------------------

                            -----------------------

                  THIS CERTIFIES that, for value received, WILLIAM BLAIR CAPITAL
PARTNERS V, L.P., a Delaware limited partnership  ("Holder"),  or its registered
assigns,   is  entitled  to  subscribe   for  and  purchase  from  MEDE  AMERICA
CORPORATION,  a Delaware corporation (hereinafter called the "Corporation"),  at
the price of $1.00 per share  (such price as from time to time to be adjusted as
hereinafter  provided being hereinafter called the "Warrant Exercise Price"), at
any time prior to December 18, 2005, up to THIRTY TWO THOUSAND SIX HUNDRED FORTY
(32,640)  (subject  to  adjustment  as  hereinafter  provided)  fully  paid  and
nonassessable  shares  of  Common  Stock,  $.01 par  value,  of the  Corporation
(hereinafter called the "Common Stock"), subject, however, to the provisions and
upon the terms and  conditions  hereinafter  set  forth.  This  Warrant  and any
warrant or warrants  subsequently  issued upon  exchange or transfer  hereof and
each other warrant  issued  pursuant to the  Agreement  dated as of December 18,
1995  (the  "Agreement")  among  the  Corporation  and the  stockholders  of the
Corporation named therein, and any warrant or warrants  subsequently issued upon
exchange  or  transfer  thereof,   are  hereinafter   collectively   called  the
"Warrants".