EXHIBIT 1.1

                            MedE America Corporation

                                4,166,667 Shares
                                  Common Stock
                                ($.01 par value)

                             Underwriting Agreement

                                                              New York, New York
                                                                          , 1999

Salomon Smith Barney Inc.
Bear, Stearns & Co. Inc.
William Blair & Company, L.L.C.,

As Representatives of the several Underwriters,
     c/o Salomon Smith Barney Inc.
     388 Greenwich Street
     New York, New York 10013

Ladies and Gentlemen:

                  MedE  America   Corporation,   a  Delaware   corporation  (the
"Company"),  proposes  to sell to the several  underwriters  named in Schedule I
hereto (the "Underwriters"),  for whom you (the "Representatives") are acting as
representatives,  4,166,667  shares of  common  stock,  $.01 par value  ("Common
Stock") of the Company  (said shares to be issued and sold by the Company  being
hereinafter called the "Underwritten Securities").  The Company also proposes to
grant to the Underwriters an option to purchase up to 625,000  additional shares
of Common Stock to cover  over-allotments (the "Option  Securities";  the Option
Securities,  together with the Underwritten Securities, being hereinafter called
the "Securities").  To the extent there are no additional Underwriters listed on
Schedule I other than you,  the term  Representatives  as used herein shall mean
you, as Underwriters,  and the terms Representatives and Underwriters shall mean
either the singular or plural as the context requires. Certain terms used herein
are defined in Section 17 hereof.

                  As  part  of the  offering  contemplated  by  this  Agreement,
Salomon Smith Barney has agreed to reserve out of the Shares set forth  opposite
its name on the  Schedule  I to this  Agreement,  up to  5% of the  Underwritten
Securities,  for sale to the Company's  employees,  officers,  and directors and
other parties associated with the Company (collectively, "Participants"), as set
forth in the Prospectus  under the heading  "Underwriting"  (the "Directed Share
Program").  The  Shares  to be sold by  Salomon




Smith Barney pursuant to the Directed Share Program (the "Directed Shares") will
be sold by  Salomon  Smith  Barney  pursuant  to this  Agreement  at the  public
offering  price.  Any Directed  Shares not orally  confirmed for purchase by any
Participants  by the end of the business day on which this Agreement is executed
will be  offered  to the  public  by  Salomon  Smith  Barney as set forth in the
Prospectus.

     1. Representations and Warranties.  The Company represents and warrants to,
and agrees with, each Underwriter as set forth below in this Section 1.

     (a) The Company has prepared and filed with the  Commission a  registration
statement (file number 333-55977) on Form S-1,  including a related  preliminary
prospectus,  for  registration  under  the Act of the  offering  and sale of the
Securities.  The Company has filed one or more amendments  thereto,  including a
related preliminary  prospectus,  each of which has previously been furnished to
you.  The  Company  will next file with the  Commission  either (1) prior to the
Effective  Date of such  registration  statement,  a further  amendment  to such
registration statement (including the form of final prospectus) or (2) after the
Effective Date of such registration  statement, a final prospectus in accordance
with Rules 430A and 424(b).  In the case of clause (2), the Company has included
in  such  registration   statement,  as  amended  at  the  Effective  Date,  all
information (other than Rule 430A Information) required by the Act and the rules
thereunder to be included in such registration statement and the Prospectus.  As
filed,  such amendment and form of final  prospectus,  or such final prospectus,
shall contain all Rule 430A  Information,  together with all other such required
information,  and,  except to the  extent  the  Representatives  shall  agree in
writing to a modification (which agreement shall not be unreasonably  withheld),
shall be in all  substantive  respects in the form furnished to you prior to the
Execution  Time or, to the extent not  completed at the  Execution  Time,  shall
contain only such specific additional information and other changes (beyond that
contained in the latest Preliminary  Prospectus) as the Company has advised you,
prior to the Execution Time, will be included or made therein.

     (b) On the Effective Date, the Registration Statement did or will, and when
the  Prospectus is first filed (if required) in accordance  with Rule 424(b) and
on the  Closing  Date  (as  defined  herein)  and on any  date on  which  Option
Securities  are  purchased,  if such date is not the Closing Date (a "settlement
date"),  the  Prospectus  (and any  supplements  thereto)  will,  comply  in all
material  respects  with the  applicable  requirements  of the Act and the rules
thereunder;  on the Effective Date and at the Execution  Time, the  Registration
Statement did not or will not contain any untrue statement of a material fact or
omit to state any material  fact  required to be stated  therein or necessary in
order to make the  statements  therein  not  misleading,  except  for Rule  430A
pricing  information;  and, on the Effective Date, the Prospectus,  if not filed
pursuant to Rule  424(b),  will not,  and on the date of any filing  pursuant to
Rule 424(b) and on the Closing  Date and any  settlement  date,  the  Prospectus
(together with any supplement thereto) will not, include any untrue statement of
a material fact or omit to state a material fact  necessary in order to make the
statements  therein,  in the light of the


                                       2





circumstances  under which they were made, not  misleading;  provided,  however,
that the Company makes no  representations  or warranties as to the  information
contained in or omitted from the Registration  Statement,  or the Prospectus (or
any  supplement  thereto) in reliance  upon and in conformity  with  information
furnished herein or in writing to the Company by or on behalf of any Underwriter
through the  Representatives  specifically  for  inclusion  in the  Registration
Statement or the Prospectus (or any supplement thereto).

     (c) Each of the Company and its  Subsidiaries  (as defined herein) has been
duly  incorporated  and is validly  existing as a  corporation  in good standing
under the laws of the  jurisdiction  in which it is chartered or organized  with
full corporate  power and authority to own or lease,  as the case may be, and to
operate its properties and conduct its business as described in the  Prospectus,
and is duly  qualified  to do business as a foreign  corporation  and is in good
standing under the laws of each jurisdiction which requires such  qualification,
except where the failure as to due qualification to do business would not have a
material  adverse effect on the condition  (financial or otherwise),  prospects,
earnings, business or properties of the Company and the Subsidiaries, taken as a
whole,  whether or not  arising  from  transactions  in the  ordinary  course of
business, except as set forth in or contemplated in the Prospectus (exclusive of
any supplement thereto) (a "Material Adverse Effect");

     (d) All the outstanding  shares of capital stock of the  Subsidiaries  have
been  duly  and   validly   authorized   and  issued  and  are  fully  paid  and
nonassessable,  and,  except  as  otherwise  set  forth in the  Prospectus,  all
outstanding shares of capital stock of the Subsidiaries are owned by the Company
directly free and clear of any perfected security interest or any other security
interests, claims, liens or encumbrances;

     (e) The Company's  authorized equity  capitalization is as set forth in the
Prospectus;  the capital stock of the Company conforms in all material  respects
to the description  thereof contained in the Prospectus;  the outstanding shares
of Common Stock have been duly and validly  authorized  and issued and are fully
paid and  nonassessable;  the Securities have been duly and validly  authorized,
and, when issued and delivered to and paid for by the  Underwriters  pursuant to
this Agreement,  will be fully paid and  nonassessable;  the Securities are duly
listed,  and admitted and authorized for trading,  subject to official notice of
issuance  and  evidence of  satisfactory  distribution,  on the Nasdaq  National
Market;  the  certificates  for the Securities are in valid and sufficient form;
the  holders of  outstanding  shares of  capital  stock of the  Company  are not
entitled to preemptive or other rights to subscribe  for the  Securities  except
for such rights of WCAS  Capital  Partners  II,  L.P.  as have been  effectively
waived;  and,  except as set forth in the  Prospectus,  no options,  warrants or
other rights to purchase, agreements or other obligations to issue, or rights to
convert any  obligations  into or exchange any securities for, shares of capital
stock of or ownership interests in the Company are outstanding;


                                       3





     (f)  There is no  franchise,  contract  or other  document  of a  character
required to be described in the Registration  Statement or Prospectus,  or to be
filed as an exhibit  thereto,  which is not described or filed as required;  and
the  statements in the  Prospectus  under the headings "Risk Factors -- Proposed
Healthcare   Data   Confidentiality   Legislation,"   "Business  --   Government
Regulation"  and "Business -- Legal  Proceedings"  fairly  summarize the matters
therein described.

     (g) This Agreement has been duly authorized,  executed and delivered by the
Company  and  constitutes  a  valid  and  binding   obligation  of  the  Company
enforceable  in  accordance  with its terms,  except as rights to indemnity  and
contribution  hereunder may be limited by federal and state  securities  laws or
principles  of  public  policy  and  subject  to  the  qualification   that  the
enforceability  of  the  Company's  obligations  hereunder  may  be  limited  by
bankruptcy, fraudulent conveyance,  insolvency,  reorganization,  moratorium and
other laws relating to or affecting  creditors'  rights generally and by general
principles of equity.

     (h) The Company is not and, after giving effect to the offering and sale of
the Securities and the  application of the proceeds  thereof as described in the
Prospectus,  will not be an  "investment  company" as defined in the  Investment
Company Act of 1940, as amended.

     (i) No consent, approval, authorization,  filing with or order of any court
or governmental  agency or body is required in connection with the  transactions
contemplated herein, except such as have been obtained under the Act and such as
may be required under the blue sky laws of any  jurisdiction  in connection with
the purchase and  distribution  of the  Securities  by the  Underwriters  in the
manner contemplated herein and in the Prospectus.

     (j) Neither the issue and sale of the  Securities nor the  consummation  of
any other of the  transactions  herein  contemplated  nor the fulfillment of the
terms  hereof will  conflict  with,  result in a breach or  violation  of or the
imposition of any lien, charge or encumbrance upon any property or assets of the
Company  or the  Subsidiaries  pursuant  to,  (i) the  charter or by-laws of the
Company or the Subsidiaries,  (ii) the terms of any indenture,  contract, lease,
mortgage,  deed of trust,  note  agreement,  loan agreement or other  agreement,
obligation,  condition,  covenant  or  instrument  to which the  Company  or the
Subsidiaries  are a party or bound or to which its or their property is subject,
or  (iii)  any  statute,  law,  rule,  regulation,  judgment,  order  or  decree
applicable to the Company or the  Subsidiaries,  of any court,  regulatory body,
administrative  agency,  governmental body, arbitrator or other authority having
jurisdiction  over  the  Company  or the  Subsidiaries  or  any of its or  their
properties,  except as to clauses (ii) and (iii) where such  breach,  violation,
lien,   charge  or  encumbrance  would  not  have  a  Material  Adverse  Effect,
individually or in the aggregate.

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     (k) No holders of securities of the Company have rights to the registration
of such securities  under the  Registration  Statement except for such rights of
WCAS Capital Partners II, L.P. as have been effectively waived.

     (l) The consolidated  historical  financial statements and schedules of the
Company and its  consolidated  Subsidiaries  included in the  Prospectus and the
Registration  Statement  present  fairly in all material  respects the financial
condition,  results of operations  and cash flows of the Company as of the dates
and for the periods indicated,  comply as to form with the applicable accounting
requirements  of the Act and have been  prepared in  conformity  with  generally
accepted  accounting  principles  applied on a consistent  basis  throughout the
periods  involved  (except as otherwise noted therein).  The selected  financial
data set forth under the caption "Selected  Consolidated  Financial Data" in the
Prospectus and Registration Statement fairly present, on the basis stated in the
Prospectus and the Registration Statement, the information included therein. The
pro forma financial  statements  included in the Prospectus and the Registration
Statement include assumptions that provide a reasonable basis for presenting the
significant  effects  directly  attributable  to  the  transactions  and  events
described therein,  the related pro forma adjustments give appropriate effect to
those assumptions,  and the pro forma adjustments reflect the proper application
of those  adjustments to the historical  financial  statement amounts in the pro
forma  financial  statements  included in the  Prospectus  and the  Registration
Statement. The pro forma financial statements included in the Prospectus and the
Registration  Statement  comply  as to form in all  material  respects  with the
applicable  accounting  requirements of Regulation S-X under the Act and the pro
forma  adjustments have been properly  applied to the historical  amounts in the
compilation of those statements.

     (m) No action,  suit or proceeding  by or before any court or  governmental
agency,  authority  or body  or any  arbitrator  involving  the  Company  or the
Subsidiaries  or its or their  property is pending or, to the best  knowledge of
the Company, threatened that (i) could reasonably be expected to have a material
adverse effect on the  performance of this Agreement or the  consummation of any
of the transactions  contemplated hereby or (ii) could reasonably be expected to
have a Material Adverse Effect.

     (n)  Each of the  Company  and the  Subsidiaries  owns or  leases  all such
properties  as are  necessary  to the  conduct of its  operations  as  presently
conducted.

     (o) Neither the Company nor the  Subsidiaries is in violation or default of
(i) any  provision  of its charter or bylaws,  (ii) the terms of any  indenture,
contract,  lease,  mortgage,  deed of trust,  note agreement,  loan agreement or
other agreement, obligation,  condition, covenant or instrument to which it is a
party or bound or to which its property is subject,  or (iii) any statute,  law,
rule,  regulation,  judgment,  order or decree of any  court,  regulatory  body,
administrative  agency,  governmental body, arbitrator or other authority having
jurisdiction  over  the  Company  or the  Subsidiaries  or  any of its or  their
properties,  as  applicable,  except


                                       5





as to clauses (ii) and (iii) where such  violation  or default  would not have a
Material Adverse Effect, individually or in the aggregate.

     (p)  Deloitte & Touche  LLP and KPMG Peat  Marwick  LLP,  each of whom have
certified  certain  financial  statements  of the Company  and its  consolidated
Subsidiaries   and   delivered   their  reports  with  respect  to  the  audited
consolidated financial statements and schedules included in the Prospectus, each
are  independent  public  accountants  with  respect to the  Company  within the
meaning  of  the  Act  and  the  applicable   published  rules  and  regulations
thereunder.

     (q) There are no  transfer  taxes or other  similar  fees or charges  under
Federal  law or the laws of any state,  or any  political  subdivision  thereof,
required  to be paid in  connection  with the  execution  and  delivery  of this
Agreement  or the  issuance  by the  Company  or  sale  by  the  Company  of the
Securities.

     (r) The Company has filed all foreign, federal, state and local tax returns
that are required to be filed or has requested extensions thereof (except in any
case in which the failure so to file would not have a Material  Adverse  Effect)
and has paid all taxes required to be paid by it and any other assessment,  fine
or penalty levied against it, to the extent that any of the foregoing is due and
payable, except for any such assessment, fine or penalty that is currently being
contested in good faith or as would not have a Material Adverse Effect.

     (s) No labor  problem or dispute  with the  employees of the Company or the
Subsidiaries  exists or is threatened or imminent,  and the Company is not aware
of any existing or imminent labor  disturbance by the employees of any of its or
the Subsidiaries' principal suppliers, contractors or customers, that could have
a Material Adverse Effect.

     (t) The Company and the  Subsidiaries are insured by insurers of recognized
financial  responsibility  against  such losses and risks and in such amounts as
are prudent and  customary  in the  businesses  in which they are  engaged;  all
policies of insurance  and fidelity or surety bonds  insuring the Company or the
Subsidiaries or their respective  businesses,  assets,  employees,  officers and
directors are in full force and effect;  the Company and the Subsidiaries are in
compliance  with the terms of such  policies  and  instruments  in all  material
respects;  and there are no claims by the Company or the Subsidiaries  under any
such policy or instrument as to which any insurance company is denying liability
or defending  under a reservation of rights clause;  neither the Company nor the
Subsidiaries have been refused any insurance coverage sought or applied for; and
neither the Company nor the Subsidiaries have any reason to believe that it will
not be able to renew its existing  insurance  coverage as and when such coverage
expires or to obtain similar  coverage from similar insurers as may be necessary
to  continue  its  business  at a cost that  would not have a  Material  Adverse
Effect.


                                       6





     (u) The Subsidiaries are not currently prohibited,  directly or indirectly,
from paying any dividends to the Company,  from making any other distribution on
the  Subsidiaries'  capital  stock,  from  repaying  to the Company any loans or
advances to the  Subsidiaries  from the Company or from  transferring any of the
Subsidiaries'  property  or assets to the  Company,  except as  described  in or
contemplated by the Prospectus.

     (v) The Company and the  Subsidiaries  possess all licenses,  certificates,
permits and other  authorizations  issued by the appropriate  federal,  state or
foreign regulatory authorities necessary to conduct their respective businesses,
and  neither  the  Company  nor the  Subsidiaries  have  received  any notice of
proceedings  relating to the revocation or modification of any such certificate,
authorization or permit which, singly or in the aggregate,  if the subject of an
unfavorable decision, ruling or finding, would have a Material Adverse Effect.

     (w)  The  Company  and the  Subsidiaries  maintain  a  system  of  internal
accounting  controls  sufficient  to  provide  reasonable   assurance  that  (i)
transactions  are executed in accordance with  management's  general or specific
authorizations;   (ii)   transactions   are  recorded  as  necessary  to  permit
preparation  of financial  statements  in  conformity  with  generally  accepted
accounting  principles  and to maintain  asset  accountability;  (iii) access to
assets is permitted  only in accordance  with  management's  general or specific
authorization;  and (iv) the recorded accountability for assets is compared with
the existing assets at reasonable intervals and appropriate action is taken with
respect to any differences.

     (x) The Company has not taken, directly or indirectly,  any action designed
to or which has  constituted  or which might  reasonably be expected to cause or
result, under the Exchange Act or otherwise, in stabilization or manipulation of
the price of any security of the Company to facilitate the sale or resale of the
Securities.

     (y) The Company and the Subsidiaries are (i) in compliance with any and all
applicable foreign,  federal,  state and local laws and regulations  relating to
the protection of human health and safety, the environment or hazardous or toxic
substances or wastes,  pollutants or contaminants  ("Environmental  Laws"), (ii)
have  received  and are in  compliance  with  all  permits,  licenses  or  other
approvals required of them under applicable  Environmental Laws to conduct their
respective  businesses  and (iii)  have not  received  notice  of any  actual or
potential  liability for the  investigation  or  remediation  of any disposal or
release of hazardous or toxic substances or wastes,  pollutants or contaminants,
except where such  non-compliance  with  Environmental  Laws, failure to receive
required  permits,   licenses  or  other  approvals,  or  liability  would  not,
individually or in the aggregate,  have a Material Adverse Effect. Except as set
forth in the  Prospectus,  neither the Company  nor the  Subsidiaries  have been
named as a "potentially responsible party" under the Comprehensive Environmental
Response, Compensation, and Liability Act of 1980, as amended.


                                       7





     (z) In the  ordinary  course  of its  business,  the  Company  periodically
reviews  the  effect  of  Environmental  Laws on the  business,  operations  and
properties  of the  Company  and the  Subsidiaries,  in the  course  of which it
identifies and evaluates  associated costs and liabilities  (including,  without
limitation, any capital or operating expenditures required for clean-up, closure
of properties or compliance with Environmental  Laws, or any permit,  license or
approval,  any related  constraints  on operating  activities  and any potential
liabilities  to third  parties).  On the basis of such  review,  the Company has
reasonably  concluded  that such  associated  costs and  liabilities  would not,
singly or in the aggregate, have a Material Adverse Effect.

     (aa)  Each  of  the  Company  and  the   Subsidiaries   has  fulfilled  its
obligations,  if any, under the minimum funding  standards of Section 302 of the
United States Employee  Retirement Income Security Act of 1974 ("ERISA") and the
regulations and published interpretations thereunder with respect to each "plan"
(as  defined  in  Section  3(3) of ERISA  and  such  regulations  and  published
interpretations)  in which  employees  of the Company and the  Subsidiaries  are
eligible to  participate  and each such plan is in  compliance  in all  material
respects with the presently applicable  provisions of ERISA and such regulations
and  published  interpretations.  The  Company  and the  Subsidiaries  have  not
incurred any unpaid liability to the Pension Benefit Guaranty Corporation (other
than for the  payment of premiums  in the  ordinary  course) or to any such plan
under Title IV of ERISA.

     (ab) MedE America of Ohio,  an Ohio  corporation,  Healthcare  Interchange,
Inc.  and  Wellmark,   Incorporated,   a  Delaware  corporation,  are  the  only
subsidiaries of the Company (the "Subsidiaries").

     (ac) The Company and the Subsidiaries own,  possess,  license or have other
rights to use, on reasonable terms, all patents, patent applications,  trade and
service marks, trade and service mark  registrations,  trade names,  copyrights,
licenses, inventions, trade secrets, technology, know-how and other intellectual
property (collectively,  the "Intellectual Property") material to the conduct of
the Company's  business as now conducted or as proposed in the  Prospectus to be
conducted.   Except  as  set  forth  in  the   Prospectus   under  the   caption
"Business--Intellectual  Property"  or as  would  not  have a  Material  Adverse
Effect,  (a) other than rights granted by the Company in its ordinary  course of
business, there are no rights of third parties in Intellectual Property owned by
the  Company;  (b) there is no  material  infringement  by third  parties  as to
Intellectual  Property owned by the Company;  (c) there is no pending or, to the
Company's knowledge,  threatened action,  suit,  proceeding or claim against the
Company  by  others   challenging  the  Company's  rights  in  or  to  any  such
Intellectual  Property, and the Company is unaware of any facts which would form
a  reasonable  basis for any such claim  against  the  Company;  (d) there is no
pending or, to the Company's knowledge,  threatened action, suit,  proceeding or
claim by  others  challenging  the  validity  or scope of any such  Intellectual
Property,  and the Company is unaware of any facts which would form a reasonable
basis  for any  such  claim;  (e)  there  is no  pending


                                       8





or, to the Company's  knowledge,  threatened action,  suit,  proceeding or claim
against the Company by others that the Company  infringes or otherwise  violates
any patent,  trademark,  copyright,  trade secret or other proprietary rights of
others,  and the  Company  is  unaware  of any other  fact  which  would  form a
reasonable  basis for any such claim;  (f) there is no U.S.  patent or published
U.S. patent  application which contains claims that dominate or may dominate any
Intellectual  Property described in the Prospectus as being owned by the Company
or that interferes  with the issued or pending patents to any such  Intellectual
Property;  and (g) there is no prior art of which the  Company is aware that may
render  any  U.S.  patent  held  by  the  Company  invalid  or any  U.S.  patent
application held by the Company unpatentable which has not been disclosed to the
U.S. Patent and Trademark Office.

     (ad) The statements  contained in the  Prospectus  under the captions "Risk
Factors--Dependence   on   Intellectual   Property;   Risk   of   Infringement,"
"Business--Intellectual  Property" and "Business -- Legal Proceedings,"  insofar
as  such  statements  summarize  legal  matters,   agreements,   documents,   or
proceedings  discussed  therein,  are accurate and fair  summaries of such legal
matters, agreements, documents or proceedings.

     (ae) Except as disclosed in the Registration  Statement and the Prospectus,
the Company (i) does not have any material  lending or other  relationship  with
any bank or lending  affiliate of an Underwriter and (ii) does not intend to use
any of the  proceeds  from the sale of the  Securities  hereunder  to repay  any
outstanding debt owed to any affiliate of an Underwriter.

     (af) The statements  contained in the  Prospectus  under the captions "Risk
Factors--Year  2000  Compliance,"   "Management's  Discussion  and  Analysis  of
Financial  Condition  and  Results  of  Operations--Year  2000  Compliance"  and
"Business--Year  2000  Compliance,"  are  accurate  and  fair  summaries  of the
Company's  efforts to address the risk that the  computer  hardware and software
used by them may be unable to  recognize  and  properly  execute  date-sensitive
functions involving certain dates prior to and any dates after December 31, 1999
(the "Year 2000  Problem") and the Company is in compliance  with the directives
of the Commission's Release No. 33-7558 relating to Year 2000 compliance.

     (ag) Any certificate  signed by any officer of the Company and delivered to
the  Representatives  or counsel for the  Underwriters  in  connection  with the
offering of the Securities shall be deemed a representation  and warranty by the
Company, as to matters covered thereby, to each Underwriter.

     Furthermore,  the Company  represents  and warrants to Salomon Smith Barney
that  (i)  the  Registration  Statement,  the  Prospectus  and  any  preliminary
prospectus  comply,  and any further  amendments  or  supplements  thereto  will
comply,  with any applicable  laws or regulations  of foreign  jurisdictions  in
which the Prospectus or any


                                       9





preliminary  prospectus,  as  amended  or  supplemented,   if  applicable,   are
distributed  in connection  with the Directed  Share  Program,  and that (ii) no
authorization,  approval, consent, license, order, registration or qualification
of or with any government,  governmental  instrumentality  or court,  other than
such as  have  been  obtained,  is  necessary  under  the  securities  laws  and
regulations of foreign  jurisdictions  in which the Directed  shares are offered
outside the United States.

     2. Purchase and Sale.

          (a)  Subject  to the terms and  conditions  and in  reliance  upon the
     representations and warranties herein set forth, the Company agrees to sell
     to  each  Underwriter,  and  each  Underwriter  agrees,  severally  and not
     jointly,  to purchase from the Company, at a purchase price of $ per share,
     the  amount  of  the  Underwritten   Securities  set  forth  opposite  such
     Underwriter's name in Schedule I hereto.

          (b)  Subject  to the terms and  conditions  and in  reliance  upon the
     representations  and warranties herein set forth, the Company hereby grants
     an  option to the  several  Underwriters  to  purchase,  severally  and not
     jointly,  up to 625,000  Option  Securities at the same purchase  price per
     share as the Underwriters shall pay for the Underwritten  Securities.  Said
     option may be exercised  only to cover  over-allotments  in the sale of the
     Underwritten  Securities by the Underwriters.  Said option may be exercised
     in whole or in part at any time (but not more than  once) on or before  the
     30th day after  the date of the  Prospectus  upon  written  or  telegraphic
     notice by the  Representatives  to the Company  setting forth the number of
     shares of the Option  Securities as to which the several  Underwriters  are
     exercising  the  option  and the  settlement  date.  The  number  of Option
     Securities to be purchased by each Underwriter shall be the same percentage
     of the total number of shares of the Option  Securities  to be purchased by
     the  several   Underwriters  as  such  Underwriter  is  purchasing  of  the
     Underwritten  Securities,  subject  to  such  adjustments  as you  in  your
     absolute discretion shall make to eliminate any fractional shares.

     3.  Delivery  and  Payment.  Delivery of and  payment for the  Underwritten
Securities and the Option Securities (if the option provided for in Section 2(b)
hereof shall have been  exercised  on or before the third  Business Day prior to
the  Closing  Date)  shall be made at 10:00 AM, New York City  time,  on_______,
1999, or at such time on such later date not more than three Business Days after
the foregoing date as the Representatives  shall designate,  which date and time
may be postponed by agreement between the  Representatives and the Company or as
provided in Section 9 hereof (such date and time of delivery and payment for the
Securities being herein called the "Closing  Date").  Delivery of the Securities
shall be made to the  Representatives for the respective accounts of the several
Underwriters   against   payment  by  the  several   Underwriters   through  the
Representatives  of the  purchase  price  thereof  to or upon  the  order of the
Company by wire transfer  payable in same-day  funds to an account  specified by
the Company.  Delivery of the Underwritten  Securities and the Option Securities
shall be


                                       10





made  through  the  facilities  of  The  Depository  Trust  Company  unless  the
Representatives shall otherwise instruct.

     If the option  provided for in Section  2(b) hereof is exercised  after the
third  Business  Day prior to the Closing  Date,  the Company  will  deliver the
Option Securities (at the expense of the Company) to the  Representatives on the
date  specified by the  Representatives  (which date shall be reasonably  agreed
upon by the  Company  and the  Representative,  but in any  event  within  three
Business Days after exercise of said option) for the respective  accounts of the
several  Underwriters,  against payment by the several  Underwriters through the
Representatives  of the  purchase  price  thereof  to or upon  the  order of the
Company by wire transfer  payable in same-day  funds to an account  specified by
the Company.  If settlement for the Option  Securities  occurs after the Closing
Date, the Company will deliver to the Representatives on the settlement date for
the Option  Securities,  and the obligation of the  Underwriters to purchase the
Option Securities shall be conditioned upon receipt of,  supplemental  opinions,
certificates and letters  confirming as of such date the opinions,  certificates
and letters delivered on the Closing Date pursuant to Section 6 hereof.

     4. Offering by Underwriters. It is understood that the several Underwriters
propose  to offer  the  Securities  for sale to the  public  as set forth in the
Prospectus.

     5. Agreements. The Company agrees with the several Underwriters that:

          (a) The Company  will use its best  efforts to cause the  Registration
     Statement,  if not  effective  at the  Execution  Time,  and any  amendment
     thereof,  to become effective.  Prior to the termination of the offering of
     the Securities, the Company will not file any amendment of the Registration
     Statement or supplement to the  Prospectus or any Rule 462(b)  Registration
     Statement unless the Company has furnished you a copy for your review prior
     to filing and will not file any such  proposed  amendment or  supplement to
     which you  reasonably  object.  Subject to the foregoing  sentence,  if the
     Registration  Statement  has become or becomes  effective  pursuant to Rule
     430A, or filing of the Prospectus is otherwise  required under Rule 424(b),
     the  Company  will  cause  the  Prospectus,  properly  completed,  and  any
     supplement  thereto  to be  filed  with  the  Commission  pursuant  to  the
     applicable  paragraph of Rule 424(b) within the time period  prescribed and
     will provide evidence  satisfactory to the  Representatives  of such timely
     filing. The Company will promptly advise the  Representatives  (1) when the
     Registration  Statement, if not effective at the Execution Time, shall have
     become  effective,  (2) when the  Prospectus,  and any supplement  thereto,
     shall have been filed (if required)  with the  Commission  pursuant to Rule
     424(b) or when any Rule 462(b) Registration Statement shall have been filed
     with the Commission,  (3) when, prior to termination of the offering of the
     Securities,  any amendment to the  Registration  Statement  shall have been
     filed or become  effective,  (4) of any  request by the  Commission  or its
     staff for any amendment of the Registration  Statement,  or any Rule 462(b)
     Registration  Statement, or for any supplement to the Prospectus or


                                       11





     for any  additional  information,  (5) of the issuance by the Commission of
     any stop order suspending the  effectiveness of the Registration  Statement
     or the  institution  or  threatening of any proceeding for that purpose and
     (6) of the receipt by the Company of any  notification  with respect to the
     suspension  of  the  qualification  of  the  Securities  for  sale  in  any
     jurisdiction  or the  institution or threatening of any proceeding for such
     purpose.  The Company  will use its best efforts to prevent the issuance of
     any such stop order or the  suspension  of any such  qualification  and, if
     issued, to obtain as soon as possible the withdrawal thereof.

          (b) If, at any time when a prospectus  relating to the  Securities  is
     required to be  delivered  under the Act,  any event  occurs as a result of
     which  the  Prospectus  as  then  supplemented  would  include  any  untrue
     statement of a material fact or omit to state any material  fact  necessary
     to make the  statements  therein  in the light of the  circumstances  under
     which they were made not  misleading,  or if it shall be necessary to amend
     the Registration  Statement or supplement the Prospectus to comply with the
     Act or the rules  thereunder,  the  Company  promptly  will (1)  notify the
     Representatives   of  any  such  event;  (2)  prepare  and  file  with  the
     Commission, subject to the second sentence of paragraph (a) of this Section
     5, an amendment or supplement which will correct such statement or omission
     or effect such compliance;  and (3) supply any  supplemented  Prospectus to
     you in such quantities as you may reasonably request.

          (c) As soon as practicable,  the Company will make generally available
     to its security holders and to the Representatives an earnings statement or
     statements  of the  Company  and the  Subsidiaries  which will  satisfy the
     provisions of Section 11(a) of the Act and Rule 158 under the Act.

          (d) The Company  will furnish to the  Representatives  and counsel for
     the  Underwriters  signed copies of the Registration  Statement  (including
     exhibits  thereto) and to each other Underwriter a copy of the Registration
     Statement  (without  exhibits  thereto)  and,  so  long  as  delivery  of a
     prospectus by an  Underwriter or dealer may be required by the Act, as many
     copies of each Preliminary Prospectus and the Prospectus and any supplement
     thereto as the Representatives may reasonably request.

          (e) The Company will arrange,  if necessary,  for the qualification of
     the  Securities  for  sale  under  the  laws of such  jurisdictions  as the
     Representatives  may designate and will  maintain  such  qualifications  in
     effect so long as required for the distribution of the Securities; provided
     that in no event shall the Company be  obligated  to qualify to do business
     in any jurisdiction  where it is not now so qualified or to take any action
     that would  subject  it to  service  of process in suits,  other than those
     arising out of the offering or sale of the Securities,  in any jurisdiction
     where it is not now so subject.

          (f) The Company will not, without the prior written consent of Salomon
     Smith  Barney  Inc.,  sell,  offer to sell,  solicit an offer to  purchase,
     contract to sell, grant any option to sell, pledge or otherwise dispose of,
     or file (or


                                       12





     participate  in the  filing  of) a  registration  statement  (other  than a
     Registration Statement on Form S-8 or S-4) with the Securities and Exchange
     Commission  in  respect  of, or  establish  or  increase  a put  equivalent
     position or liquidate  or decrease a call  equivalent  position  within the
     meaning of Section 16 of the  Securities  Exchange Act of 1934, as amended,
     and the rules and  regulations of the  Securities  and Exchange  Commission
     promulgated  thereunder with respect to, any shares of capital stock of the
     Company or any securities  convertible  into or exercisable or exchangeable
     for such  capital  stock,  or publicly  announce an intention to effect any
     such  transaction,  for a period  of 180 days  after  the date of the Final
     Prospectus,  other than  shares of Common  Stock  disposed  of as bona fide
     gifts  approved by Salomon  Smith  Barney Inc.

          (g) The  Company  will not take,  directly or  indirectly,  any action
     designed to or which has constituted or which might  reasonably be expected
     to cause or result,  under the Exchange Act or otherwise,  in stabilization
     or  manipulation  of the price of any security of the Company to facilitate
     the sale or resale of the Securities.

          (h) The Company  agrees to pay the costs and expenses  relating to the
     following matters: (i) the preparation, printing or reproduction and filing
     with the  Commission of the  Registration  Statement  (including  financial
     statements  and  exhibits  thereto),  each  Preliminary   Prospectus,   the
     Prospectus,  and each  amendment  or  supplement  to any of them;  (ii) the
     printing (or reproduction)  and delivery  (including  postage,  air freight
     charges and  charges  for  counting  and  packaging)  of such copies of the
     Registration Statement,  each Preliminary Prospectus,  the Prospectus,  and
     all  amendments  or  supplements  to any of them,  as may, in each case, be
     reasonably  requested for use in  connection  with the offering and sale of
     the Securities; (iii) the preparation, printing,  authentication,  issuance
     and delivery of  certificates  for the  Securities,  including any stamp or
     transfer  taxes in  connection  with the original  issuance and sale of the
     Securities;  (iv) the  printing  (or  reproduction)  and  delivery  of this
     Agreement,  any blue sky memorandum  and all other  agreements or documents
     printed (or  reproduced)  and delivered in connection  with the offering of
     the Securities;  (v) the  registration of the Securities under the Exchange
     Act and the listing of the Securities on the Nasdaq National  Market;  (vi)
     any  registration  or  qualification  of the  Securities for offer and sale
     under the  securities  or blue sky laws of the  several  states  (including
     filing  fees  and the  reasonable  fees and  expenses  of  counsel  for the
     Underwriters  relating to such registration and  qualification);  (vii) any
     filings  required to be made with the National  Association  of  Securities
     Dealers,  Inc.  (including filing fees and the reasonable fees and expenses
     of counsel  for the  Underwriters  relating  to such  filings);  (viii) the
     transportation  and other  expenses  incurred  by or on  behalf of  Company
     representatives in connection with presentations to prospective  purchasers
     of the Securities;  (ix) the fees and expenses of the Company's accountants
     and the fees and expenses of counsel  (including local and special counsel)
     for the  Company;  and (x) all other  costs and  expenses  incident  to the
     performance by the Company of its obligations hereunder.


                                       13





          (i) In connection  with the Directed Share  Program,  the Company will
     ensure that the Directed  Shares will be restricted to the extent  required
     by the National Association of Securities Dealers, Inc. (the "NASD") or the
     NASD rules from sale, transfer,  assignment,  pledge or hypothecation for a
     period  of three  months  following  the date of the  effectiveness  of the
     Registration Statement.  Salomon Smith Barney will notify the Company as to
     which  Participants will need to be so restricted.  The Company will direct
     the transfer restrictions upon such period of time.

          (j) The Company  agrees to pay all fees and  disbursements  of counsel
     incurred by the  Underwriters in connection with the Directed Share Program
     and stamp duties,  similar taxes or duties or other taxes, if any, incurred
     by the Underwriters in connection with the Directed Share Program.

     6.  Conditions to the Obligations of the  Underwriters.  The obligations of
the  Underwriters  to  purchase  the  Underwritten  Securities  and  the  Option
Securities,  as the  case  may be,  shall  be  subject  to the  accuracy  of the
representations and warranties on the part of the Company contained herein as of
the Execution Time, the Closing Date and any settlement date pursuant to Section
3  hereof,  to  the  accuracy  of the  statements  of the  Company  made  in any
certificates  pursuant  to the  provisions  hereof,  to the  performance  by the
Company of its obligations hereunder and to the following additional conditions:

          (a) If the  Registration  Statement has not become  effective prior to
     the Execution Time, unless the Representatives  agree in writing to a later
     time, the  Registration  Statement will become effective not later than (i)
     6:00 PM New York  City  time on the  date of  determination  of the  public
     offering price, if such  determination  occurred at or prior to 3:00 PM New
     York City time on such date or (ii) 9:30 AM on the Business  Day  following
     the  day on  which  the  public  offering  price  was  determined,  if such
     determination  occurred  after 3:00 PM New York City time on such date;  if
     filing of the Prospectus,  or any supplement  thereto, is required pursuant
     to Rule 424(b), the Prospectus,  and any such supplement,  will be filed in
     the manner and within the time period required by Rule 424(b);  and no stop
     order suspending the effectiveness of the Registration Statement shall have
     been issued and no proceedings  for that purpose shall have been instituted
     or threatened.

          (b) The Company shall have caused Reboul, MacMurray, Hewitt, Maynard &
     Kristol,  counsel for the Company, to have furnished to the Representatives
     their opinion, dated the Closing Date and addressed to the Representatives,
     to the effect that:

               (i)  each of the  Company  and the  Subsidiaries  has  been  duly
          incorporated and is validly existing as a corporation in good standing
          under  the  laws of the  jurisdiction  in  which  it is  chartered  or
          organized, with full corporate power and authority to own or lease, as
          the case  may be,  and to  operate  its  properties  and  conduct  its
          business as described in


                                     14





          the  Prospectus,  and is duly  qualified  to do  business as a foreign
          corporation   and  is  in  good  standing   under  the  laws  of  each
          jurisdiction  which  requires  such  qualification,  except  where the
          failure  as to due  qualification  to do  business  would  not  have a
          Material Adverse Effect, individually or in the aggregate.

               (ii) all the  outstanding  shares of capital stock of each of the
          Subsidiaries have been duly and validly  authorized and issued and are
          fully paid and  nonassessable,  and,  except as otherwise set forth in
          the  Prospectus,  all  outstanding  shares  of  capital  stock  of the
          Subsidiaries  are owned by the Company  directly free and clear of any
          perfected  security  interest  and, to the  knowledge of such counsel,
          after  due  inquiry,  any  other  security  interest,  claim,  lien or
          encumbrance;

               (iii) the Company's  authorized  equity  capitalization is as set
          forth in the Prospectus;  the capital stock of the Company conforms in
          all  material  respects to the  description  thereof  contained in the
          Prospectus;  the outstanding shares of Common Stock have been duly and
          validly  authorized  and issued and are fully paid and  nonassessable;
          the Securities have been duly and validly authorized, and, when issued
          and  delivered  to and paid for by the  Underwriters  pursuant to this
          Agreement,  will be fully paid and  nonassessable;  the Securities are
          duly  listed,  and  admitted and  authorized  for trading,  subject to
          official notice of issuance and evidence of satisfactory distribution,
          on the Nasdaq National Market; the certificates for the Securities are
          in valid and sufficient  form;  the holders of  outstanding  shares of
          capital  stock of the Company are not entitled to  preemptive or other
          rights to subscribe  for the  Securities  from the Company  except for
          such rights of WCAS Capital Partners II, L.P. as have been effectively
          waived;  and,  except  as set  forth in the  Prospectus,  no  options,
          warrants or other rights to purchase,  agreements or other obligations
          to issue,  or rights to convert any  obligations  into or exchange any
          securities for,  shares of capital stock of or ownership  interests in
          the Company are outstanding;

               (iv) to the  knowledge  of such  counsel,  there is no pending or
          threatened  action,  suit or  proceeding  by or  before  any  court or
          governmental agency, authority or body or any arbitrator involving the
          Company or the  Subsidiaries  or its or their  property of a character
          required to be disclosed in the  Registration  Statement  which is not
          adequately  disclosed in the Prospectus,  and to the knowledge of such
          counsel,  there  is no  franchise,  contract  or other  document  of a
          character  required to be described in the  Registration  Statement or
          Prospectus,  or to be  filed  as an  exhibit  thereto,  which  is  not
          described or filed as  required;  and the  statements  included in the
          Prospectus  under the headings  "Risk  Factors -- Proposed  Healthcare
          Data  Confidentiality   Legislation,"  "Risk   Factors--Dependence  on
          Intellectual Property; Risk of Infringement,"  "Business -- Government
          Regulation," "Business -- Legal Proceedings" and "Business-


                                       15





          -Intellectual  Property"  fairly  summarize the legal matters  therein
          described;

               (v) the  Registration  Statement has become  effective  under the
          Act;  any  required  filing  of the  Prospectus,  and any  supplements
          thereto,  pursuant  to Rule  424(b)  has been made in the  manner  and
          within the time period  required by Rule 424(b);  to the  knowledge of
          such  counsel,  no stop  order  suspending  the  effectiveness  of the
          Registration  Statement  has  been  issued,  no  proceedings  for that
          purpose  have  been  instituted  or  threatened  and the  Registration
          Statement and the Prospectus (other than the financial  statements and
          other  financial  information  contained  therein,  as to  which  such
          counsel  need  express no opinion)  comply as to form in all  material
          respects with the applicable requirements of the Act and the rules and
          regulations thereunder; and such counsel has no reason to believe that
          on the  Effective  Date  or at the  Execution  Time  the  Registration
          Statement contained any untrue statement of a material fact or omitted
          to state any material fact required to be stated  therein or necessary
          to make the statements therein not misleading,  or that the Prospectus
          as of its date and on the Closing Date included or includes any untrue
          statement  of a material  fact or omitted or omits to state a material
          fact  necessary to make the  statements  therein,  in the light of the
          circumstances  under  which they were made,  not  misleading  (in each
          case,  other  than  the  financial   statements  and  other  financial
          information  contained therein,  as to which such counsel need express
          no opinion);

               (vi)  this  Agreement  has been  duly  authorized,  executed  and
          delivered by the Company;

               (vii) the Company is not and, after giving effect to the offering
          and sale of the Securities and the application of the proceeds thereof
          as described in the Prospectus,  will not be, an "investment  company"
          as defined in the Investment Company Act of 1940, as amended;

               (viii) no consent, approval, authorization,  filing with or order
          of any court or governmental  agency or body is required in connection
          with the transactions  contemplated  herein,  except such as have been
          obtained  under the Act and such as may be required under the blue sky
          laws  of  any   jurisdiction  in  connection  with  the  purchase  and
          distribution  of the  Securities  by the  Underwriters  in the  manner
          contemplated  in this  Agreement and in the  Prospectus and such other
          approvals (specified in such opinion) as have been obtained;

               (ix)  neither  the  issue  and  sale of the  Securities,  nor the
          consummation of any other of the transactions  herein contemplated nor
          the  fulfillment of the terms hereof will conflict  with,  result in a
          breach  or  violation  of  or  imposition  of  any  lien,   charge  or
          encumbrance  upon  any  property  or  assets  of  the  Company  or its
          subsidiaries pursuant to, (i) the


                                       16





          charter or by-laws of the Company or the Subsidiaries,  (ii) the terms
          of any  indenture,  contract,  lease,  mortgage,  deed of trust,  note
          agreement, loan agreement or other agreement,  obligation,  condition,
          covenant or instrument to which the Company or the  Subsidiaries are a
          party or bound or to which its or their property is subject,  however,
          the opinion in this section  (ix)(ii) may be based upon the  knowledge
          of such  counsel  with  respect  to any  such  agreement,  obligation,
          condition, covenant or instrument which is not otherwise disclosed in,
          or filed as an exhibit to, the  Registration  Statement,  or (iii) any
          statute, law, rule, regulation,  judgment,  order or decree applicable
          to the  Company or the  Subsidiaries  of any court,  regulatory  body,
          administrative   agency,   governmental  body,   arbitrator  or  other
          authority having  jurisdiction over the Company or the Subsidiaries or
          any of their properties; and

               (x) to the knowledge of such counsel, no holders of securities of
          the Company have rights to the  registration of such securities  under
          the  Registration  Statement  except for such  rights of WCAS  Capital
          Partners  II, L.P. as have been  effectively  waived and the rights of
          Medic Computer Systems, Inc., which rights will not be effective until
          the  exercise of its warrant at least 180 days  following  the sale of
          the Securities to the Underwriters.

     In  rendering  such  opinion,  such  counsel  may  rely  (A) as to  matters
     involving the application of laws of any jurisdiction other than the States
     of Delaware and New York or the Federal laws of the United  States,  to the
     extent they deem proper and specified in such opinion,  upon the opinion of
     other counsel of good standing whom they believe to be reliable and who are
     satisfactory to counsel for the Underwriters and (B) as to matters of fact,
     to the extent they deem proper, on certificates of responsible  officers of
     the Company and public  officials.  References  to the  Prospectus  in this
     paragraph (b) include any supplements thereto at the Closing Date.

          (c) The Representatives shall have received from Dewey Ballantine LLP,
     counsel for the Underwriters,  such opinion or opinions,  dated the Closing
     Date and addressed to the Representatives, with respect to the issuance and
     sale  of  the  Securities,   the  Registration  Statement,  the  Prospectus
     (together  with any  supplement  thereto) and other related  matters as the
     Representatives  may  reasonably  require,   and  the  Company  shall  have
     furnished to such counsel such documents as they request for the purpose of
     enabling them to pass upon such matters.

          (d)  The  Company  shall  have  furnished  to  the  Representatives  a
     certificate  of the  Company,  signed by the  Chairman  of the Board or the
     President and the principal financial or accounting officer of the Company,
     dated the Closing Date, to the effect that the signers of such  certificate
     have carefully  examined the Registration  Statement,  the Prospectus,  any
     supplements to the Prospectus and this Agreement and that:


                                       17





               (i) the  representations  and  warranties  of the Company in this
          Agreement  are true and correct in all material  respects on and as of
          the Closing  Date with the same effect as if made on the Closing  Date
          and the Company has complied with all the agreements and satisfied all
          the conditions on its part to be performed or satisfied at or prior to
          the Closing Date;

               (ii)  no  stop  order   suspending  the   effectiveness   of  the
          Registration  Statement  has been issued and no  proceedings  for that
          purpose  have  been   instituted  or,  to  the  Company's   knowledge,
          threatened; and

               (iii)  since  the date of the most  recent  financial  statements
          included in the  Prospectus  (exclusive  of any  supplement  thereto),
          there has been no Material Adverse Effect.

          (e) The  Representatives  shall have received letters addressed to you
     dated the date hereof and the Closing  Date from  Deloitte & Touche LLP and
     KPMG Peat Marwick  LLP,  each  independent  certified  public  accountants,
     substantially in the forms heretofore approved by you.

          (f) Subsequent to the Execution  Time or, if earlier,  the dates as of
     which information is given in the Registration  Statement (exclusive of any
     amendment  thereof)  and  the  Prospectus   (exclusive  of  any  supplement
     thereto), there shall not have been (i) any change or decrease specified in
     the letter or letters  referred to in  paragraph  (e) of this  Section 6 or
     (ii) any change, or any development  involving a prospective  change, in or
     affecting the condition  (financial or  otherwise),  earnings,  business or
     properties of the Company and the Subsidiaries taken as a whole, whether or
     not arising from transactions in the ordinary course of business, except as
     set forth in or contemplated in the Prospectus (exclusive of any supplement
     thereto) the effect of which, in any case referred to in clause (i) or (ii)
     above,  is, in the sole  judgment of the  Representatives,  so material and
     adverse  as to make it  impractical  or  inadvisable  to  proceed  with the
     offering or delivery of the Securities as contemplated by the  Registration
     Statement   (exclusive  of  any  amendment   thereof)  and  the  Prospectus
     (exclusive of any supplement thereto).

          (g) The Securities  shall have been listed and admitted and authorized
     for trading on the Nasdaq National Market and satisfactory evidence of such
     actions shall have been provided to the Representatives.

          (h)  At or  prior  to the  Execution  Time,  the  Company  shall  have
     furnished  to the  Representatives  a letter  substantially  in the form of
     Exhibit A hereto from each officer,  director and certain  stockholders  of
     the Company,  whose  aggregate  holdings of Common Stock  represent  ______
     shares  of  Common  Stock  (___% of the total  outstanding  Common  Stock),
     addressed to the Representatives.


                                       18





          (i) The Company shall have provided evidence to the  Underwriters,  in
     form and substance  satisfactory to the Representatives,  that concurrently
     with the Closing (i) the Senior  Subordinated  Note and the Credit Facility
     (as such terms are defined in the Prospectus) will be repaid in full in the
     manner set forth in the Prospectus  under the heading "Use of Proceeds" and
     (ii) the Recapitalization (as defined in the Prospectus) will be completed.

          (j) The Company shall have provided evidence to the  Underwriters,  in
     form and substance  satisfactory to the  Representatives,  that the Amended
     Credit Facility has been executed on the terms set forth in the Prospectus.

          (k) The Company shall have provided evidence to the  Underwriters,  in
     form and substance satisfactory to the Representatives,  that the Company's
     Certificate of  Incorporation  has been amended to provide for the issuance
     of up to 5,000,000 shares of Preferred Stock as set forth in the Prospectus
     under the headings "Risk Factors--Potential Adverse Effect of Anti-Takeover
     Provisions,"  "Description  of Capital Stock" and  "Description  of Capital
     Stock--Preferred Stock."

          (l) Prior to the Closing Date, the Company shall have furnished to the
     Representatives such further information, certificates and documents as the
     Representatives may reasonably request.

          If any of the  conditions  specified  in this Section 6 shall not have
     been  fulfilled  in all  material  respects  when and as  provided  in this
     Agreement,  or if any of the opinions and  certificates  mentioned above or
     elsewhere  in  this  Agreement  shall  not  be  in  all  material  respects
     reasonably  satisfactory in form and substance to the  Representatives  and
     counsel for the  Underwriters,  this  Agreement and all  obligations of the
     Underwriters  hereunder  may be  canceled  at, or at any time prior to, the
     Closing Date by the  Representatives.  Notice of such cancelation  shall be
     given to the Company in writing or by telephone  or facsimile  confirmed in
     writing.

          The  documents  required to be  delivered  by this  Section 6 shall be
     delivered  at  the  office  of  Dewey   Ballantine  LLP,  counsel  for  the
     Underwriters,  at 1301 Avenue of the Americas,  New York,  New York, on the
     Closing Date.

          7.  Reimbursement  of  Underwriters'  Expenses.  If  the  sale  of the
     Securities  provided for herein is not consummated because any condition to
     the  obligations of the  Underwriters  set forth in Section 6 hereof is not
     satisfied,  because  of any  termination  pursuant  to Section 10 hereof or
     because of any refusal,  inability or failure on the part of the Company to
     perform any agreement herein or comply with any provision hereof other than
     by  reason  of a  default  by any of the  Underwriters,  the  Company  will
     reimburse the Underwriters severally through Salomon Smith Barney on demand
     for all out-of-pocket expenses (including reasonable fees and disbursements
     of counsel) that shall have been  incurred by them in  connection  with the
     proposed purchase and sale of the Securities.


                                       19





          8. Indemnification and Contribution.

          (a)  The  Company   agrees  to  indemnify   and  hold   harmless  each
     Underwriter,  the  directors,   officers,  employees  and  agents  of  each
     Underwriter and each person who controls any Underwriter within the meaning
     of either the Act or the Exchange  Act against any and all losses,  claims,
     damages or liabilities,  joint or several, to which they or any of them may
     become  subject  under the Act, the Exchange Act or other  Federal or state
     statutory law or  regulation,  at common law 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 a material fact  contained in the  registration  statement for
     the  registration of the Securities as originally filed or in any amendment
     thereof,  or in any  Preliminary  Prospectus or the  Prospectus,  or in any
     amendment thereof or supplement  thereto, 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  agrees to  reimburse  each  such  indemnified  party,  as
     incurred,  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 to the  extent  that  any such  loss,  claim,  damage  or
     liability  arises  out of or is based  upon any such  untrue  statement  or
     alleged  untrue  statement or omission or alleged  omission made therein in
     reliance upon and in conformity with written  information  furnished to the
     Company  by or on behalf of any  Underwriter  through  the  Representatives
     specifically for inclusion therein;  provided further, that with respect to
     any untrue  statement or omission of material fact made in any  Preliminary
     Prospectus,  the indemnity  agreement  contained in this Section 8(a) shall
     not inure to the benefit of any Underwriter  from whom the person asserting
     any  such  loss,  claim,  damage  or  liability  purchased  the  securities
     concerned,  to the extent that any such loss, claim, damage or liability of
     such  Underwriter  occurs under the  circumstance  where it shall have been
     determined by a court of competent  jurisdiction by final and nonappealable
     judgment  that (w) the  Company  had  previously  furnished  copies  of the
     Prospectus  to the  Representatives,  (x)  delivery of the  Prospectus  was
     required by the Act to be made to such person,  (y) the untrue statement or
     omission of a material fact  contained in the  Preliminary  Prospectus  was
     corrected  in the  Prospectus  and (z)  there was not sent or given to such
     person,  at or  prior  to the  written  confirmation  of the  sale  of such
     securities  to  such  person,  a copy  of the  Prospectus.  This  indemnity
     agreement  will be in  addition  to any  liability  which the  Company  may
     otherwise have.

          (b) The Company  agrees to indemnify and hold  harmless  Salomon Smith
     Barney and each person,  if any, who controls  Salomon  Smith Barney within
     the meaning of either Section 15 of the Securities Act or Section 20 of the
     Exchange Act ("Salomon  Smith Barney  Entities"),  from and against any and
     all losses, claims, damages and liabilities (including, without limitation,
     any  legal  or  other  expenses  reasonably  incurred  in  connection  with
     defending  or  investigating  any such  action or claim)  (i) caused by any
     untrue  statement or alleged untrue


                                       20





     statement of a material fact contained in the prospectus  wrapper  material
     prepared by or with the consent of the Company for  distribution in foreign
     jurisdictions in connection with the Directed Share Program attached to the
     Prospectus  or any  preliminary  prospectus,  or caused by any  omission or
     alleged  omission to state  therein a material  fact  required to be stated
     therein or necessary to make the  statement  therein,  when  considered  in
     conjunction with the Prospectus or any applicable  preliminary  prospectus,
     not  misleading;  (ii) caused by the failure of any  Participant to pay for
     and accept delivery of the shares which immediately following the effective
     of  the  Registration  Statement,  were  subject  to a  properly  confirmed
     agreement  to  purchase;  or  (iii)  related  to,  arising  out  of,  or in
     connection  with the Directed  Share  Program,  provided  that, the Company
     shall not be  responsible  under this  subparagraph  (iii) for any  losses,
     claim,  damages or  liabilities  (or expenses  relating  thereto)  that are
     finally judicially  determined to have resulted from the bad faith or gross
     negligence of Salomon Smith Barney Entities.

          (c) Each Underwriter severally and not jointly agrees to indemnify and
     hold harmless the Company, each of its directors,  each of its officers who
     signs the Registration Statement,  and each person who controls the Company
     within  the  meaning  of either the Act or the  Exchange  Act,  to the same
     extent as the foregoing indemnity from the Company to each Underwriter, but
     only with  reference to written  information  relating to such  Underwriter
     furnished  to the Company by or on behalf of such  Underwriter  through the
     Representatives  specifically for inclusion in the documents referred to in
     the foregoing  indemnity.  This indemnity  agreement will be in addition to
     any  liability  which any  Underwriter  may  otherwise  have.  The  Company
     acknowledges  that the  statements  set forth in the last  paragraph of the
     cover  page  regarding  delivery  of the  Securities,  the  legend in block
     capital  letters on page 2 related  to  stabilization,  syndicate  covering
     transactions  and penalty  bids and,  under the heading  "Underwriting"  or
     "Plan of  Distribution,"  (i) the  sentences  related  to  concessions  and
     reallowances  and (ii) the paragraph  related to  stabilization,  syndicate
     covering  transactions  and penalty bids in any Preliminary  Prospectus and
     the Prospectus  constitute the only information  furnished in writing by or
     on behalf of the several  Underwriters  for  inclusion  in any  Preliminary
     Prospectus or the Prospectus.

          (d) The Company  hereby  confirms  that at its request  Salomon  Smith
     Barney  has   without   compensation   acted  as   "qualified   independent
     underwriter" (in such capacity,  the "QIU") within the meaning of Rule 2720
     of the Conduct Rules of the National  Association  of  Securities  Dealers,
     Inc.  ("Rule  2720")  in  connection  with  the  offering  of  the  Offered
     Securities.  The Company agrees to indemnify and hold harmless the QIU, the
     directors,  officers,  employees  and agents of the QIU and each person who
     controls  the QIU within the meaning of either the Act or the  Exchange Act
     against  any and all  losses,  claims,  damages  or  liabilities,  joint or
     several, to which they or any of them may become subject under the Act, the
     Exchange Act or other  Federal or state  statutory  law or  regulation,  at
     common  law or  otherwise,  insofar  as such  losses,  claims,  damages  or
     liabilities (or actions in respect  thereof) arise out of or are based upon
     any


                                       21





     untrue  statement or alleged untrue  statement of a material fact contained
     in the  registration  statement for the  registration  of the Securities as
     originally  filed  or in  any  amendment  thereof,  or in  any  Preliminary
     Prospectus or the  Prospectus,  or in any  amendment  thereof or supplement
     thereto, 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 agrees to reimburse each
     such  indemnified  party,  as  incurred,  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 to the extent that any such
     loss,  claim,  damage or liability  arises out of or is based upon any such
     untrue  statement  or  alleged  untrue  statement  or  omission  or alleged
     omission  made  therein in reliance  upon and in  conformity  with  written
     information furnished to the Company by or on behalf of the QIU through the
     Representatives   specifically  for  inclusion   therein.   This  indemnity
     agreement  will be in  addition  to any  liability  which the  Company  may
     otherwise have.

          (e) Promptly after receipt by an indemnified  party under this Section
     8 of notice of the commencement of any action, such indemnified party will,
     if a claim in respect thereof is to be made against the indemnifying  party
     under this  Section  8,  notify  the  indemnifying  party in writing of the
     commencement  thereof;  but the failure so to notify the indemnifying party
     (i) will not relieve it from liability under paragraph (a), (b), (c) or (d)
     above  unless and to the extent it did not  otherwise  learn of such action
     and such failure  results in the  forfeiture by the  indemnifying  party of
     substantial  rights and defenses  and (ii) will not, in any event,  relieve
     the indemnifying  party from any obligations to any indemnified party other
     than the indemnification  obligation provided in paragraph (a), (b), (c) or
     (d) above. The  indemnifying  party shall be entitled to appoint counsel of
     the  indemnifying  party's choice at the  indemnifying  party's  expense to
     represent the indemnified party in any action for which  indemnification is
     sought  (in which  case the  indemnifying  party  shall not  thereafter  be
     responsible for the fees and expenses of any separate  counsel  retained by
     the  indemnified  party or parties  except as set forth  below);  provided,
     however,  that such counsel shall be satisfactory to the indemnified party.
     Notwithstanding  the  indemnifying  party's  election to appoint counsel to
     represent the indemnified  party in an action,  the indemnified party shall
     have the right to employ separate counsel  (including  local counsel),  and
     the  indemnifying  party shall bear the reasonable fees, costs and expenses
     of  such  separate  counsel  if  (i)  the  use  of  counsel  chosen  by the
     indemnifying  party to represent  the  indemnified  party would,  under any
     applicable   standard  of  professional   conduct  as  determined  by  such
     indemnified party,  present such counsel with a conflict of interest,  (ii)
     the  actual or  potential  defendants  in, or targets  of, any such  action
     include  both the  indemnified  party  and the  indemnifying  party and the
     indemnified  party shall have reasonably  concluded that there may be legal
     defenses  available  to it  and/or  other  indemnified  parties  which  are
     different from or additional to those available to the indemnifying  party,
     (iii) the indemnifying  party shall not have employed counsel  satisfactory
     to the  indemnified  party to  represent  the  indemnified  party  within a


                                       22





     reasonable  time after notice of the institution of such action or (iv) the
     indemnifying party shall authorize the indemnified party to employ separate
     counsel at the expense of the  indemnifying  party. An  indemnifying  party
     will not,  without the prior written  consent of the  indemnified  parties,
     settle or  compromise  or consent to the entry of any judgment with respect
     to any pending or threatened claim,  action,  suit or proceeding in respect
     of which  indemnification  or contribution may be sought hereunder (whether
     or not the  indemnified  parties  are actual or  potential  parties to such
     claim or action) unless such settlement,  compromise or consent includes an
     unconditional  release of each indemnified party from all liability arising
     out of such claim, action, suit or proceeding.  It is understood,  however,
     that the Company shall,  in connection with any one such action or separate
     but  substantially  similar  or related  actions  in the same  jurisdiction
     arising out of the same general allegations or circumstances, be liable for
     the fees and expenses of only one separate  firm of attorneys  (in addition
     to any local counsel) at any time for all such Underwriters and controlling
     persons, which firm shall be designated in writing by Salomon Smith Barney.
     Notwithstanding anything contained herein to the contrary, if indemnity may
     be sought  pursuant  to Section  8(b)  hereof in respect of such  action or
     proceeding,  then in addition  to such  separate  firm for the  indemnified
     parties, the indemnifying party shall be liable for the reasonable fees and
     expenses  of not more  than one  separate  firm (in  addition  to any local
     counsel) for Salomon  Smith  Barney for the defense of any losses,  claims,
     damages and liabilities arising out of the Directed Share Program,  and all
     persons,  if any, who control  Salomon  Smith Barney  within the meaning of
     either Section 15 of the Act or Section 20 of the Exchange Act.

          (f) In the event that the  indemnity  provided in paragraph  (a), (b),
     (c) or (d) of this  Section 8 is  unavailable  to or  insufficient  to hold
     harmless  an  indemnified  party  for  any  reason,  the  Company  and  the
     Underwriters severally agree to contribute to the aggregate losses, claims,
     damages  and  liabilities  (including  legal or other  expenses  reasonably
     incurred in connection with investigating or defending same)  (collectively
     "Losses") to which the Company and one or more of the  Underwriters  may be
     subject  in such  proportion  as is  appropriate  to reflect  the  relative
     benefits received by the Company on the one hand and by the Underwriters on
     the other from the offering of the Securities;  provided,  however, that in
     no case  shall  (i)  any  Underwriter  (except  as may be  provided  in any
     agreement among underwriters relating to the offering of the Securities) be
     responsible  for any  amount  in  excess of the  underwriting  discount  or
     commission  applicable  to the  Securities  purchased  by such  Underwriter
     hereunder  or  (ii)  the  QIU in its  capacity  as  "qualified  independent
     underwriter"  (within  the  meaning  of Rule 2720) be  responsible  for any
     amount in excess of the compensation received by the QIU for acting in such
     capacity.  If the allocation provided by the immediately preceding sentence
     is unavailable for any reason,  the Company and the Underwriters  severally
     shall  contribute in such  proportion as is appropriate to reflect not only
     such  relative  benefits but also the relative  fault of the Company on the
     one hand  and of the  Underwriters  on the  other  in  connection  with the
     statements or omissions  which resulted in such Losses as well as any


                                       23





     other relevant equitable  considerations.  Benefits received by the Company
     shall be deemed to be equal to the total  net  proceeds  from the  offering
     (before  deducting  expenses)  received by it, and benefits received by the
     Underwriters  shall  be  deemed  to be  equal  to  the  total  underwriting
     discounts and  commissions,  in each case as set forth on the cover page of
     the Prospectus.  Benefits received by the QIU in its capacity as "qualified
     independent  underwriter"  shall be deemed to be equal to the  compensation
     received by the QIU for acting in such  capacity.  Relative  fault shall be
     determined by reference  to, among other things,  whether any untrue or any
     alleged  untrue  statement  of a material  fact or the  omission or alleged
     omission to state a material  fact relates to  information  provided by the
     Company on the one hand or the Underwriters on the other, the intent of the
     parties and their relative knowledge, access to information and opportunity
     to correct or prevent such untrue  statement  or omission.  The Company and
     the  Underwriters  agree  that  it  would  not be  just  and  equitable  if
     contribution  were determined by pro rata allocation or any other method of
     allocation  which  does not take  account of the  equitable  considerations
     referred to above. Notwithstanding the provisions of this paragraph (f), no
     person  guilty of  fraudulent  misrepresentation  (within  the  meaning  of
     Section 11(f) of the Act) shall be entitled to contribution from any person
     who was not guilty of such  fraudulent  misrepresentation.  For purposes of
     this Section 8, each person who controls an Underwriter  within the meaning
     of either the Act or the Exchange Act and each director,  officer, employee
     and agent of an Underwriter  shall have the same rights to  contribution as
     such  Underwriter,  and each person who  controls  the  Company  within the
     meaning of either the Act or the Exchange  Act, each officer of the Company
     who shall have signed the  Registration  Statement and each director of the
     Company shall have the same rights to contribution as the Company,  subject
     in each case to the applicable terms and conditions of this paragraph (f).

          9. Default by an Underwriter.  If any one or more  Underwriters  shall
     fail to purchase and pay for any of the  Securities  agreed to be purchased
     by such Underwriter or Underwriters  hereunder and such failure to purchase
     shall  constitute a default in the performance of its or their  obligations
     under  this  Agreement,  the  remaining  Underwriters  shall  be  obligated
     severally to take up and pay for (in the respective  proportions  which the
     amount of Securities  set forth  opposite  their names in Schedule I hereto
     bears to the aggregate amount of Securities set forth opposite the names of
     all  the  remaining  Underwriters)  the  Securities  which  the  defaulting
     Underwriter  or  Underwriters  agreed  but  failed to  purchase;  provided,
     however,  that in the event that the aggregate  amount of Securities  which
     the defaulting  Underwriter or  Underwriters  agreed but failed to purchase
     shall  exceed  10% of the  aggregate  amount  of  Securities  set  forth in
     Schedule  I hereto,  the  remaining  Underwriters  shall  have the right to
     purchase all, but shall not be under any obligation to purchase any, of the
     Securities,  and if such nondefaulting Underwriters do not purchase all the
     Securities,   this  Agreement  will  terminate  without  liability  to  any
     nondefaulting  Underwriter or the Company. In the event of a default by any
     Underwriter  as set forth in this  Section  9, the  Closing  Date  shall be
     postponed  for such  period,  not  exceeding  five  Business  Days,  as the
     Representatives  shall determine in order that the required  changes in the
     Registration  Statement  and the  Prospectus  or in any


                                       24





     other documents or arrangements may be effected.  Nothing contained in this
     Agreement  shall relieve any defaulting  Underwriter  of its liability,  if
     any,  to  the  Company  and  any  nondefaulting   Underwriter  for  damages
     occasioned by its default hereunder.

          10. Termination. This Agreement shall be subject to termination in the
     absolute discretion of the Representatives,  by notice given to the Company
     prior to delivery of and payment for the  Securities,  if at any time prior
     to such time (i)  trading in the  Company's  Common  Stock  shall have been
     suspended by the  Commission  or the Nasdaq  National  Market or trading in
     securities  generally on the New York Stock Exchange or the Nasdaq National
     Market shall have been  suspended  or limited or minimum  prices shall have
     been  established  on such  Exchange  or  National  Market,  (ii) a banking
     moratorium  shall  have been  declared  either by Federal or New York State
     authorities  or (iii) there shall have  occurred any outbreak or escalation
     of hostilities, declaration by the United States of a national emergency or
     war, or other  calamity or crisis the effect of which on financial  markets
     is  such  as to make  it,  in the  sole  judgment  of the  Representatives,
     impractical  or inadvisable to proceed with the offering or delivery of the
     Securities as contemplated  by the Prospectus  (exclusive of any supplement
     thereto).

          11.   Representations  and  Indemnities  to  Survive.  The  respective
     agreements,  representations,  warranties, indemnities and other statements
     of the Company or its officers and of the Underwriters set forth in or made
     pursuant to this Agreement will remain in full force and effect, regardless
     of any investigation made by or on behalf of any Underwriter or the Company
     or any of the officers,  directors or  controlling  persons  referred to in
     Section  8  hereof,  and  will  survive  delivery  of and  payment  for the
     Securities.  The  provisions  of Sections 7 and 8 hereof shall  survive the
     termination or cancelation of this Agreement.

          12.  Notices.  All  communications  hereunder  will be in writing  and
     effective  only on receipt,  and, if sent to the  Representatives,  will be
     mailed,  delivered or telefaxed to the Salomon Smith Barney General Counsel
     (fax no.:  (212)  816-7912) and confirmed to the General  Counsel,  Salomon
     Smith  Barney,  at  388  Greenwich  Street,  New  York,  New  York,  10013,
     Attention:  General  Counsel;  or, if sent to the Company,  will be mailed,
     delivered or telefaxed to (516)  542-4508 and confirmed to it at 90 Merrick
     Avenue,  Suite 501,  East  Meadow,  New York 11554,  attention of the Legal
     Department.

          13.  Successors.  This  Agreement  will inure to the benefit of and be
     binding upon the parties  hereto and their  respective  successors  and the
     officers and directors  and  controlling  persons  referred to in Section 8
     hereof, and no other person will have any right or obligation hereunder.

          14.  Applicable  Law. This Agreement will be governed by and construed
     in  accordance  with  the  laws of the  State  of New  York  applicable  to
     contracts made and to be performed within the State of New York.


                                       25





          15.  Counterparts.  This  Agreement  may be  signed  in  one  or  more
     counterparts,  each of which shall  constitute an original and all of which
     together shall constitute one and the same agreement.

          16.  Headings.  The section  headings used herein are for  convenience
     only and shall not affect the construction hereof.

          17. Definitions.  The terms which follow, when used in this Agreement,
     shall have the meanings indicated.

          "Act" shall mean the Securities Act of 1933, as amended, and the rules
     and regulations of the Commission promulgated thereunder.

          "Business Day" shall mean any day other than a Saturday, a Sunday or a
     legal holiday or a day on which banking institutions or trust companies are
     authorized or obligated by law to close in New York City.

          "Commission" shall mean the Securities and Exchange Commission.

          "Effective  Date" shall mean each date and time that the  Registration
     Statement,  any post-effective amendment or amendments thereto and any Rule
     462(b) Registration Statement became or become effective.

          "Exchange  Act" shall mean the  Securities  Exchange  Act of 1934,  as
     amended,  and the  rules  and  regulations  of the  Commission  promulgated
     thereunder.

          "Execution  Time" shall mean the date and time that this  Agreement is
     executed and delivered by the parties hereto.

          "Preliminary   Prospectus"  shall  mean  any  preliminary   prospectus
     referred to in paragraph 1(a) above and any preliminary prospectus included
     in the  Registration  Statement at the Effective  Date that omits Rule 430A
     Information.

          "Prospectus" shall mean the prospectus relating to the Securities that
     is first filed  pursuant to Rule 424(b) after the Execution  Time or, if no
     filing  pursuant to Rule 424(b) is  required,  shall mean the form of final
     prospectus   relating  to  the  Securities  included  in  the  Registration
     Statement at the Effective Date.

          "Registration   Statement"  shall  mean  the  registration   statement
     referred to in  paragraph  1(a) above,  including  exhibits  and  financial
     statements,  as amended at the Execution  Time (or, if not effective at the
     Execution Time, in the form in which it shall become effective) and, in the
     event any post-effective  amendment thereto or any Rule 462(b) Registration
     Statement becomes effective prior to the Closing Date, shall also mean such
     registration  statement  as so  amended  or such Rule  462(b)  Registration
     Statement,  as the case may be.  Such  term  shall  include


                                       26





     any Rule 430A  Information  deemed to be included  therein at the Effective
     Date as provided by Rule 430A.

          "Rule  424",  "Rule 430A" and "Rule 462" refer to such rules under the
     Act.

          "Rule 430A  Information"  shall mean  information  with respect to the
     Securities  and the  offering  thereof  permitted  to be  omitted  from the
     Registration Statement when it becomes effective pursuant to Rule 430A.

          "Rule  462(b)  Registration   Statement"  shall  mean  a  registration
     statement and any amendments thereto filed pursuant to Rule 462(b) relating
     to the  offering  covered  by the  registration  statement  referred  to in
     Section 1(a) hereof.

          "Salomon Smith Barney" shall mean Salomon Smith Barney Inc.


                                       27






          If the  foregoing  is in  accordance  with your  understanding  of our
     agreement,  please  sign and return to us the  enclosed  duplicate  hereof,
     whereupon  this  letter  and your  acceptance  shall  represent  a  binding
     agreement among the Company and the several Underwriters.

                                                     Very truly yours,

                                                     MedE America Corporation

                                                     By:         
                                                       -------------------------
                                                       Name:
                                                       Title:






The  foregoing   Agreement  is
hereby  confirmed and accepted
as of  the  date  first  above
written.

Salomon Smith Barney Inc.
Bear, Stearns & Co. Inc.
William Blair & Company, L.L.C.

By: Salomon Smith Barney Inc.

    By:
      --------------------------------
      Name:
      Title:

For  themselves  and the other
several  Underwriters named in
Schedule  I to  the  foregoing
Agreement.


                                       29







                                   SCHEDULE I

                                                                Number of 
                                                         Underwritten Securities
Underwriters                                                 to be Purchased
- ------------                                                 ---------------
Salomon Smith Barney Inc.............................
Bear, Stearns & Co. Inc. ............................
William Blair & Company, L.L.C.......................


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

                  Total..............................    -----------------------

                                                         





[Form of Lock-Up Agreement]                                            EXHIBIT A


               [Letterhead of officer, director or shareholder of
                                  Corporation]

                            MEDE AMERICA CORPORATION
                     Initial Public Offering of Common Stock

                                                                  June ___, 1998

Smith Barney Inc.
William Blair & Company, L.L.C.
Volpe Brown Whelan & Company, LLC
  c/o Smith Barney Inc.
  388 Greenwich Street
  New York, New York 10013

Ladies and Gentlemen:

          This letter is being  delivered to you in connection with the proposed
Underwriting  Agreement  (the  "Underwriting  Agreement"),  between MEDE AMERICA
Corporation,  a  Delaware  corporation  (the  "Company"),  and  each  of  you as
Underwriters named therein,  relating to an underwritten initial public offering
of Common Stock, $.01 par value (the "Common Stock"), of the Company.

          In order to induce  you and the other  Underwriters  to enter into the
Underwriting  Agreement,  the  undersigned  will not,  without the prior written
consent of Smith Barney Inc., sell, offer to sell, solicit an offer to purchase,
contract to sell, grant any option to sell,  pledge or otherwise  dispose of, or
file  (or  participate  in the  filing  of) a  registration  statement  with the
Securities and Exchange Commission in respect of, or establish or increase a put
equivalent  position or liquidate or decrease a call equivalent  position within
the meaning of Section 16 of the  Securities  Exchange Act of 1934,  as amended,
and  the  rules  and  regulations  of the  Securities  and  Exchange  Commission
promulgated  thereunder  with  respect  to, any  shares of capital  stock of the
Company or any securities  convertible  into or exercisable or exchangeable  for
such  capital  stock,  or  publicly  announce  an  intention  to effect any such
transaction,  for a period of 180 days  after the date of the Final  Prospectus,
other than shares of Common  Stock  disposed  of as bona fide gifts  approved by
Smith Barney Inc.








          If for any reason the Underwriting Agreement shall be terminated prior
to the Closing Date (as defined in the  Underwriting  Agreement),  the agreement
set forth above shall likewise be terminated.

                                       Yours very truly,

                                       ----------------------------------
                                       Stockholder Name

                                       By: ------------------------------
                                           Name:
                                           Title:
                                           Address: