[MEDE AMERICA LOGO]

                        1998 EMPLOYEE STOCK PURCHASE PLAN

The following  constitutes the provisions of the MEDE American  Corporation 1998
Employee Stock Purchase Plan.

1. Purpose.  The purpose of the Plan is to provide  employees of the Company and
   its Designated  Subsidiaries  with an opportunity to purchase Common Stock of
   the Company through accumulated  payroll  deductions.  It is the intention of
   the Company to have the Plan qualify as an  "Employee  Stock  Purchase  Plan"
   under  Section  423 of the  Internal  Revenue  Code of 1986 as  amended.  The
   provisions  of the Plan  accordingly,  shall be construed so as to extend and
   limit  participation  in a manner  consistent  with the  requirements of that
   section of the Code.

2. Definitions.

       (a) "Board" shall mean the Board of Directors of the Company.

       (b) "Code" shall mean the Internal Revenue Code of 1986 as amended.

       (c) "Common Stock" shall mean the Common Stock of the Company.

       (d) "Company"   shall   mean  MEDE   America   Corporation,   a  Delaware
           corporation, and any Designated Subsidiary of the Company.

       (e) "Compensation"  shall mean amounts  received by an Employee during an
           Offering Period for personal services rendered and which are included
           as W-2 earnings.

       (f)"Designated  Subsidiary"  shall  mean any  Subsidiary  which  has been
          designated  by the Board from time to time in its sole  discretion  as
          eligible to participate in the Plan.

       (g) "Employee"  shall  mean  any  individual  who is an  Employee  of the
           Company for tax purposes whose customary  employment with the Company
           is at least  twenty (20) hours per week and more than five (5) months
           in any  calendar  year.  For  purposes  of the Plan,  the  employment
           relationship   shall  be  treated  as  continuing  intact  while  the
           individual is on sick leave or other leave of absence approved by the
           Company.   Where  the  period  of  leave  exceeds  90  days  and  the
           individual's  right  to  reemployment  is not  guaranteed  either  by
           statute or by contract,  the employment is not  guaranteed  either by
           statute or by contract,  the employment  relationship shall be deemed
           to have terminated on the 91st day of such leave.

       (h) "Enrollment Date" shall mean the first day of each Offering Period.




       (i) "Exercise Date" shall mean the last day of each Offering Period.

       (j) "Fair Market  Value"  shall mean,  as of any date the value of Common
            Stock determined as follows:

                    1.   If the Common Stock is listed on any established  stock
                         exchange  or  a  national   market  system,   including
                         limitation  the  Nasdaq  National  Market or The Nasdaq
                         SmallCap  Market of The Nasdaq Stock  Market,  its Fair
                         Market Value shall be the closing  sales price for such
                         stock (or the closing  bid, if no sales were  reported)
                         as  quoted  on such  exchange  or  system  for the last
                         market  trading day on the date of such  determination,
                         as reported  in The Wall  Street  Journal or such other
                         source as the Board deems reliable, or;

                    2.   If the Common Stock is regularly quoted by a recognized
                         securities  dealer but selling prices are not reported,
                         its Fair Market  Value shall be the mean of the closing
                         bid and asked  prices for the Common  Stock on the date
                         of such  determination,  as reported in The Wall Street
                         Journal  or  such  other  source  as  the  Board  deems
                         reliable, or;

                    3.   In the absence of an established  market for the Common
                         Stock,   the  Fair  Market  Value   thereof   shall  be
                         determined in good faith by the Board.

       (k) "Offering Period" shall mean a period of approximately six (6) months
           during which an option granted pursuant to the Plan may be exercised,
           commencing  on the first  Trading Day on or after January 1, and July
           1, and  terminating  on the last Trading Day in the period ending the
           following June 30 and December 31; provided,  however, that the first
           Offering  Period  under  the  Plan is after  the  date on  which  the
           Securities   and   Exchange   Commission   declares   the   Company's
           Registration  Statement  effective.  The duration of Offering Periods
           may be changed pursuant to Section 4 of this Plan.

       (l) "Plan" shall mean the MEDE America  Corporation  1998 Employee  Stock
           Purchase Plan.

       (m) "Purchase Price" shall mean an amount equal to 85% of the Fair Market
           Value of a share of  Common  Stock on the  Enrollment  Date or on the
           Exercise Date, whichever is lower.

       (n) "Reserves" shall mean the number of shares of Common Stock covered by
           each option under the Plan which have not yet been  exercised and the
           number of  shares of Common  Stock  which  have been  authorized  for
           issuance under the Plan but not yet placed under option.

       (o) "Subsidiary"  shall mean a corporation,  domestic or foreign of which
           not less than 50% of the voting  shares are held by the  Company or a
           Subsidiary whether or not such corporation now exists or is hereafter
           organized or acquired by the Company or a Subsidiary.




       (p) "Trading Day" shall mean a day on which national stock  exchanges and
           the Nasdaq System are open for trading.

3. Eligibility

       (a) Any  Employee  who  shall  be  employed  by the  Company  on a  given
           Enrollment  Date and who has  served  at least  six  months  with the
           Company or Subsidiary thereof and is at least 18 years of age.

       (b) Any  provisions  of the  Plan  to  the  contrary  notwithstanding  no
           Employee  shall be granted an option under the Plan (i) to the extent
           that immediately  after the grant, such Employee (or any other person
           whose stock would be attributed to such Employee  pursuant to Section
           424(d) of the Code)  would own capital  stock of the  Company  and/or
           hold  outstanding  options to  purchase  such stock  possessing  five
           percent (5%) or more of the total  combined  voting power or value of
           all classes of the capital stock of the Company or of any  Subsidiary
           or (ii) to the extent that his or her rights to purchase  stock under
           all employee stock purchase plans of the Company and its subsidiaries
           accrues  at  a  rate  which  exceeds  Twenty-Five   Thousand  Dollars
           ($25,000) worth of stock  (determined at the fair market value of the
           shares at the time such option is granted) for each  calendar year in
           which such option is outstanding at any time.

4. Offering  Periods.  The Plan shall be  implemented  by  consecutive  offering
   Periods with a new Offering Period  commencing on the first Trading Day on or
   after  January  1 and  July  1 or on  such  other  date  as the  Board  shall
   determine,  and continuing  thereafter  until  terminated in accordance  with
   Section 20 hereof provided, however, that the first Offering Period under the
   Plan  shall  commence  after the date on which the  Securities  and  Exchange
   Commission declares the Company's Registration Statement effective. The Board
   shall have the power to change the  duration of Offering  Periods  (including
   the  commencement  dates  thereof) with respect to future  offerings  without
   stockholder approval if such change is announced at least five (5) days prior
   to the  scheduled  beginning  of the first  Offering  Period  to be  affected
   thereafter.

5. Participation

       (a) An  eligible  Employee  may  become  a  participant  in the  plan  by
           completing a subscription agreement authorizing payroll deductions in
           the form of Exhibit A to this Plan and  filing it with the  Company's
           Human Resources  department prior to the applicable  Enrollment Date.
           Newly eligible  Employee's may enter the Offering  Period by filing a
           subscription agreement within 30 days of their eligibility date.

       (b) Payroll  deductions  for a  participant  shall  commence on the first
           payroll  following  the  Enrollment  Date  (or,  in the case of newly
           eligible  Employees,  the next payroll after Human Resources receives
           the participant's  subscription  agreement) and shall continue unless
           terminated by the participant as provided in Section 10 hereof.




       (a) At the time a participant files his or her subscription  agreement he
           or she shall elect to have  payroll  deductions  made on each pay day
           during the Offering Period between one percent (1%) and not exceeding
           ten percent  (10%) of the  Compensation  which he or she  receives on
           each pay day during the Offering Period.

       (b) All payroll  deductions  made for a participant  shall be credited to
           his or her  account  under  the Plan and shall be  withheld  in whole
           percentages only. A participant may not make any additional  payments
           into such account.

       (c) A participant may discontinue his or her participation in the Plan as
           provided in Section 10 hereof,  or may  increase or decrease the rate
           of his or her payroll  deductions  by  completing  or filing with the
           Company  a new  subscription  agreement  authorizing  a change  to be
           effective the first payroll period after the next  Enrollment Date or
           after Human Resources receives the change, whichever is designated by
           the participant. A participant may make only one change to his or her
           contribution  percentage  during an Offering  Period. A participant's
           subscription agreement shall remain in effect for successive Offering
           Periods unless terminated as provided in Section 10 hereof.

       (d) Notwithstanding the foregoing, to the extent necessary to comply with
           Section 423(b) or the Code and Section 3(b) hereof,  a  participant's
           payroll  deductions may be decreased to zero percent (0%) at any time
           during an Offering Period. Payroll deductions shall recommence at the
           rate  provided in such  participant's  subscription  agreement at the
           beginning of the first  Offering  Period which is scheduled to end in
           the following  calendar year, unless terminated by the participant as
           provided in Section 10 hereof.

       (e) At the time the option is  exercised,  in whole or in part, or at the
           time some or all of the Company's  Common Stock issued under the Plan
           is disposed of, the participant must make adequate  provision for the
           Company's federal,  state, or other tax withholding  obligations,  if
           any,  which arise upon the exercise of the option or the  disposition
           of the Common Stock.  At any time,  the Company may, but shall not be
           obligated to, withhold from the participant's compensation the amount
           necessary for the Company to meet applicable withholding  obligations
           including any  withholding  required to make available to the Company
           any  tax  deductions  or  benefits  attributable  to  sale  or  early
           disposition of Common Stock by the Employee.

7. Grant  of  Option.  On the  Enrollment  Date of each  Offering  Period,  each
   eligible  Employee  participating in such Offering Period shall be granted an
   option to  purchase  on the  Exercise  Date of such  Offering  Period (at the
   applicable  Purchase Price) up to a number of shares of the Company's  Common
   Stock determined by dividing such Employee's payroll  deductions  accumulated
   prior to such Exercise Date and retained in the  Participant's  account as of
   the  Exercise  Date by the  applicable  Purchase  Price;  provided  that such
   purchase shall be subject to the  limitations  set forth in Sections 3(b)




   and 12 hereof.  Exercise  of the option  shall occur as provided in Section 8
   hereof,  unless the participant has withdrawn  pursuant to Section 10 hereof.
   The Option shall expire on the last day of the Offering Period.

8. Exercise of Option.  Unless a participant withdraws from the Plan as provided
   in Section 10 hereof,  his or her option for the  purchase of shares shall be
   exercised  automatically  on the  Exercise  Date,  and the maximum  number of
   shares (including fractional shares) subject to option shall be purchased for
   such  participant  at the  applicable  Purchase  Price  with the  accumulated
   payroll deductions in his or her account.  During a participant's lifetime, a
   participant's  option to purchase shares hereunder is exercisable only by him
   or her.

9. Delivery.  A book balance account will be established for each participant at
   a financial  institution  approved by the Board.  As promptly as  practicable
   after each  Exercise  Date on which a purchase of shares  occurs,  statements
   will be  generated  and  mailed  to all  participants  evidencing  ownership.
   Participants  will  have the  option of  receiving  a  physical  certificate,
   selling a portion or all shares  held in the account or leaving the shares in
   their account.

10. Withdrawal. A participant may withdraw all but not less than all the payroll
    deductions  credited to his or her account and not yet used to exercise  his
    or her  option  under the Plan at any time by giving  written  notice to the
    Company  in the form of  Exhibit  A to the  Plan.  All of the  participant's
    payroll  deductions  credited  to his or her  account  shall be paid to such
    participant  during the payroll period after receipt of notice of withdrawal
    and such participant's option for the Offering Period shall be automatically
    terminated,  and no further  payroll  deductions  for the purchase of shares
    shall be made for such Offering Period.  If a participant  withdraws from an
    Offering  Period,  the  participant  will not be allowed  to resume  payroll
    deductions for a period of at least six (6) months  following the end of the
    Offering  Period  in  which  he or she  withdrew  their  contributions.  The
    participant must submit a new subscription  agreement when they are eligible
    to resume payroll deductions.

11. Termination of Employment.  Upon a  participant's  ceasing to be an Employee
    for any reason,  he or she shall be deemed to have elected to withdraw  from
    the Plan and the payroll deductions  credited to such participant's  account
    during the Offering  Period but not yet used to exercise the option shall be
    returned  to such  participant  or in the  case of his or her  death  to the
    person or  persons  entitled  thereto  under  Section  15  hereof,  and such
    participant's  option  shall  be  automatically  terminated.  The  preceding
    sentence  notwithstanding  a  participant  who  receives  payment in lieu of
    notice of termination of employment  shall be treated as continuing to be an
    Employee  for the  participant's  customary  number  of  hours  per  week of
    employment  during  the period in which the  participant  is subject to such
    payment in lieu of notice.

12. Interest.   No  interest  shall  accrue  on  the  payroll  deductions  of  a
    participant in the Plan.

13. Stock

     (a)  The maximum number of shares of the Company's Common Stock which shall
          be made  available  for sale under the Plan  shall be 300,000  shares,
          subject to adjustment upon changes in capitalization of the Company as
          provided in Section 19 hereof. If on a



          given  Exercise  Date,  the  number of shares  with  respect  to which
          options are to be exercised exceeds to number of shares then available
          under the Plan,  the Company  shall make a pro rata  allocation of the
          shares  remaining  available  for  purchase  in as uniform a manner as
          shall be practicable and as it shall determine to be equitable.

     (b)  The  participant  shall  have no  interest  or voting  right in shares
          covered by his option until such option has been exercised.

     (c)  Shares  to be  delivered  to a  participant  under  the Plan  shall be
          registered  in the  name  of the  participant  or in the  name  of the
          participant and his or her spouse.

14. Dividends.  Any dividends  declared by the Company in  connection  with this
    Plan will be  reinvested in the  participant's  account and shall be used to
    purchase shares.

15. Administration.  The Plan shall be  administered by the Board or a committee
    of members of the Board  appointed by the Board.  The Board or its committee
    shall have full and exclusive discretionary authority to construe, interpret
    and apply the terms of the Plan, to determine  eligibility and to adjudicate
    all  disputed  claims  filed under the Plan.  Every  finding,  decision  and
    determination  made by the Board or its committee  shall, to the full extent
    permitted by law, be final and binding upon all parties.

16. Designation of Beneficiary.

       (a) A participant may file a written  designation of a beneficiary who is
           to  receive  any  shares  and cash,  if any,  from the  participant's
           account  under  the  Plan in the  event of such  participant's  death
           subsequent  to an Exercise  Date on which the option is exercised but
           prior to delivery  to such  participant  of such shares and cash.  In
           addition,   a  participant  may  file  a  written  designation  of  a
           beneficiary who is to receive any cash from the participants  account
           under  the Plan in the  event of such  participant's  death  prior to
           exercise  of  the  option.  If  a  participant  is  married  and  the
           designated  beneficiary is not the spouse,  spousal  consent shall be
           required for such designation to be effective.

       (b) Such  designation of beneficiary may be changed by the participant at
           any  time  by  written  notice.  In  the  event  of  the  death  of a
           participant  and in the absence of a beneficiary  validly  designated
           under the Plan who is living at the time of such participant's death,
           the Company shall delivery such shares and/or cash to the executor or
           administrator  of  the  estate  of  the  participant,  or if no  such
           executor or administrator has been appointed (to the knowledge of the
           Company),  the Company,  in its discretion,  may delivery such shares
           and/or  cash  to the  spouse  or to any  one or  more  dependents  or
           relatives of the participant,  or if no spouse, dependent or relative
           is known to the Company,  then to such other person as the Company my
           designate.

17. Transferability.  Neither  payroll  deductions  credited to a  participant's
    account  nor any  rights  with  regard  to the  exercise  of an option or to
    receive  shares  under the Plan may be  assigned,  transferred,  pledged  or
    otherwise  disposed of in any way (other  than by will,  the 





   laws of descent and  distribution or as provided in Section 15 hereof) by the
   participant.  Any such  attempt  at  assignment,  transfer,  pledge  or other
   disposition  shall be without effect,  except that the Company may treat such
   act as an election to withdraw  funds from an Offering  Period in  accordance
   with Section 10 hereof.

18. Use of Funds.  All payroll  deductions  and any  interest  earned on payroll
    deductions  that are  received or held by the Company  under the Plan may be
    used by the Company for any corporate purpose,  and the Company shall not be
    obligated to segregate such payroll deductions.

19. Reports. Individual accounts shall be maintained for each participant in the
    Plan.  Statements  of account shall be given to  participating  Employees at
    least  annually,  which  statements  shall set forth the  amounts of payroll
    deductions, the Purchase Price and the number of shares purchased.

20. Adjustments.  Upon  Changes  in  Capitalization,  Dissolution,  Liquidation,
    Merger or Asset Sale.

       (a) Changes  in  Capitalization.  Subject to any  required  action by the
           stockholders  of the Company,  the  Reserves,  the maximum  number of
           shares each  participant may purchase pr Offering Period (pursuant to
           Section  7), as well as the price per share and the  number of shares
           of Common  Stock  covered by each option under the Plan which has not
           yet been exercised shall be proportionately adjusted for any increase
           or decrease in the number of issued shares of Common Stock  resulting
           from  a  stock  split,   reverse  stock   dividend,   combination  or
           reclassification  of the  Common  Stock,  or any  other  increase  or
           decrease  in the number of shares of Common  Stock  effected  without
           receipt of  consideration  by the Company:  provided,  however,  that
           conversion of any convertible  securities of the Company shall not be
           deemed to have been "effected without receipt of consideration". Such
           adjustment  shall be made by the Board,  whose  determination in that
           respect shall be final,  binding and conclusive.  Except as expressly
           provided herein, no issuance by the Company of shares of stock of any
           class, or securities  convertible  into shares of stock of any class,
           shall affect,  and no adjustment by reason thereof shall be made with
           respect to, the number or price of shares of Common Stock  subject to
           an option.

       (b) Dissolution or Liquidation.  In the event of the proposed dissolution
           or liquidation of the Company,  the Offering  Period then in progress
           shall be shortened by setting a new Exercise  Date (the "New Exercise
           Date"), and shall terminate  immediately prior to the consummation of
           such proposed  dissolution or liquidation,  unless provided otherwise
           by the Board.  The New Exercise  Date shall be before the date of the
           company's proposed dissolution or liquidation. The Board shall notify
           each participant in writing, at least ten (10) business days prior to
           the New Exercise Date,  that the Exercise Date for the  participant's
           option  has  been  changed  to the New  Exercise  Date  and  that the
           participant's  option  shall be  exercised  automatically  on the New
           Exercise  Date, 





           unless  prior to such date the  participant  has  withdrawn  from the
           Offering Period as provided in Section 10 hereof.

 
       (c) Merger  or Asset  Sale.  In the  event of a  proposed  sale of all or
           substantially all of the assets of the Company,  or the merger of the
           Company with or into another  corporation,  each  outstanding  option
           shall be assumed or an equivalent option substituted by the successor
           corporation  or a Parent or Subsidiary of the successor  corporation.
           In the event  that the  successor  corporation  refuses  to assume or
           substitute  for the option,  any  Purchase  Periods  then in progress
           shall be shortened by setting a new Exercise  Date (the "New Exercise
           Date") and any Offering Periods then in progress shall end on the New
           Exercise  Date. The New Exercise Date shall be before the date of the
           Company's  proposed  sale or  merger.  The Board  shall  notify  each
           participant in writing,  at least ten (10) business days prior to the
           New  Exercise  Date,  that the  Exercise  Date for the  participant's
           option  has  been  changed  to the New  Exercise  Date  and  that the
           participant's  option  shall be  exercised  automatically  on the New
           Exercise  Date,  unless  prior  to  such  date  the  participant  has
           withdrawn from the Offering Period as provided in Section 10 hereof.

21. Amendment or Termination.

       (a) The Board of  Directors  of the  Company  may at any time and for any
           reason terminate or amend the Plan.  Except as provided in Section 19
           hereof,  no such termination can affect options  previously  granted,
           provided  that an Offering  Period may be  terminated by the Board of
           Directors  on any  Exercise  Date if the  Board  determines  that the
           termination  of the Plan is in the best  interest  of the Company and
           its  shareholders.  Except as  provided  in  Section  19  hereof,  no
           amendment  may make any  changes  in any option  theretofore  granted
           which adversely affects the rights of any participant.  To the extent
           necessary  to comply with  Section 423 of the Code (or any  successor
           rule or provision or any other  applicable  law,  regulation or stock
           exchange rule, the Company shall obtain shareholder  approval in such
           a manner and to such a degree as required.

       (b) Without  shareholder  consent  and  without  regard  to  whether  any
           participant   rights  may  be  considered  to  have  been  "adversely
           affected," the Board (or its  committee)  shall be entitled to change
           the Offering Periods, limit the frequency and/or number of changes in
           the amount withheld during an Offering Period, establish the exchange
           ratio  applicable to amounts  withheld in a currency  other than U.S.
           dollars,   permit  payroll   withholding  in  excess  of  the  amount
           designated by a participant in order to adjust for delays or mistakes
           in  the  Company's  processing  of  properly  completed   withholding
           elections, establish reasonable waiting and adjustment periods and/or
           accounting  and crediting  procedures to ensure that amounts  applied
           toward the  purchase of Common  Stock for each  participant  properly
           correspond with amounts withheld from the participant's Compensation,
           and 






           establish  such other  limitations or procedures as the Board (or its
           committee)  determines  in its sole  discretion  advisable  which are
           consistent with the Plan.

22. Notices. All notices or other communications by a participant to the Company
    under or in connection with the Plan shall be deemed to have been duly given
    when received in the form  specified by the Company at the  location,  or by
    the person, designated by the Company for the receipt thereof.

23. Conditions Upon Issuance of Shares.  Shares shall not be issued with respect
    to an option  unless  the  exercise  of such  option  and the  issuance  and
    delivery of such shares  pursuant  thereto shall comply with all  applicable
    provisions of law, domestic and foreign,  including without limitation,  the
    Securities Act or 1933, as amended,  the Securities Exchange Act of 1934, as
    amended,  the  rules  and  regulations  promulgated   thereunder,   and  the
    requirements of any stock exchange upon which the shares may then be listed,
    and shall be further subject to the approval of counsel for the Company with
    respect to such compliance.

    As a condition  to the  exercise  of an option,  the Company may require the
    period  exercising  such option to represent  and warrant at the time of any
    such exercise that the shares are being  purchased  only for  investment and
    without any present  intention to sell or distribute  such shares if, in the
    opinion of counsel for the Company, such a representation is required by any
    of the aforementioned applicable provisions of law.

24. Term of Plan.  The Plan shall become  effective upon the earlier to occur of
    its adoption by the Board of  Directors or its approval by the  stockholders
    of the  Company.  It shall  continue  in effect for a term of ten (10) years
    unless sooner terminated under Section 20 hereof.


                                                                       EXHIBIT A

MEDE AMERICA
EMPLOYEE STOCK PURCHASE PLAN
ENROLLMENT/CHANGE FORM

EMPLOYEE NAME: ------------------------------------------

                      (Please Print)

SOCIAL SECURITY: ----------------  LOCATION: ---------------------

- --------------------------------------------------------------------------------
COMPLETE REASONS(S) FOR ENROLLMENT/CHANGE:

- ----------  New Enrollment

- ----------  Stop Deductions (This will terminate your  participation in the Plan
            for this Offering Period and the next Offering Period. Your existing
            balance  will  be  refunded  to  you  as  soon  as  administratively
            possible.)

- ----------  Change:  Contribution Rate ----------  Beneficiary ----------

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

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

PAYROLL DEDUCTION AUTHORIZATION

I authorized  deductions from each payroll check of the following  percentage of
my total compensation.

  Contribution Rate: ----------------  (1-10%, whole increments)

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

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

BENEFICIARY

- -------------------------------  ------------------  ------------------
Name                              Social Security #     Relationship

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

- ----------------------------------------------------
Signature of Spouse (If beneficiary other than spouse)

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

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

By signing  below,  I represent  that I have received and reviewed the Company's
Prospectus  issued in connection with my  participation in the MEDE America 1998
Employee Stock Purchase Plan. I further represent that I have carefully reviewed
and understand the terms of the Plan and such other matters as I found necessary
to understand the mechanics and risks of participation in the Plan.

- ------------------------------------------      ------------
     Employee Signature                              Date

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


- --------------------------------------------------------------------------------
(For Corporate Benefits Department Use Only)

Approved By: ----------------------------------------------

Date: ----------------       Deposit Processing Code

- --------------------------------------------------------------------------------
               Fax form to confidential fax number: 330-963-3713