EXHIBIT 3.2

                AMENDED AND RESTATED CERTIFICATE OF INCORPORATION

                                       OF

                            MEDE AMERICA CORPORATION

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


                  FIRST:   The name of the Corporation is MEDE AMERICA
CORPORATION.

                  SECOND:  The  address  of   the   registered   office  of  the
Corporation  in the  State  of  Delaware  is 1013  Centre  Road,  in the City of
Wilmington, County of New Castle. The name of the Corporation's registered agent
at such address is Corporation Service Company.

                  THIRD:   The purpose for which the Corporation is formed is to
engage in any lawful act or activity  for which  corporations  may be  organized
under the Delaware General Corporation Law.

                  FOURTH:  The total  number of shares of all  classes  of stock
which the  Corporation  shall  have  authority  to issue is  35,000,000  shares,
consisting of 5,000,000  shares of Preferred Stock,  $.01 par value  ("Preferred
Stock"),  of which  250,000  shares are hereby  designated as Series A Preferred
Stock, $.01 par value ("Series A Preferred  Stock"),  and 30,000,  000 shares of
Common Stock, $.01 par value ("Common Stock").

         Effective  immediately  upon the filing of this  Amended  and  Restated
Certificate  of  Incorporation  in the office of the  Secretary  of State of the
State of Delaware,  the  outstanding  shares of capital stock of the Corporation
shall be and hereby are combined  and  reclassified  as follows:  each shares of
Preferred  Stock shall be reclassified as and converted into one share of Series
A Preferred  Stock, and each 4.5823 shares of Common Stock shall be reclassified
as and  converted  into one  share of  Common  Stock;  provided,  however,  that
fractional  shares of Common  Stock will not be issued in  connection  with such
combination  and  reclassification,  and each  holder of a  fractional  share of
Common Stock shall receive in lieu thereof a cash payment from the  Corporation,
the fair value of which shall be  determined  by the Board of  Directors in good
faith within 90 days after the filing of this  Amended and Restated  Certificate
of Incorporation.



                                          






         Certificates  representing shares combined and reclassified as provided
in this Amended and Restated  Certificate of Incorporation  are hereby canceled,
and, upon  presentation  of the canceled  certificates to the  Corporation,  the
holders thereof shall be entitled to receive new  certificates  representing the
shares resulting from such combination and reclassification.

         The Board of Directors is authorized to provide for the issuance of the
shares of Preferred Stock in series and, by filing a certificate pursuant to the
applicable  law of the State of  Delaware,  to  establish  from time to time the
number of shares to be included in each such series, and to fix the designation,
powers, preferences and rights of the shares of each such series and the qualifi
cations,  limitations  or  restrictions  thereof.  The authority of the Board of
Directors with respect to the Preferred Stock shall include,  but not be limited
to, determination of the following:

                           1. The number of shares constituting  that series and
         the distinctive designation of that series;

                           2. The  dividend  rate on the shares of that  series,
         whether  dividends shall be cumulative,  and, if so, from which date or
         dates,  and the  relative  rights of  priority,  if any,  of payment of
         dividends on share of that series;

                           3. Whether that series shall have voting  rights,  in
         addition to the voting rights provided by law, and, if so, the terms of
         such voting rights;

                           4.  Whether   that  series   shall  have   conversion
         privileges,  and, if so, the terms and  conditions of such  conversion,
         including  provision  for  adjustment  of the  conversion  rate in such
         events as the Board of Directors shall determine;

                           5.  Whether or not the shares of that series shall be
         redeemable,  and, if so, the terms and  conditions of such  redemption,
         including  the  date or  dates  upon  or  after  which  they  shall  be
         redeemable,  and the  amount per share  payable in case of  redemption,
         which  amount  may vary under  different  conditions  and at  different
         redemption dates;

                           6.  Whether that series shall have a sinking fund for
         the  redemption  or purchase of shares of that series,  and, if so, the
         terms and amount of such sinking fund;

                           7. The  rights of the  shares  of that  series in the
         event of voluntary or involuntary  liquidation,  dissolution or winding
         up of the Corporation,  and the relative rights of priority, if any, of
         payment of shares of that series; and

                           8.  Any  other  relative   rights,   preferences  and
         limitations of that series.

         All  cross-references  in each subdivision of this Article FOURTH refer
to other  para  graphs  in such  subdivision  unless  otherwise  indicated.  The
following is a statement of the  designations,  

                                       2



and the powers,  preferences and rights, and the qualifications,  limitations or
restrictions thereof, in respect of each class of stock of the Corporation:


                                       I.

                            SERIES A PREFERRED STOCK

                  Except as otherwise  expressly  provided herein, all shares of
         Series A  Preferred  Stock  shall be  identical  and shall  entitle the
         holders thereof to the same rights and privileges.

                  1.       Cumulative Dividends.

                           (i) The holders of Series A Preferred  Stock shall be
                  entitled  to  receive,  when and as  declared  by the Board of
                  Directors  out of funds  legally  available  for such purpose,
                  cash dividends at the rate of $10.00 per share per annum,  and
                  no  more.  In the  event  such  dividends  are  declared,  the
                  dividend  payment  dates  with  respect  thereto  shall be the
                  immediately succeeding September 30.

                           (ii) In no event,  so long as any Series A  Preferred
                  Stock shall remain outstanding,  shall any dividend whatsoever
                  be declared or paid upon, nor shall any  distribution  be made
                  upon, any Common Stock, other than a dividend or distribu tion
                  payable in shares of Common  Stock,  nor,  without the written
                  consent of the holders of 66-2/3% of the outstanding  Series A
                  Preferred Stock, shall any shares of Common Stock be purchased
                  or redeemed by the  Corporation,  nor shall any moneys be paid
                  to or made  available  for a sinking  fund for the purchase or
                  redemption  of any  Common  Stock,  unless  in  each  instance
                  cumulative  dividends  accrued  and unpaid on all  outstanding
                  shares of the Series A Preferred  Stock for all past  dividend
                  periods shall have been paid in full.

                  2.       Redemption.

                  2A.      Mandatory  Redemptions.  The Series A Preferred Stock
         shall be redeemed in full in two equal  installments  on September  30,
         2001 and  September  30,  2002,  at the  Redemption  Price (as  defined
         below).

                  2B.      Optional  Redemptions.  The Series A Preferred  Stock
         may be redeemed  in whole at any time or in part from time to time,  at
         the option of the Corporation, at the Redemption Price.

                  2C.      Redemption Date;  Redemption Price. Any date on which
         the  Corporation  elects or is  required  to redeem  Series A Preferred
         Stock under this  paragraph  2 shall be  referred  to as a  "Redemption
         Date." The per share "Redemption Price" of the Series A



                                        3




         Preferred Stock to be redeemed on a Redemption Date shall be the sum of
         (x)  $100.00  per share,  plus (y) any  accrued  but  unpaid  dividends
         thereon to the date of such redemption.

                  2D.      Notice of  Redemption.  Not less than 30 days  before
         any Redemption  Date,  written  notice shall be given by mail,  postage
         prepaid to the holders of record of the Series A Preferred  Stock to be
         redeemed,  addressed to each such stockholder at his or its post office
         address as shown by the  records  of the  Corporation,  specifying  the
         number of shares to be redeemed,  the  subparagraph or subparagraphs of
         this paragraph 2 pursuant to which such  redemption  shall be made, the
         Redemption  Price and the place at which and the date, which date shall
         not be a day on which  banks in the  City of New York are  required  or
         authorized  to close,  on which the shares of Series A Preferred  Stock
         will be  redeemed.  If such notice of  redemption  shall have been duly
         given and if on or before such  Redemption Date the funds necessary for
         redemption  shall  have been set aside so as to be and  continue  to be
         available  therefor,  then,  notwithstanding  that any  certificate for
         shares of Series A Preferred  Stock to be redeemed  shall not have been
         surrendered  for  cancellation,  after  the close of  business  on such
         Redemption Date, such shares shall no longer be deemed outstanding, the
         dividends thereon shall cease to accrue, and all rights with respect to
         such  shares  shall  forthwith  after  the  close  of  business  on the
         Redemption Date, cease, except only the right of the holders thereof to
         receive the Redemption Price for such shares, without interest.

                  2E.      Redeemed or Otherwise  Acquired Shares to be Retired.
         Any  shares of  Series A  Preferred  Stock  redeemed  pursuant  to this
         paragraph  2 or  otherwise  acquired by the  Corporation  in any manner
         whatsoever  shall be  permanently  retired  and  shall  not  under  any
         circumstances  be reissued;  and the  Corporation may from time to time
         take such  appropriate  corporate  action as may be necessary to reduce
         the authorized Series A Preferred Stock accordingly.

                  2F.      Shares to be Redeemed,  Purchased or Retired. In case
         of the redemption,  purchase or retirement,  for any reason,  of only a
         part of the  outstanding  shares of the Series A  Preferred  Stock on a
         Redemption Date, all shares of Series A Preferred Stock to be redeemed,
         purchased or retired shall be selected pro rata,  and there shall be so
         redeemed,  purchased  or retired from each  registered  holder in whole
         shares,  as nearly as practicable to the nearest share,  the proportion
         of all the shares to be redeemed, purchased or retired which the number
         of shares  held of record by such holder  bears to the total  number of
         shares of Series A Preferred Stock at the time outstanding.

                  3.       Liquidation.  Upon any  liquidation,  dissolution  or
         winding up of the Corporation, whether voluntary or involuntary, or the
         sale of all or  substantially  all the assets of the Corporation  (each
         such  event  being  referred  to as a  "Liquidation"),  a holder of the
         shares  of Series A  Preferred  Stock  shall be  entitled,  before  any
         distribution  or payment is made upon any Common Stock,  to receive out
         of the assets of the  Corporation  (x) $100.00 per share,  plus (y) any
         accrued but unpaid dividends thereon to the date of


                                        4




         such  redemption,  for each share of Series A  Preferred  Stock held by
         such holder.  If upon such  Liquidation,  the assets to be  distributed
         among the holders of Series A Preferred  Stock shall be insufficient to
         permit  payment  to the  holders  of Series A  Preferred  Stock of that
         amount  distributable  as  aforesaid,  then the  entire  assets  of the
         Corporation to be dis tributed  shall be distributed  ratably among the
         holders of Series A Preferred Stock. Upon any such  Liquidation,  after
         the  holders of the Series A  Preferred  Stock  shall have been paid in
         full the  amounts to which they shall be  entitled,  the holders of the
         Common Stock will share the  remaining  net assets of the  Corporation.
         Written  notice of such  Liquida  tion,  stating a  payment  date,  the
         aggregate  amount  of the  payments  to which  such  holder of Series A
         Preferred  Stock is  entitled  and the place  where  said sums shall be
         payable shall be given by mail, postage prepaid,  not less than 30 days
         prior to the payment date stated  therein,  to the holders of record of
         the Series A  Preferred  Stock,  such  notice to be  addressed  to each
         stockholder  at its post office  address as shown by the records of the
         Corporation.  Neither the  consolidation  or merger of the  Corporation
         into or with any other  corporation or corporations,  nor the reduction
         of the  capital  stock of the  Corpora  tion,  shall be  deemed to be a
         Liquidation.

                  4.       Voting Rights. Except as otherwise provided by law or
         this  Certificate of  Incorporation,  the holders of Series A Preferred
         Stock  shall  not be  entitled  to vote  on  matters  presented  to the
         stockholders of the Corporation.

                  5.       Restrictions.  At any time  when  shares  of Series A
         Preferred  Stock are  outstanding,  except  where  the vote or  written
         consent of the holders of a greater number of shares of the Corporation
         is  required by law or by this  Certificate  of  Incorporation,  and in
         addition to any other vote  required by law,  without the prior consent
         of the holders of 66-2/3% of the outstanding  Series A Preferred Stock,
         given in person or by proxy,  either in writing or at a special meeting
         called for that purpose,  at which meeting the holders of the shares of
         Series A Preferred Stock shall vote together as a class:

                           (i) The Corporation  will not create or authorize the
                  creation  of any  additional  class of shares  unless the same
                  ranks  junior  to the  Series  A  Preferred  Stock  both as to
                  dividends and as to the distribution of assets on Liquidation,
                  or increase  the  authorized  amount of the Series A Preferred
                  Stock,  or increase the  authorized  amount of any  additional
                  class of shares  unless the same ranks  junior to the Series A
                  Preferred   Stock  both  as  to   dividends   and  as  to  the
                  distribution of assets on Liquidation,  or create or authorize
                  any   obligations   or   securities   convert   ible  into  or
                  exchangeable  for shares of Series A  Preferred  Stock or into
                  shares of any other class  unless the same ranks junior to the
                  Series A Preferred  Stock both as to  dividends  and as to the
                  distribution  of  assets  on  Liquidation,  whether  any  such
                  creation or  authorization  or  increase  shall be by means of
                  amendment  of  the  Certificate  of   Incorporation,   merger,
                  consolidation, recapitalization or otherwise.


                                        5





                           (ii) The Corporation will not amend,  alter or repeal
                  the  Corporation's  Certificate of Incorporation or By-laws in
                  any manner,  or file any directors'  reso lutions  pursuant to
                  Section  151(g)  of  the  Delaware  General   Corporation  Law
                  containing  any  provision,  in either case which  affects the
                  respective preferences, voting power, qualifications,  special
                  or  relative  rights or  privileges  of the Series A Preferred
                  Stock or the  Common  Stock or which in any  manner  adversely
                  affects  the Series A Preferred  Stock or the Common  Stock or
                  the holders thereof.

                  6.       Conversion.  The shares of Series A  Preferred  Stock
         shall be convertible as follows:

                  6A.      In the  event  that,  at any  time  while  any of the
         Series A Preferred  Stock shall be outstanding,  the Corporation  shall
         complete a firm commitment  initial public offering of shares of Common
         Stock registered under the Securities Act of 1933, as amended, in which
         the net  proceeds  paid by the public to the  Corporation  are at least
         $20,000,000,  then all  outstanding  shares of Series A Preferred Stock
         shall,  automatically  and  without  further  action on the part of the
         holders of the Series A Preferred  Stock, be converted into such number
         of fully  paid and  nonassessable  whole  shares of Common  Stock as is
         obtained by dividing the aggregate Liquidation Payments that would then
         be payable in respect of the Series A  Preferred  Stock by the price to
         the public in such initial public  offering.  Such conversion  shall be
         effective  simultaneously  with the  closing of such  public  offering;
         provided,  however,  that certificates  evidencing the shares of Common
         Stock  issuable  upon such  conversion  shall  not be issued  except on
         surrender of the  certificates for the shares of the Series A Preferred
         Stock so converted.

                  6B.      Fractional  Shares;  Dividends.  No fractional shares
         may be issued  upon  conversion  of the Series A  Preferred  Stock into
         Common  Stock.  If any  fractional  interest in a share of Common Stock
         would,  except  for  the  provisions  of  the  preceding  sentence,  be
         deliverable  upon  any such  conversion,  the  Corporation,  in lieu of
         delivering  the  fractional  share  thereof,  shall  pay to the  holder
         surrendering  the Series A Preferred  Stock for conversion an amount in
         cash equal to the current market price of such  fractional  interest as
         determined in good faith by the Board of Directors of the  Corporation.
         No cash  dividends  shall be paid in respect of the Series A  Preferred
         Stock upon such conversion.

                  6C.      Stock to be Reserved. Prior to the consummation of an
         initial  public  offering of its Common  Stock,  the  Corporation  will
         reserve and keep  available out of its  authorized  Common Stock or its
         treasury shares, solely for the purpose of issue upon the conversion of
         the Series A Preferred Stock as herein provided,  such number of shares
         of Common Stock as shall then be issuable  upon the  conversion  of all
         outstanding  shares  of  Series  A  Preferred  Stock.  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.  The Corporation will take all such action as may be necessary
         to assure that all such shares of Common

                                        6





         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.

                  6E.      Issue Tax. The issuance of certificates for shares of
         Common Stock upon  conversion of the Series A Preferred  Stock shall be
         made  without  charge to the holders  thereof 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 and delivery of any  certificate in a name other than that
         of the holder of the Series A Preferred Stock which is being converted.

                                       II.

                                  COMMON STOCK

                  All  shares  of  Common  Stock  shall be  identical  and shall
         entitle the holders thereof to the same rights and privileges:

                  1.  Dividends.  When and as dividends  are  declared  upon the
         Common  Stock,  whether  payable in cash,  in  property or in shares of
         stock of the Corporation, the holders of Common Stock shall be entitled
         to share equally, share for share, in such dividends.

                  2.  Voting  Rights.  Each  holder  of  Common  Stock  shall be
         entitled to one vote per share.

                  FIFTH:   The name and mailing address of the sole incorporator
of the Corporation are as follows:

                              Revital D. Havazelet
                              45 Rockefeller Plaza
                              New York, N.Y. 10111

                  SIXTH:  In  furtherance  and not in  limitation  of the powers
conferred  by the laws of the State of  Delaware,  the Board of Directors of the
Corporation is expressly  authorized and empowered to make,  alter or repeal the
By-laws  of the  Corporation,  subject to the power of the  stockholders  of the
Corporation to alter or repeal any By-law made by the Board of Directors.

                  SEVENTH:  The  Corporation  reserves the right at any time and
from time to time to amend, alter, change or repeal any provisions  contained in
this Amended and Restated  Certificate of  Incorporation;  and other  provisions
authorized  by the laws of the  State of  Delaware  at the time in force  may be
added or  inserted,  in the manner now or hereafter  prescribed  by law; and all
rights,   preferences  and  privileges  of  whatsoever   nature  conferred  upon
stockholders,  


                                        7





directors or any other  persons  whomsoever  by and pursuant to this Amended and
Restated  Certificate  of  Incorporation  in its  present  form or as  hereafter
amended are granted subject to the right reserved in this Article.

                  EIGHTH:   No  person  shall  be   personally   liable  to  the
Corporation  or its  stockholders  for monetary  damages for breach of fiduciary
duty as a director, provided, however, that the foregoing shall not eliminate or
limit the liability of a director (i) for any breach of the  director's  duty of
loyalty to the Corporation or its  stockholders,  (ii) for acts or omissions not
in good faith or which involve intentional  misconduct or a knowing violation of
law,  (iii) under  Section 174 of the  General  Corporation  Law of the State of
Delaware or (iv) for any transaction from which the director derived an improper
personal benefit.

                  NINTH:  Every person now or hereafter serving as a director or
officer of the  Corporation  and every such  director or officer  serving at the
request of the Corporation as a director,  officer, employee or agent of another
corporation,  partnership,  joint venture,  trust or other enterprise,  shall be
indemnified  by the  Corporation  in accordance  with and to the fullest  extent
permitted  by law for the defense of, or in  connection  with,  any  threatened,
pending or  completed  action,  suit or  proceeding,  whether  civil,  criminal,
administrative  or  investigative,  arising  out of or in  connection  with such
service.  Expenses  incurred  by any person so entitled  to  indemnification  in
defending  a civil or criminal  action,  suit or  proceeding  may be paid by the
Corporation  in  advance  of the  final  disposition  of  such  action,  suit or
proceeding  as  authorized  by the Board of Directors in the specific  case upon
receipt of an  undertaking  by or on behalf of such director or officer to repay
such amount unless it shall  ultimately be determined  that he is entitled to be
indemnified by the Corporation as authorized in this Article.

                 IN WITNESS WHEREOF, the Corporation has caused this Amended and
Restated  Certificate  of  Incorporation  to be signed by Thomas P. Staudt,  its
President and Chief Executive Officer, this          day of July, 1998.

                    

                                                --------------------------------
                                                      Thomas P. Staudt
                                                      President and
                                                      Chief Executive Officer



                                        8