EXHIBIT 4.6

                          REGISTRATION RIGHTS AGREEMENT

                                                               February 14, 1997

WCAS Capital Partners, II, L.P.
c/o Walsh, Carson, Anderson & Stowe
320 Park Avenue, Suite 2500

New York, New York 10022

Dear Sirs:

         This will confirm that, in consideration of your commitment to purchase
an  aggregate  1,700,000  shares  (the  "Shares")  of Common  Stock (as  defined
herein), of MedE America  Corporation,  a Delaware  corporation (the "Company"),
pursuant to the Note and Share  Purchase  Agreement,  dated the date hereof (the
"Purchase Agreement"), between the Company and you ( the "Purchaser"), and as an
inducement to you to consummate the  transactions  contemplated  by the Purchase
Agreement,  the Company  hereby  covenants  and agrees  with you,  and with each
subsequent  holder of  Restricted  Stock (as such term is  defined  herein),  as
follows:

         1. Certain Definitions.  As used herein, the following terms shall have
the following respective meanings:

         "Commission" shall mean the Securities and Exchange Commission,  or any
     other Federal agency at the tie administering the Securities Act.

         "Common  Stock"  shall mean the Common  Stock,  $.01 par value,  of the
     Company, as constituted as of the date of this Agreement.

         "Registration Expenses" shall mean the expenses so described in Section
     8 hereof.

         "Restricted  Stock"  shall  mean the  Shares  and any shares of capital
     stock of the Company  issued in respect of such  securities by way of stock
     split, stock dividend, combination or reclassification,  or through merger,
     consolidation, reorganization or recapitalization.

         "Securities  Act" shall mean the  Securities Act of 1933 or any similar
     Federal   statute,   and  the  rules  and  regulations  of  the  Commission
     thereunder, all as the same shall be in effect at the time.






         "Selling  Expenses"  shall mean the  expenses so described in Section 8
     hereof.

         2. Restrictive Legend. Each certificate  representing  Restricted Stock
and, except as otherwise  provided in Section 3 hereof,  each certificate issued
upon exchange or transfer of any such  securities  shall be stamped or otherwise
imprinted with a legend substantially in the following form:

     "THE  SECURTITIES  REPRESENTED  HEREBY HAVE NOT BEEN  REGISTERED  UNDER THE
     SECURITIES ACT OF 1933 NOR UNDDER  APPLICABLE STATE SECURITIES LAWS AND MAY
     NOT BE SOLD,  TRANSFERRED  OR  OTHERWISE  DISPOSED OF UNLESS THEY HAVE BEEN
     REGISTERED UNDER SUCH LAWS OR AN EXEMPTION FROM REGISTRATION IS AVAILABLE."

         3. Notice of Proposed  Transfer.  Prior to any proposed transfer of any
Restricted  Stock  (other than under the  circumstances  described in Section 4,
Section 5 or Section 5 hereof),  the holder thereof shall give written notice to
the Company or its transfer agent of its intention to effect such transfer. Each
such notice shall describe the manner of the proposed transfer and, if requested
by the Company,  except as provided below, shall be accompanied by an opinion of
counsel reasonably  satisfactory to the Company, to the effect that the proposed
transfer  may  be  effected  without  registration  under  the  Securities  Act,
whereupon  such  holder  shall  be  entitled  to  transfer  such  securities  in
accordance  with the  terms of its  notice;  provided,  however,  that,  if such
transfer is a private sale, such transferee  agrees,  in a writing  delivered to
the  Company.  To be bound by the  terms  hereof  to the  same  extent  as if an
original  party hereto.  Such shares may be  distributed by the Purchaser to its
partners  and  may be sold in  accordance  with  Rules  144 or  144A  under  the
Securities  Act without an opinion of counsel;  provided  that, in the case of a
sale,  the  Company  shall have  received  such  information  as the Company may
request to provide it with reasonable assurance that the provisions of Rules 144
or 144A have been satisfied.  Each  certificate  for shares of Restricted  Stock
transferred  as above  provided  shall  bear the  legend set forth in Section 2,
except that such certificate  shall not hear such legend if (i) such transfer is
in  accordance  with the  provisions  of Rule 144 (or any other rule  permitting
public sale without  registration  under the Securities Act) or (ii) the opinion
of counsel  referred to above is to the further effect that the  transferees and
any  subsequent  transferee  (other than an affiliate  of the Company)  would be
entitled to transfer such securities in a public sale without registration under
the Securities Act.

         4. Required Registration.  (a) At any time the holders of a majority of
the outstanding Restricted Stock may

                                        2






request the Company to register  under the  Securities Act all or any portion of
the  shares of  Restricted  Stock  held by such  holders  for sale in the manner
specified in such  notice.  Notwithstanding  anything to the contrary  contained
herein,  non request may be made under this  Section 4 within 180 days after the
effective date of a registration  statement filed by the Company covering a firm
commitment underwritten public offering in which the holders of Restricted Stock
shall have been  entitled  to join  pursuant  to this  Section  4,  Section 5 or
Section 6 hereof and in which there shall have been  effectively  registered all
shares  of  Restricted  Stock  as to  which  registration  shall  have  been  so
requested.

         (b) Promptly  following receipt of any notice under this Section 4 from
holders of Restricted Stock, the Company shall immediately notify any holders of
Restricted  Stock from whom notice has not been  received and shall use its best
efforts to register under the Securities Act for public sale in accordance  with
the method of disposition  specified in such notice from requesting  holders the
number of shares of Restricted Stock specified in such notice (and in any notice
received from other holders within 20 days after receipt of such notice from the
Company).  If  such  method  of  disposition  shall  be an  underwritten  public
offering,  the Company may designate the managing  underwriter of such offering,
subject to the  approval of a majority  in  interest  of the selling  holders of
Restricted  Stock,  which be obligated to register  Restricted Stock pursuant to
this Section 4, on one occasion  only;  provided that such  obligation  shall be
deemed  satisfied  only when a  registration  statement  covering  all shares of
Restricted  Stock  specified in the notices  received as aforesaid,  for sale in
accordance with the method of disposition  specified by the requesting  holders,
shall  have  become  effective  and,  if such  method of  disposition  is a firm
commitment  underwritten  public offering,  all such shares shall have been sold
pursuant thereto.

         (c) The  Company  shall be  entitled  to  include  in any  registration
statement  referred to in this Section 4, for sale in accordance with the method
of disposition specified by the requesting holders, shares of Common Stock to be
sold by the Company for its own account r for the account of any  stockholder of
the Company having registration rights with respect to such stock, except as and
to the extent that, in the opinion of the managing  underwriter  (if such method
of disposition shall be an underwritten  public offering),  such inclusion would
materially  adversely  affect the marketing of the Restricted  Stock to be sold.
Except as provided in this  paragraph  (c),  the Company  will not file with the
Commission  any other  registration  statement  with respect to its Common Stock
(other than a registration

                                        3






statement  on Form S-4 or S-8),  whether  for its own  account  or that of other
security holders,  from the date of receipt of a notice from requesting  holders
pursuant to this Section 4 until the completion of the period of distribution of
the registration contemplated thereby.

         (d) The Company may postpone the filing of any  registration  statement
otherwise  required to be prepared  and filed by it under this  Section 4 if, at
the time it receives a request from the holders of Restricted  Stock,  the Board
of  Directors of the Company  determines  in its good faith  judgment  that such
registration would adversely interfere with any material financing, acquisition,
corporate  reorganization or other material corporate  transaction involving the
Company that is pending or imminent at the time to the material detriment of the
interests of the Company and its stockholders;  provided,  however, that, if the
Board of Directors does not make a determination to utilize this right within 30
days of the date of receipt of such  request,  this right shall be deemed waived
with  respect to such request and the Company may exercise its right to postpone
a  registration  statement  to be filed  under  this  Section 4 only once in any
period of twelve  consecutive  months.  The postponement will be for the minimum
period reasonably  required but in any event such postponement  shall not exceed
90 days. The Company will promptly give the holders of Restricted  Stock written
notice of any such  postponement  and will use all  reasonable  best  efforts to
minimize the length of the  postponement.  If the Company  shall so postpone the
filing of a registration  statement,  the holders of Restricted Stock shall have
the right to withdraw any request ynder this Section 4 by giving  written notice
of such postponement and, in the event of such withdrawal,  the request that was
withdrawn shall not be deemed to have been made.

         5.       Form S-3 Registration

         (a) If, at any time after the  Company  becomes  eligible  to  register
securities on Form S- 3, the Company shall receive from any holder or holders of
Restricted  Stock,  a written  request or  requests  that the  Company  effect a
registration  on Form S-3 with respect to Restricted  Stock owned by such holder
or holders,  the reasonably  anticipated  aggregate price to the public of which
would exceed  $1,000,000,  the Company (i) shall promptly give written notice of
the proposed  registration  to all other  holders of  Restricted  Stock and (ii)
shall as soon as  practicable,  effect  such  registration  (including,  without
limitation,  the execution of an undertaking to file post-effective  amendments,
to approve appropriate  qualifications  under applicable blue sky or other state
securities  laws and to comply  with  applicable  regulations  issued  under the
Securities Act and any other government

                                        4






requirements or regulations as would permit or facilitate the requested sale and
distribution)  of all or such portion of such  holder's and holders'  Restricted
Stock as are  specified in such  requrest,  together with all or such portion of
the  Restricted  Stock of any holder or holders  joining in such  request as are
specified  in a written  request  given  within 20 days  after  receipt  of such
written  notice  from the  Company;  provided  that  the  Company  shall  not be
obligated to effect any such  registration  pursuant to this Section 5 more than
once in any 180-day period.

         6.  Incidental  Registration.  If the  Company at any time  proposes to
register any of its equity  securities  under the Securities Act for sale to the
public, whether for its own account or for the account of other security holders
or both (except with respect to  registration  statements  on Form S-4 or S-8 or
another form not  available  for  registering  Restricted  Stock for sale to the
public), each such time it will give written notice to all holders of Restricted
Stock of its  intention  so to do. Upon the written  request of any such holder,
given  within 20 days after any such notice,  to register any of its  Restricted
Stock (which request shall state the intended  method of  disposition  thereof),
the Company will use its best efforts to cause the Restricted  Stock as to which
registration shall have been so requested to be included in the securities to be
covered by the registration  statement proposed to be filed by the Company,  all
to the extent  requisite to permit the sale or other  disposition  by the holder
(in accordance with its written request) of such Restricted  Stock. In the event
that any registration  pursuant to this Section 6 shall be, in whole or in part,
an  underwritten  public  offering  of Common  Stock,  any  request  by a holder
pursuant to this  Section 6 to register  Restricted  Stock  shall  specify  that
either (i) such  Restricted  Stock is to be included in the  underwriting on the
same terms and  conditions  as the shares of Common Stock  otherwise  being sold
through underwriters undet such registration or (ii) such Restricted Stock is to
be sold in the open  market  without any  underwriting.  The number of shares of
Restricted Stock to be included in such an underwriting may be reduced (pro rata
among the holders if Restricted Stock requesting that their shares of Restricted
Stock be  registered  pursuant to this Section 6, based upon the number of share
of stock  which  they  desire to include  in such  registration),  if and to the
extent that the managing underwriter shall be of the opinion that such inclusion
would  adversely  affect  the  marketing  of the  securities  ti be  sold by the
Company;  provided,  however,  that,  if any shares are to be  included  in such
underwriting for the account of any person other than the Company or the holders
of  Restricted  Stock,  the number of shares to be  included  by any such person
shall be reduced first.  Notwithstanding  anything to the contrary  contained in
this  Section  6, in the  event  that  there is a firm  commitment  underwritten
offering

                                        5






of  securities of the Company  pursuant to a  registration  covering  Restricted
Stock  and a  selling  holder  of  Restricted  Stock  does not elect to sell his
Restricted Stock to the  underwriters of the Company's  securities in connection
with such offering, such holder shall refrain from selling such Restricted Stock
so registered  pursuant to this section 6 during the period of  distribution  of
the  Company's  securities  by such  underwriters  and the  period  in which the
underwriting syndicate participates in the after market; provided, however, that
such holder shall,  in any event,  be entitled to sell its  Restricted  Stock in
connection with such registration commencing on the 90th day after the effective
date of such registration statement.

                  7.  Registration  Procedures.  If and  whenever the Company is
required by the  provisions  of Section 4,  Section 5 or Section 6 hereof to use
its best efforts to effect the  registration  of any shares of Restricted  Stock
under the Securities Act the Company will, as expeditiously as possible:

                    (a)  prepare  and file with the  Commission  a  registration
               statement (which, in the case of an underwritten  public offering
               pursuant to Section 4 hereof,  shall be on Form S-1 or other form
               of general applicability satisfactory to the managing underwriter
               selected as therein provided) with respect to such securities and
               use its best  efforts to cause  such  registration  statement  to
               become and remain  effective  for the period of the  distribution
               contemplated thereby (determined as hereinafter provided):

                    ( b) prepare and file with the  Commission  such  amendments
               and supplements to such registration statement and the prospectus
               used in  connection  therewith  as may be  necessary to keep such
               registration  statement  effective  for the period  specified  in
               paragraph  (a)  above and as comply  with the  provisions  of the
               Securities Act with respect to the  disposition of all Restricted
               Stock covered by such  registration  statement in accordance with
               the sellers'  intended  method of  disposition  set forth in such
               registration statement for such period;

                    (c)  furnish  to each  seller and to each  underwriter  such
               number of copies of the registration statement and the prospectus
               included therein (including each preliminary  prospectus) as such
               persons my reasonably  request in order to facilitate  the public
               sale or other disposition of the Restricted Stock covered by such
               registration statement;

                    (d)  use  it  best   efforts  to  register  or  qualify  the
               Restricted Stock covered by such registration statement under the
               securities or blue sky laws of such jurisdictions

                                        6






               as  the  sellers  of  Restricted  Stock  or,  in the  case  of an
               underwritten  public  offering,  the managing  underwriter  shall
               reasonably request;

                    (e) immediately  notify each seller under such  registration
               statement  and each  underwriter,  at any time when a  prospectus
               relating thereto is required to be delivered under the Securities
               Act,  of the  happening  of any  event as a result  of which  the
               prospectus contained in such registration  statement,  as then in
               effect,  includes an untrue statement of a material fact or omits
               to state any  material  fact  required  to be stated  therein  or
               necessary to make the  statements  therein not  misleading in the
               light of the circumstances then existing:

                    (f) use its best efforts (if the offering is underwritten to
               furnish,  at  the  request  of  any  seller,  on  the  date  that
               Restricted  Stock  is  delivered  to the  underwriters  for  sale
               pursuant to such registration:  (i) an opinion dated such date of
               counsel  representing  the  Company  for  the  purposes  of  such
               registration,  addressed to the  underwriters and to such seller,
               stating that such  registration  statement  has become  effective
               under the  Securities  Act and that (A) to the best  knowledge of
               such counsel, no stop order suspending the effectiveness  thereof
               has been issued and no  proceedings  for that  purpose  have been
               instituted or are pending or  contemplated  under the  Securities
               Act, (B) the registration statement, the related prospectus,  and
               each  amendment or supplement  thereof,  comply ad to form in all
               material respects with the requirements of the Securities Act and
               the applicable rules and regulations of the Commission thereunder
               (except  that such  counsel  need not  express  any opinion as to
               financial  statements or other  financial data contained  herein)
               and (C) to such other  effects as may  reasonably be requested by
               counsel,  for the underwriters or by such selller or its counsel,
               based on their customary practices,  and (ii) a letter dated such
               date from the  independent  public  accountants  retained  by the
               Company,  addressed  to the  underwritiers  and to such  seller,
               stating that they are independent  public  accountants within the
               meaning of the  Securities  Act and that,  in the opinion of such
               accountants,  the financial statements of the Company included in
               the  registration  statement  or the related  prospectus,  or any
               amendment  or  supplement  thereof,  comply  as to  form  in  all
               materials respects with the applicable accounting requirements of
               the Securities Act and such letter shall  additionally cover such
               other financial matters  (including  information as to the period
               ending no more than five  business days prior to the data of such
               letter) with respect to the registration in respect of which such
               letter is being

                                        7






               given as such underwriters or such seller may reasonably request,
               based on their customary practices:

                    (g)  Make  available  for  inspection  by each  seller,  any
               underwriter  participanting in any distribution  pursuant to such
               registration  statement,  and any  attorney,  accountant or other
               agent retained by such seller or  underwriter,  all financial and
               other records,  pertinent  corporate  documents and properties of
               the Company,  and cause the  Company's  officers,  directors  and
               employees to supply all information  reasonably  requested by any
               such  seller,  underwriter,  attorney,  accountant  or  agent  in
               connection with such registration statement: and

                    (h) use its best  efforts to list the  shares of  Restricted
               Stock  so  registered  upon  the  principal  national  securities
               exchange,  if any,  upon which the  outstanding  Common  Stock is
               listed at the time of such registration.

                    For purposes of paragraphs  (a) and (b) above and of Section
4 (d)  hereof,  the  period  of  distribution  of  Restricted  Stock  in a  firm
commitment  underwritten public offering shall extend until each underwriter has
completed the distribution of all securities  purchased by it, and the period of
distribution of Restricted  Stock in any other  registration  shall extend until
the earlier of the sale of all  Restricted  Stock  covered  thereby abd one year
after the effective date thereof.

                    In connection with each registration hereunder,  the selling
holders of  Restricted  Stock  will  furnish  to the  Company  in  writing  such
information with respect to themselves and the proposed  distribution by them as
shall be  reasonably  necessary in order to assure  compliance  with Federal and
applicable  state  securities  laws. No such selling holder of Restricted  Stock
shall be required to make any representation in any underwriting agreement other
than a representation as to the ownership of the shares to be registered by such
selling holder in the offering.

                    In connection eith each registration pursuant to Sections 4,
5 and 6 hereof covering an underwritten  public offering,  the Company agrees to
enter into a written  agreement  with the managing  underwriter  selected in the
manner  herein  provided  in such form and  containing  such  provisions  as are
customary in the  securities  business  for such an  arrangement  between  major
underwriters  and  companies  of the  Company's  size  and  investment  stature;
provided that such agreement shall not contain any such provision  applicable to
the Company that is inconsistent with the provisions hereof.

                                        8






         8.  Expenses.  All expenses  incurred by the Company in complying  with
Sectiond 4, 5 and 6 hereof, including,  without limitation, all registration and
filing fees,  printing  expenses,  fees and  disbursements of its counsel and of
independent public accountants for the Company, reasonable fes and disbursements
of one counsel chosen to represent all selling holders of Restricted Stock, fees
of the National  Association of Securities  Dealers,  Inc.,  transfer taxes, and
fees of transfer agents and registrars,  but excluding any Selling Expenses, are
herein called  "Registration  Expenses." All underwriting  discounts and selling
commissions  applicable  to the  sale of  Restricted  Stock  are  herein  called
"Selling Expenses."

         The Company will pay all Registration  Expenses in connection with each
registration statement filed pursuant hereto. All Selling Expenses in connection
with any  registration  statement  filed  pursuant  to Section  4,  Section 5 or
Section 6 hereof shall be borne by  participating  sellers in  proportion to the
number of shares sold by each, or by such persons other than the Company (except
to the extent the Company shall be a seller) as they may agree.

         9.  Indemnification.  In  the  event  of a  registration  of any of the
Restricted  Stock under the  Securities  Act pursuant to Section 4, Section 5 or
Section 6 hereof,  the Company will  indemnify  and hold harmless each seller of
such  Restricted  Stock  thereunder and each other person,  if any, who controls
such seller or underwriter within the meaning of the Securities Act, against any
and all losses, claims, damages or liabilities,  joint or several, to which such
seller or  underwriter  or  controlling  person  may  become  subject  under the
Securities  Act or  otherwise,  insofar  as  such  losses,  claims,  damages  or
liabilities  (or actions in respect  thereof) arise out of or are based upon any
untrue  statement or alleged untrue  statement of any material fact contained in
any  registration  statement  under which such  Restricted  Stock was registered
under the  Securities  Act  pursuant  to Section 4,  Section 5 or Section 6, any
preliminary  prospectus or final prospectus  contained therein, or any amendment
or supplement thereof, or arise out of or are based upon the omission or alleged
omission  to state  therein a material  fact  required  to be stated  therein or
necessary to make the statements therein not misleading, and will reimburse each
such seller,  each such  underwriter  and each such  controlling  person for any
legal  or  other  expenses  reasonably  incurred  by  them  in  connection  with
investigating or defending any such loss,  claim,  damage,  liability or action,
provided,  however,  that the Company will not be liable in any such case if and
to the extent that any such loss, claim, damage or liability arises out of or is
based upon an untrue statement or alleged untrue statement or mission or



                                        9






alleged  omission  so made in  conformity  with  information  furnished  by such
seller, such underwriter or such controlling person in writing  specifically for
use in such registration statement or prospectus; and provided further, however,
that the  Company  will not be liable in any such case if and to the extent that
any such loss,  claim,  damage,  or liability  arises out of or is based upon an
untrue  statement or alleged  untrue  statement or omission or alleged  omission
made  in  (i)  any  preliminary  prospectus  if  such  seller,   underwriter  or
controlling  person  failed to send or  deliver  a copy of the final  prospectus
prior to or concurrently  with the delivery of written  confirmation of the sale
of Restricted  Stock and the final  prospectus  would have completely  corrected
such  untrue  statement  or  omission  or (ii)  the  prospectus  if such  untrue
statement  or alleged  untrue  statement  ot  omission  or alleged  omission  is
completely  corrected in an amendment or  supplement to the  prospectus  and if,
having  previously  been furnished by or on behalf of the Company with copies of
the  prospectus,  as so amended or  supplemented,  such seller,  underwriter  or
controlling person thereafter fails to deliver such prospectus, as so amended or
supplemented, prior to or concurrently with the delivery of written confirmation
of the sale of  Restricted  Stock to the  person  asserting  such  loss,  claim,
damage, liability or expense.

         In the event of a registration of any of the Restricted Stock under the
Securities Act pursuant to Section 4, Section 5 or Section 6 hereof, each seller
of such Restricted Stock thereunder,  severally and not jointly,  will indemnify
and hold harmless the Company and each person,  if any, who controls the Company
within the meaning of the Securities  Act, each officer of the Company who signs
the registration  statement,  each director of the Company, each underwriter and
each person who controls any  underwriter  within the meaning of the  Securities
Act,  against  any and all  losses,  claims,  damages or  liabilities,  joint or
several,  to which the Company or such  officer or director  or  underwriter  or
controlling  person may become  subject under the  Securities  Act or otherwise,
insofar as such losses,  claims,  damages or liabilities  (or actions in respect
thereof)  arise out of or are based upon any untrue  statement or alleged untrue
statement of any material fact  contained in the  registration  statement of any
material  fact  contained  in  the  registration   statement  under  which  such
Restricted  Stock was registered under the Securities Act pursuant to Section 4,
Section 5 or Section 6, any preliminary prospectus or final prospectus contained
therein,  or any amendment or supplement  thereof,  or arise out of or are based
upon the omission or alleged  omission to state therein a material fact required
to be stated therein or necessary to make the statements therein not misleading,
and will reimburse the Company and each such officer, director,  underwriter and
controlling person for any legal or other expenses  reasonably  incurred by them
in connection with investigating or defending any such loss, claim,

                                       10





damage, liability or action; provided,  however, that such seller will be liable
hereunder in any such case if and only to the extent that any such loss,  claim,
damage  or  liability  arises  out of or is based  upon an untrue  statement  or
alleged untrue statement or omission or alleged omission made in conformity with
information  pertaining  to such seller  furnished  in writing to the Company by
such seller  specifically for use in such registration  statement or prospectus;
and provided further,  however,  that (x) the liability of each seller hereunder
shall be  limited  to the  proceeds  received  by such  seller  from the sale of
Restricted Stock covered by such registration  statement and (y) the seller will
not be liable in any such case if and to the extent  that any such loss,  claim,
damage  or  liability  arises  out of or is based  upon an untrue  statement  or
alleged  untrue  statement  or  omission  or  alleged  omission  made in (i) any
preliminary prospectus if the Company, such officer,  director or underwriter or
controlling  person  failed to send or  deliver  a copy of the final  prospectus
prior to or concurrently  with the delivery of written  confirmation of the sale
of  Restricted  Stock (or,  with respect to the company,  shares of Common Stock
included in such  registration)  and the final  prospectus would have completely
corrected  such untrue  statement  or omission  or (ii) the  prospectus  if such
alleged  omission is  completely  corrected in an amendment or supplement to the
prospectus  and  if  the  Company,  such  officer,   director,   underwriter  or
controlling  person  fails  to  deliver  such  prospectus,   as  so  amended  or
supplemented, prior to or concurrently with the delivery of written confirmation
of the sale of Restricted  Stock (or, the case of the Company,  shares of Common
Stock included in such  registration) to the person asserting such loss,  claim,
damage, liability or expense.

         Promptly after receipt by an indemnified  party  hereunder of notice of
the  commencement  of any action,  such  indemnified  party shall, if a claim in
respect thereof is to be made against the indemnifying  party hereunder,  notify
the  indemnifying  party in writing  thereof,  but the omission so to notify the
indemnifying  party shall not relieve it from any liability which it may have to
any  indemnified  party other than under this Section 9. In case any such action
shall  be  brought  against  any  indemnified  party  and it  shall  notify  the
indemnifying party of the commencement  thereof, the indemnifying party shall be
entitled  to  participate  in and,  to the extent it shall  wish,  to assume and
undertake  the defense  thereof with  counsel  reasonably  satisfactory  to such
indemnified  party,  and,  after  notice  from  the  indemnifying  party to such
indemnified  party of its  election  so to  assume  and  undertake  the  defense
thereof,  the indemnifying  party shall not undertake the defense  thereof,  the
indemnifying  party  shall not be leable to such  indemnified  party  under this
Section 9 for any legal expenses subsequently incurred by such indemnified party
in  connection  with  the  defense  thereof  other  than  reasonable   costs  of
investigation; provided, however, that if the defendants in

                                       11




any such action include both the indemnified  party and the  indemnifying  party
and counsel to the indemnified party shall have reasonably  concluded that there
may  be  reasonable  defenses  available  to it  which  are  different  from  or
additional to those available to the  indemnifying  party or if the interests of
the indemnified party reasonably may be deemed to conflict with the interests of
the indemnifying  party, the indemnified  party shall have the right to select a
separate  counsel and to assume such legal defenses and otherwise to participate
in the  defense of such  action,  with the  expenses  and fees of such  separate
counsel and other expenses related to such participation to be reimbursed by the
indemnifying party as incurred.

     The  indemnifying  party shall not be liable to indemnify  any  indemnified
party for any settlement of any such action  effected  without the  indemnifying
party's consent.  Furthermore, the indemnifying party shall not, except with the
approval of each  indemnified  party,  consent to entry of any judgment or enter
into any settlement which does not include as an unconditional  term thereof the
giving by the claimant or plaintiff to each indemnified  party of a release from
all  liability  in respect to such claim or  litigation  without  any payment or
consideration provided by each such indemnified party.

         If the indemnification provided for in this Section 9 is unavailable to
an indemnified  party under the first or second  paragraphs hereof in respect of
any  losses,   claims,  damages  or  liabilities  referred  therein,  then  each
indemnifying  party,  in lieu of  indemnifying  such  indemnified  party,  shall
contribute to the amount paid or payable by such  indemnified  party as a result
of such losses,  claims,  damages or  liabilities  (i) in such  proportion as is
appropriate to reflect the relative  benefits received by the Company on the one
hand and the sellers of Restricted Stock and any other sellers  participating in
the registration  statement on the other from the sale of shares pursuant to the
registered offering of securities as to which indemnity is sought or (ii) if the
allocation  provided by clause (i) above is not permitted by applicable  law, in
such  proportion  as is  appropriate  to reflect not only the relative  benefits
referred  to in clause (i) above but also the  relative  fault of the Company on
the one hand and of the  sellers  of  Restricted  Stock  and any  other  sellers
participating in the registration  statement on the other in connection with the
statement  or  omissions  that  resulted  in such  losses,  claims,  damages  or
liabilities,  as  well  as any  other  relevant  equitable  considerations.  The
relative  benefits  received  by the  Company on the one hand and the sellers of
Restricted  Stock  and  any  other  sellers  participating  in the  registration
statement on the other shall be deemed to be in the same proportion as the total
net  proceeds  from the offering  (before  deducting  expenses),  if any, to the

                                       12





Company  bear to the total net  proceeds  from the  offering  (before  deducting
expenses)  to  the  sellers  of the  Restricted  Stock  and  any  other  sellers
participating in the registration  statement.  The relative fault of the Company
on the hand  and of the  sellers  of  Restricted  Stock  and any  other  sellers
participating in the registration  statement on the other shall be determined by
reference to, among other things, whether the untrue or alleged untrue statement
of a material fact or the omission or alleged  omission to state a material fact
relates to  information  supplied by the Company or by the sellers of Restricted
Stock or other  sellers  participating  in the  registration  statement  and the
parties'  relative intent,  knowledge,  access to information and opportunity to
correct or prevent such statement or omission.

     The Company and the sellers of Restricted  Stock agree that it would not be
just and equitable if contribution pursuant to this Section 9 were determined by
pro rata allocation (even if the sellers of Restricted Stock were treated as one
entity for such purpose) or by any other method of allocation that does not take
account of the equitable considerations referred to in the immediately preceding
paragraph. The amount paid or payable by an indemnified party as a result of the
losses, claims, damages and liabilities referred to in the immediately preceding
paragraph  shall be deemed to  include,  subject  to the  limitations  set forth
above, any legal or other expenses reasonably incurred by such indemnified party
in  connection  with  investigating  or  defending  any such  action  or  claim.
Notwithstanding  the provisions of this Section 9, no seller of Restricted Stock
shall be required to contribute any amount in excess of the proceeds received by
such  seller  from the sale of  Restricted  Stock  covered  by the  registration
statement   filed   pursuant   hereto.    No   person   guilty   of   fraudulent
misrepresentation  (within the meaning of Section 11(f) of the  Securities  Act)
shall be  entitled  to  contribution  from any person who was not guilty of such
fraudulent misrepresentation.

     10. Changes in Common Stock. If, any as often as, there are any changes in
the Common Stock by way of stock split, stock dividend, combination r
reclassification,   or  through   merger,   consolidation,   reorganization   or
recapitalization  (including any three-party transaction in which the holders of
Common  Stock  receive  securities  of the parent or  affiliate  of a merging or
acquiring entity), or by any other means,  appropriate  adjustment shall be made
in the provisions hereof, as may be required,  so that the rights and privileges
granted hereby shall continue with respect to the Common Stock as so changed.

     11.  Availability  of Rule  144.  So  long as  there  is  Restricted  Stock
outstanding,  the Company will file the reports required to be filed by it under
the  Securities  Act and the

                                       13





Securities  Exchange  Act of 1934 and the rules and  regulations  adopted by the
Commission  thereunder,  to the extent  required form time to time to enable any
holder of Restricted  Stock to sell such Restricted  Stock without  registration
under the  Securities Act within the  limitations  of the exemption  provided by
Rule 144 under the  Securities  Act or any similar rule or  regulation  allowing
such holders to sell without registration under the Securities Act, as such Rule
may be amended from time to time;  provided;  however,  that so long as there is
Restricted Stock outstanding, the Company shall continue to file such reports as
outstanding,  the Company shall continue to file such reports as may be required
to  satisfy  the  requirements  of Rule  144(c)  even if not  required  to do so
pursuant to the Securities Exchange Act of 1934.

     12. Subsequent  Registration  Rights Agreements.  After the date hereof, so
long as there is any Restricted Stock  outstanding,  the Company shall not enter
into any registration  rights  agreement that would materially  adversely affect
the  rights  of the  holder or  holders  of such  Restricted  Stock  under  this
Agreement without the consent of holders of 66 2/3% of the Restricted Stock then
outstanding.

     13.  Miscellaneous.  (a) All  covenants  and  agreements  contained in this
Agreement  by or on behalf of any of the parties  hereto shall bind the inure to
the  benefits of the  respective  successors  , assigns and  transferees  of the
parties hereto whether so expressed or not.  Without  limiting the generality of
the  foregoing,  the  registration  rights  conferred  herein on the  holders of
Restricted  Stock shall inure to the benefit of any and all  subsequent  holders
from time to time of the Restricted Stock.

     (b) All  notices,  requests,  consents and other  communications  hereunder
shall be in writing and shall be sent by telecopier,  national overnight courier
service or certified mail, return receipt  requested,  in each case with postage
prepaid, addressed as follows:

       if to the Company, to it at its offices at 90 Merrick Avenue, Suite 501,
   East Meadow, New York 11554, attention: President;

       if to the Purchaser, to it at the address set forth in the Purchase
   Agreement;

       if to any subsequent holder of Restricted Stock, to it at such address
   as may have been furnished to the Company in writing by such holder;

   or, in any case,  at such  other  address  or  addresses  as shall  have been
   furnished  in writing to the Company  (in the case of a holder

                                       14




     of Restricted  Stock) or to the holders of Restricted Stock (in the case of
     the Company).

     (c) This  Agreement  shall be governed by and construed in accordance  with
the laws of the State of New York.

     (d) 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.

     (e) 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.

     Please  indicate your  acceptance of the foregoing by signing and returning
the enclosed counterpart of this letter, whereupon this letter (herein sometimes
called "this  Agreement")  shall be a binding  agreement between the Company and
you.

                                        Very truly yours,

                                        MEDE AMERICA CORPORATION

                                        By /s/ Thomas P. Staudt
                                          ------------------
                                          Thomas P. Staudt
                                          President and Chief
                                          Executive Officer

AGREED TO AND ACCEPTED
as of the date first
above written.
WCAS CAPITAL PARTNERS II, L.P.

By WCAS CP II Partners, General


By /s/
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