Document:

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                                                                     EXHIBIT 4.6

                                                                  EXECUTION COPY

                     $100,000,000 AGGREGATE PRINCIPAL AMOUNT

                            PER-SE TECHNOLOGIES, INC.

                    3.25% CONVERTIBLE SUBORDINATED DEBENTURES

                                    DUE 2024

                      RESALE REGISTRATION RIGHTS AGREEMENT

                               DATED JUNE 30, 2004

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      RESALE REGISTRATION RIGHTS AGREEMENT, dated as of June 30, 2004, between
Per-Se Technologies, Inc., a Delaware corporation (together with any successor
entity, herein referred to as the "COMPANY") and Banc of America Securities LLC,
as representative of the several initial purchasers (the "INITIAL PURCHASERS")
under the Purchase Agreement (as defined below).

      Pursuant to the Purchase Agreement, dated as of June 24, 2004, between the
Company and Banc of America Securities LLC, as representative of Initial
Purchasers (the "PURCHASE AGREEMENT"), the Initial Purchasers have agreed to
purchase from the Company $100,000,000 ($125,000,000 if the Initial Purchasers
exercise their option in full) in aggregate principal amount of 3.25%
Convertible Subordinated Debentures due 2024 (the "DEBENTURES"). The Debentures
will be convertible into fully paid, nonassessable shares of common stock, par
value $.01 per share, of the Company together with the rights (the "RIGHTS")
evidenced by such Common Stock to the extent provided in the Rights Agreement
dated as of February 11, 1999, as amended, between the Company and American
Stock Transfer & Trust Company (collectively, the "COMMON STOCK"). The
Debentures will be convertible on the terms, and subject to the conditions, set
forth in the Indenture (as defined herein). To induce the Initial Purchasers to
purchase the Debentures, the Company has agreed to provide the registration
rights set forth in this Agreement pursuant to Section 5(g) of the Purchase
Agreement.

      The parties hereby agree as follows:

      1. Definitions. Capitalized terms used in this Agreement without
definition shall have their respective meanings set forth in the Purchase
Agreement. As used in this Agreement, the following capitalized terms shall have
the following meanings:

      "AFFILIATE" of any specified person means any other person which, directly
or indirectly, is in control of, is controlled by, or is under common control
with, such specified person. For purposes of this definition, control of a
person means the power, direct or indirect, to direct or cause the direction of
the management and policies of such person whether by contract or otherwise; and
the terms "controlling" and "controlled" have meanings correlative to the
foregoing.

      "AGREEMENT": This Resale Registration Rights Agreement.

      "AMENDED EFFECTIVENESS DEADLINE DATE" has the meaning set forth in Section
2(e) hereof.

      "BLUE SKY APPLICATION": As defined in Section 6(a)(i) hereof.

      "BUSINESS DAY": The definition of "Business Day" in the Indenture.

      "COMMISSION": Securities and Exchange Commission.

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      "COMMON STOCK": As defined in the preamble hereto.

      "COMPANY": As defined in the preamble hereto.

      "DEBENTURES": As defined in the preamble hereto.

      "EFFECTIVENESS PERIOD": As defined in Section 2(a)(iii) hereof.

      "EFFECTIVENESS TARGET DATE": As defined in Section 2(a)(ii) hereof.

      "EXCHANGE ACT": Securities Exchange Act of 1934, as amended.

      "HOLDER": A Person who owns, beneficially or otherwise, Transfer
Restricted Securities.

      "INDEMNIFIED HOLDER": As defined in Section 6(a) hereof.

      "INDENTURE": The Indenture, dated as of June 30, 2004 between the Company
and U.S. Bank National Association, as trustee (the "Trustee"), pursuant to
which the Securities are to be issued, as such Indenture is amended, modified or
supplemented from time to time in accordance with the terms thereof.

      "INITIAL PURCHASERS": As defined in the preamble hereto.

      "LIQUIDATED DAMAGES": As defined in Section 3(a) hereof.

      "LIQUIDATED DAMAGES PAYMENT DATE": Each June 30 and December 30.

      "MAJORITY OF HOLDERS": Holders holding over 50% of the aggregate principal
amount of Debentures outstanding; provided that, for the purpose of this
definition, a holder of shares of Common Stock which constitute Transfer
Restricted Securities issued upon conversion of the Debentures shall be deemed
to hold an aggregate principal amount of Debentures (in addition to the
principal amount of Debentures held by such holder) equal to the quotient of (x)
the number of such shares of Common Stock held by such holder and (y) the
conversion rate in effect at the time of such conversion as determined in
accordance with the Indenture.

      "NASD": National Association of Securities Dealers, Inc.

      "NOTICE AND QUESTIONNAIRE" means a written notice executed by the
respective Holder and delivered to the Company containing substantially the
information called for by the Selling Securityholder Notice and Questionnaire
attached as Appendix A to the Offering Memorandum of the Company issued June 24,
2004 relating to the Debentures.

      "NOTICE HOLDER" has the meaning set forth in Section 2(b).

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      "PERSON": An individual, partnership, corporation, company, unincorporated
organization, trust, joint venture or a government or agency or political
subdivision thereof.

      "PROSPECTUS": The prospectus included in a Shelf Registration Statement,
as amended or supplemented by any prospectus supplement and by all other
amendments thereto, including post-effective amendments, and all material
incorporated by reference into such prospectus.

      "PURCHASE AGREEMENT": As defined in the preamble hereto.

      "RECORD HOLDER": With respect to any Liquidated Damages Payment Date, each
Person who is a Holder on the 15th day preceding the relevant Liquidated Damages
Payment Date. In the case of a Holder of shares of Common Stock issued upon
conversion of the Debentures, "Record Holder" shall mean each Person who is a
Holder of shares of Common Stock which constitute Transfer Restricted Securities
on the 15th day preceding the relevant Liquidated Damages Payment Date.

      "REGISTRATION DEFAULT": As defined in Section 3(a) hereof.

      "SECURITIES ACT": Securities Act of 1933, as amended.

      "SHELF FILING DEADLINE": As defined in Section 2(a)(i) hereof.

      "SHELF REGISTRATION STATEMENT": As defined in Section 2(a)(i) hereof.

      "SUBSEQUENT SHELF REGISTRATION STATEMENT" has the meaning set forth in
Section 2(c) hereof.

      "SUSPENSION NOTICE": As defined in Section 4(c) hereof.

      "SUSPENSION PERIOD": As defined in Section 4(b)(i) hereof.

      "TIA": Trust Indenture Act of 1939, as amended, and the rules and
regulations of the Commission thereunder, in each case, as in effect on the date
the Indenture is qualified under the TIA.

      "TRANSFER RESTRICTED SECURITIES": Each Debenture and each share of Common
Stock issued upon conversion of Debentures until the earlier of:

                  (i) the date on which such Debenture or such share of Common
            Stock issued upon conversion has been effectively registered under
            the Securities Act and disposed of in accordance with the Shelf
            Registration Statement;

                  (ii) the date on which such Debenture or such share of Common
            Stock issued upon conversion is transferred in

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            compliance with Rule 144 under the Securities Act or may be sold or
            transferred by a person who is not an affiliate of the Company
            pursuant to Rule 144 under the Securities Act (or any other similar
            provision then in force) without any volume or manner of sale
            restrictions thereunder; or

                  (iii) the date on which such Debenture or such share of Common
            Stock issued upon conversion ceases to be outstanding (whether as a
            result of redemption, repurchase and cancellation, conversion or
            otherwise).

      "UNDERWRITTEN REGISTRATION": A registration in which Debentures of the
Company are sold to an underwriter for reoffering to the public.

      Unless the context otherwise requires, the singular includes the plural,
and words in the plural include the singular.

      2. Shelf Registration.

            (a) The Company shall:

                  (i) not later than 90 days after the date hereof (the "SHELF
            FILING DEADLINE"), cause to be filed a registration statement
            pursuant to Rule 415 under the Securities Act (the "SHELF
            REGISTRATION STATEMENT"), which Shelf Registration Statement shall
            provide for resales of all Transfer Restricted Securities held by
            Holders that have provided the information required pursuant to the
            terms of Section 2(b) hereof;

                  (ii) use its commercially reasonable efforts to cause the
            Shelf Registration Statement to be declared effective by the
            Commission not later than 210 days after the date hereof (the
            "EFFECTIVENESS TARGET DATE"); and

                  (iii) use its commercially reasonable efforts to keep the
            Shelf Registration Statement continuously effective, supplemented
            and amended as required by the provisions of Section 4(b) hereof to
            the extent necessary to ensure that (A) it is available for resales
            by the Holders of Transfer Restricted Securities entitled, subject
            to Section 2(b) and Section 2(e), to the benefit of this Agreement
            and (B) conforms with the requirements of this Agreement and the
            Securities Act and the rules and regulations of the Commission
            promulgated thereunder as announced from time to time, for a period
            (the "EFFECTIVENESS PERIOD") until the earlier of:

                        (1) the date when the Holders of Transfer Restricted
                  Securities who are not affiliates of the Company are able to
                  sell all such Transfer Restricted

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                  Securities immediately without restriction pursuant to the
                  volume limitation provisions of Rule 144 under the Securities
                  Act; and

                        (2) the date when all of the Transfer Restricted
                  Securities of those Holders that complete and deliver in a
                  timely manner the Notice and Questionnaire are registered
                  under the Shelf Registration Statement and disposed of in
                  accordance with the Shelf Registration Statement.

            (b) At the time the Shelf Registration Statement is declared
      effective, each Holder that has delivered a completed Notice and
      Questionnaire to the Company (a "Notice Holder") on or prior to the date
      five (5) Business Days prior to such time of effectiveness shall be named
      as a selling securityholder in the Shelf Registration Statement and the
      related Prospectus in such a manner as to permit such Holder to deliver
      such Prospectus to purchasers of Transfer Restricted Securities in
      accordance with applicable law. None of the Company's securityholders
      (other than the Holders of Transfer Restricted Securities) shall have the
      right to include any of the Company's securities in the Shelf Registration
      Statement.

            (c) If the Shelf Registration Statement or any Subsequent Shelf
      Registration Statement ceases to be effective for any reason at any time
      during the Effectiveness Period (other than because all Transfer
      Restricted Securities registered thereunder shall have been resold
      pursuant thereto or shall have otherwise ceased to be Transfer Restricted
      Securities), the Company shall use its commercially reasonable efforts to
      obtain the withdrawal as promptly as is practicable of any order
      suspending the effectiveness thereof, and, to the extent necessary, amend
      the Shelf Registration Statement in a manner reasonably expected to obtain
      the withdrawal of the order suspending the effectiveness thereof, or file
      an additional Shelf Registration Statement covering all of the securities
      that as of the date of such filing are Transfer Restricted Securities ( a
      "SUBSEQUENT SHELF REGISTRATION STATEMENT"). If a Subsequent Shelf
      Registration Statement is filed, the Company shall use its commercially
      reasonable efforts to cause the Subsequent Shelf Registration Statement to
      become effective as promptly as is practicable after such filing and to
      keep such Registration Statement (or subsequent Shelf Registration
      Statement) continuously effective until the end of the Effectiveness
      Period.

            (d) The Company shall supplement and amend the Shelf Registration
      Statement if required by the rules, regulations or instructions applicable
      to the registration form used by the Company for such Shelf Registration
      Statement, if required by the Securities Act or as reasonably

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      requested by the Trustee on behalf of the Holders of the Transfer
      Restricted Securities covered by such Shelf Registration Statement.

            (e) Each Holder agrees that if such Holder wishes to sell Transfer
      Restricted Securities pursuant to a Shelf Registration Statement and
      related Prospectus, it will do so only in accordance with this Section
      2(e) and Section 4. Each Holder wishing to sell Transfer Restricted
      Securities pursuant to a Shelf Registration Statement and related
      Prospectus must deliver a Notice and Questionnaire to the Company. In
      order to be named as a selling securityholder in the Prospectus at the
      time of effectiveness of the Shelf Registration Statement, the Notice and
      Questionnaire must be delivered at least five (5) Business Days prior to
      the effectiveness of the Shelf Registration Statement. From and after the
      date the Shelf Registration Statement is declared effective, the Company
      shall, as promptly as practicable after the date a Notice and
      Questionnaire is delivered, and in any event upon the later of (x) fifteen
      (15) Business Days after such date (but no earlier than fifteen (15)
      Business Days after effectiveness) or (y) fifteen (15) Business Days after
      the expiration of any Suspension Period in effect when the Notice and
      Questionnaire is delivered or put into effect within fifteen (15) Business
      Days of such delivery date:

                  (i) if required by applicable law, file with the SEC a
            post-effective amendment to the Shelf Registration Statement or
            prepare and, if required by applicable law, file a supplement to the
            related Prospectus or a supplement or amendment to any document
            incorporated therein by reference or file any other required
            document so that the Holder delivering such Notice and Questionnaire
            is named as a selling securityholder in the Shelf Registration
            Statement and the related Prospectus in such a manner as to permit
            such Holder to deliver such Prospectus to purchasers of the Transfer
            Restricted Securities in accordance with applicable law and, if the
            Company shall file a post-effective amendment to the Shelf
            Registration Statement, use its commercially reasonable efforts to
            cause such post-effective amendment to be declared effective under
            the Securities Act as promptly as is practicable;

                  (ii) provide such Holder copies of the any documents filed
            pursuant to Section 2(e)(i); and

                  (iii) notify such Holder as promptly as practicable after the
            effectiveness under the Securities Act of any post-effective
            amendment filed pursuant to Section 2(e)(i);

provided that if such Notice and Questionnaire is delivered during a Suspension
Period, the Company shall so inform the Holder delivering such Notice and
Questionnaire and shall take the actions set forth in clauses (i), (ii) and
(iii) above

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upon expiration of the Suspension Period in accordance with Section 4(b).
Notwithstanding anything contained herein to the contrary, the Company shall be
under no obligation to name any Holder that is not a Notice Holder as a selling
securityholder in any Registration Statement or related Prospectus.

      3. Liquidated Damages.

            (a) Each event referred to in the following clauses (i) through
      (iv), is a "REGISTRATION DEFAULT":

                  (i) the Shelf Registration Statement is not filed with the
            Commission prior to or on the Shelf Filing Deadline;

                  (ii) the Shelf Registration Statement has not been declared
            effective by the Commission prior to or on the Effectiveness Target
            Date;

                  (iii) except as provided in Section 4(b)(i) hereof, the Shelf
            Registration Statement is filed and declared effective but, during
            the Effectiveness Period, shall thereafter cease to be effective or
            fail to be usable for its intended purpose without being succeeded
            within five Business Days (or if a Suspension Period is then in
            effect, the fifth Business Day following the expiration of such
            Suspension Period) by a post-effective amendment to the Shelf
            Registration Statement, a supplement to the Prospectus or a report
            filed with the Commission pursuant to Section 13(a), 13(c), 14 or
            15(d) of the Exchange Act that cures such failure and, in the case
            of a post-effective amendment, is itself immediately declared
            effective; or

                  (iv) (A) prior to or on the 45th or 60th day, as the case may
            be, of any Suspension Period, such suspension has not been
            terminated or (B) Suspension Periods exceed an aggregate of 90 days
            in any 360 day period.

                        (b) If a Registration Default occurs, other than a
      Registration Default relating to a failure to file or have an effective
      Shelf Registration Statement with respect to shares of Common Stock
      issuable upon conversion of the Debentures that are Transfer Restricted
      Securities, the Company hereby agrees to pay interest ("LIQUIDATED
      DAMAGES") with respect to the Debentures that are Transfer Restricted
      Securities from and including the day following the Registration Default
      to but excluding the earlier of (a) the day on which the Registration
      Default has been cured and (b) the date the Shelf Registration Statement
      is no longer required to be kept effective, accruing at a rate (i) with
      respect to the first 90-day period during which a Registration Default
      shall have occurred and be continuing, equal to 0.25% per annum of the
      principal amount of the

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      Debentures, and (ii) with respect to the period commencing on the 91st day
      following the day the Registration Default shall have occurred and be
      continuing, equal to 0.50% per annum of the principal amount of the
      Debentures; provided that in no event shall Liquidated Damages accrue at a
      rate per year exceeding 0.50% of the aggregate principal amount of the
      Debentures.

      In respect of Common Stock each Holder of Common Stock will not be
entitled to any Liquidated Damages.

            (c) All accrued Liquidated Damages shall be paid in arrears to
      Record Holders by the Company on each Liquidated Damages Payment Date.
      Upon the cure of all Registration Defaults relating to any particular
      Debenture, the accrual of Liquidated Damages with respect to such
      Debenture will cease.

      All obligations of the Company set forth in this Section 3 that are
outstanding with respect to any Debenture that is a Transfer Restricted Security
at the time such Debenture ceases to be a Transfer Restricted Security shall
survive until such time as all such obligations with respect to such Transfer
Restricted Security shall have been satisfied in full.

      The Liquidated Damages set forth above shall be the exclusive monetary
remedy available to the Holders of Transfer Restricted Securities for each
Registration Default.

      4. Registration Procedures.

            (a) In connection with the Shelf Registration Statement, the Company
      shall comply with all the provisions of Section 4(b) hereof and shall use
      its commercially reasonable efforts to effect such registration to permit
      the sale of the Transfer Restricted Securities, and pursuant thereto,
      shall prepare and file with the Commission a Shelf Registration Statement
      relating to the registration on any appropriate form under the Securities
      Act.

            (b) In connection with the Shelf Registration Statement and any
      Prospectus required by this Agreement to permit the sale or resale of
      Transfer Restricted Securities, the Company shall:

                  (i) Subject to any notice by the Company in accordance with
            this Section 4(b) of the existence of any fact or event of the kind
            described in Section 4(b)(iii)(D), use its commercially reasonable
            efforts to keep the Shelf Registration Statement continuously
            effective during the Effectiveness Period; upon the occurrence of
            any event that would cause the Shelf Registration Statement or the
            Prospectus contained therein (A) to contain a

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            material misstatement or omission or (B) not to be effective and
            usable for resale of Transfer Restricted Securities during the
            Effectiveness Period, the Company shall file as promptly as
            practicable an appropriate amendment to the Shelf Registration
            Statement, a supplement to the Prospectus or a report filed with the
            Commission pursuant to Section 13(a), 13(c), 14 or 15(d) of the
            Exchange Act, in the case of clause (A), correcting any such
            misstatement or omission, and, in the case of either clause (A) or
            (B), use its commercially reasonable efforts to cause such amendment
            to be declared effective and the Shelf Registration Statement and
            the related Prospectus to become usable for their intended purposes
            as soon as practicable thereafter. Notwithstanding the foregoing,
            the Company may suspend the use of the Shelf Registration Statement
            by written notice to the Holders for a period not to exceed an
            aggregate of 45 days in any 90-day period (each such period, a
            "SUSPENSION PERIOD") if:

                  (x) an event occurs and is continuing as a result of which the
            Shelf Registration Statement, the Prospectus, any amendment or
            supplement thereto, or any document incorporated by reference
            therein would, in the Company's judgment, contain an untrue
            statement of a material fact or omit to state a material fact
            required to be stated therein or necessary to make the statements
            therein not misleading; and

                  (y) the Company determines in good faith that the disclosure
            of such event at such time would be seriously detrimental to the
            Company and its subsidiaries;

      provided that, in the event the disclosure relates to a previously
      undisclosed proposed or pending material business transaction, the
      disclosure of which the Company determines in good faith would be
      reasonably likely to impede the Company's ability to consummate such
      transaction, the Company may extend a Suspension Period from 45 days to 60
      days; provided, however, that Suspension Periods shall not exceed an
      aggregate of 120 days in any 360-day period. The Company shall not be
      required to specify in the written notice to the Holders the nature of the
      event giving rise to the Suspension Period.

                  (ii) Prepare and file with the Commission such amendments and
            post-effective amendments to the Shelf Registration Statement as may
            be necessary to keep the Shelf Registration Statement effective
            during the Effectiveness Period; cause the Prospectus to be
            supplemented by any required Prospectus supplement, and as so
            supplemented to be filed pursuant to Rule 424 under the Securities
            Act, and to comply fully with the applicable provisions of Rules 424
            and 430A under the

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            Securities Act in a timely manner; and comply with the provisions of
            the Securities Act with respect to the disposition of all Debentures
            covered by the Shelf Registration Statement during the applicable
            period in accordance with the intended method or methods of
            distribution by the sellers thereof set forth in the Shelf
            Registration Statement or supplement to the Prospectus.

                  (iii) Advise each Holder named in the Shelf Registration
            Statement as promptly as is practicable upon obtaining knowledge
            thereof and, if requested by such Holders, to confirm such advice in
            writing, except as provided in clause (D) below:

                           (A) when the Prospectus or any Prospectus supplement
                        or post-effective amendment has been filed, and, with
                        respect to the Shelf Registration Statement or any
                        post-effective amendment thereto, when the same has
                        become effective,

                           (B) of any request by the Commission for amendments
                        to the Shelf Registration Statement or amendments or
                        supplements to the Prospectus or for additional
                        information relating thereto,

                           (C) of the issuance by the Commission of any stop
                        order suspending the effectiveness of the Shelf
                        Registration Statement under the Securities Act or of
                        the suspension by any state securities commission of the
                        qualification of the Transfer Restricted Securities for
                        offering or sale in any jurisdiction, or the initiation
                        of any proceeding for any of the preceding purposes, or

                           (D) of the existence of any fact or the happening of
                        any event, during the Effectiveness Period, that makes
                        any statement of a material fact made in the Shelf
                        Registration Statement, the Prospectus, any amendment or
                        supplement thereto, or any document incorporated by
                        reference therein untrue, or that requires the making of
                        any additions to or changes in the Shelf Registration
                        Statement or the Prospectus in order to make the
                        statements therein not misleading.

      If at any time the Commission shall issue any stop order suspending the
      effectiveness of the Shelf Registration Statement, or any state securities
      commission or other regulatory authority shall issue an order suspending
      the qualification or exemption from qualification of the Transfer
      Restricted Securities under state securities or Blue Sky laws, the Company
      shall use its commercially reasonable efforts to obtain the withdrawal or
      lifting

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      of such order as promptly as is practicable and will provide to each
      Holder who is named in the Shelf Registration Statement notice as promptly
      as is practicable of the withdrawal of any such order.

                  (iv) Make available at reasonable times for inspection by one
            or more representatives of the selling Holders, designated in
            writing by a Majority of Holders whose Transfer Restricted
            Securities are included in the Shelf Registration Statement, and any
            attorney or accountant retained by such selling Holders, all
            financial and other records, pertinent corporate documents and
            properties of the Company as shall be reasonably necessary to enable
            them to conduct a reasonable investigation within the meaning of
            Section 11 of the Securities Act, and cause the Company's officers,
            directors, managers and employees to supply all information
            reasonably requested by any such representative or representatives
            of the selling Holders, attorney or accountant in connection
            therewith; provided, however, that the Company shall have no
            obligation to deliver information to any selling Holder or
            representative pursuant to this Section 4(b)(iv) unless such selling
            Holder or representative shall have executed and delivered a
            confidentiality agreement in a form acceptable to the Company
            relating to such information.

                  (v) If requested by any selling Holders, incorporate as
            promptly as is practicable in the Shelf Registration Statement or
            Prospectus, pursuant to a supplement or post-effective amendment if
            necessary, such information as such selling Holders may reasonably
            request to have included in the information relating to the "PLAN OF
            DISTRIBUTION" of the Transfer Restricted Securities.

                  (vi) Furnish to each Holder named in the Shelf Registration
            Statement upon their request, without charge, at least one copy of
            the Shelf Registration Statement, as first filed with the
            Commission, and of each amendment thereto (and any documents
            incorporated by reference therein or exhibits thereto (or exhibits
            incorporated in such exhibits by reference) as such Person may
            request).

                  (vii) Deliver to each Holder named in the Shelf Registration
            Statement, without charge, as many copies of the Prospectus
            (including each preliminary Prospectus) and any amendment or
            supplement thereto as such Persons reasonably may request; subject
            to any notice by the Company in accordance with this Section 4(b) of
            the existence of any fact or event of the kind described in Section
            4(b)(iii)(D), the Company hereby consents to the use of the
            Prospectus and any amendment or supplement thereto by each of the
            Holders named in the Shelf Registration

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            Statement in connection with the offering and the sale of the
            Transfer Restricted Securities covered by the Prospectus or any
            amendment or supplement thereto.

                  (viii) Before any public offering of Transfer Restricted
            Securities, cooperate with the selling Holders and their counsel in
            connection with the registration and qualification of the Transfer
            Restricted Securities under the securities or Blue Sky laws of such
            jurisdictions in the United States as the selling Holders may
            reasonably request and do any and all other acts or things necessary
            or advisable to enable the disposition in such jurisdictions of the
            Transfer Restricted Securities covered by the Shelf Registration
            Statement; provided, however, that the Company shall not be required
            (A) to register or qualify as a foreign corporation or a dealer of
            securities where it is not now so qualified or to take any action
            that would subject it to the service of process in any jurisdiction
            where it is not now so subject or (B) to subject itself to general
            or unlimited service of process or to taxation in any such
            jurisdiction if they are not now so subject.

                  (ix) Cooperate with the selling Holders to facilitate the
            timely preparation and delivery of certificates representing
            Transfer Restricted Securities to be sold and not bearing any
            restrictive legends (unless required by applicable securities laws);
            and enable such Transfer Restricted Securities to be in such
            denominations and registered in such names as the Holders may
            request at least two Business Days before any sale of Transfer
            Restricted Securities.

                  (x) Use its commercially reasonable efforts to cause the
            Transfer Restricted Securities covered by the Shelf Registration
            Statement to be registered with or approved by such other U.S.
            governmental agencies or authorities as may be necessary to enable
            the seller or sellers thereof to consummate the disposition of such
            Transfer Restricted Securities.

                  (xi) Subject to Section 4(b)(i) hereof, if any fact or event
            contemplated by Section 4(b)(iii)(D) hereof shall exist or have
            occurred, use its commercially reasonable efforts to prepare a
            supplement or post-effective amendment to the Shelf Registration
            Statement or related Prospectus or any document incorporated therein
            by reference or file any other required document so that, as
            thereafter delivered to the purchasers of Transfer Restricted
            Securities, the Prospectus will not contain an untrue statement of a
            material fact or omit to state any material fact required to be
            stated therein or necessary to make the statements therein, in light
            of the circumstances in which they are made, not misleading.

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                  (xii) Provide CUSIP numbers for all Transfer Restricted
            Securities not later than the effective date of the Shelf
            Registration Statement and provide the Trustee under the Indenture
            with certificates for the Debentures that are in a form eligible for
            deposit with The Depository Trust Company.

                  (xiii) Cooperate and assist in any filings required to be made
            with the NASD and in the performance of any due diligence
            investigation by any underwriter that is required to be retained in
            accordance with the rules and regulations of the NASD.

                  (xiv) Otherwise use its commercially reasonable efforts to
            comply with all applicable rules and regulations of the Commission
            and all reporting requirements under the rules and regulations of
            the Exchange Act.

                  (xv) Cause the Indenture to be qualified under the TIA not
            later than the effective date of the Shelf Registration Statement
            required by this Agreement, and, in connection therewith, cooperate
            with the Trustee and the holders of Debentures to effect such
            changes to the Indenture as may be required for such Indenture to be
            so qualified in accordance with the terms of the TIA; and execute
            and use its commercially reasonable efforts to cause the Trustee
            thereunder to execute all documents that may be required to effect
            such changes and all other forms and documents required to be filed
            with the Commission to enable such Indenture to be so qualified in a
            timely manner.

                  (xvi) Cause all Common Stock covered by the Shelf Registration
            Statement to be listed or quoted, as the case may be, on each
            securities exchange or automated quotation system on which Common
            Stock is then listed or quoted.

                  (xvii) Provide to each Holder upon written request each
            document filed with the Commission pursuant to the requirements of
            Section 13 and Section 15 of the Exchange Act after the effective
            date of the Shelf Registration Statement, unless such document is
            available through the Commission's EDGAR system.

            (c) Each Holder agrees by acquisition of a Transfer Restricted
      Security that, upon receipt of any notice (a "SUSPENSION NOTICE") from the
      Company of the existence of any fact of the kind described in Section
      4(b)(iii)(D) hereof, such Holder will forthwith discontinue disposition of
      Transfer Restricted Securities pursuant to the Shelf Registration
      Statement until:

<PAGE>
                                                                              14

                  (i) such Holder has received copies of the supplemented or
            amended Prospectus contemplated by Section 4(b)(xi) hereof; or

                  (ii) such Holder is advised in writing by the Company that the
            use of the Prospectus may be resumed, and has received copies of any
            additional or supplemental filings that are incorporated by
            reference in the Prospectus.

If so directed by the Company, each Holder will deliver to the Company (at the
Company's expense) all copies, other than permanent file copies then in such
Holder's possession, of the Prospectus covering such Transfer Restricted
Securities that was current at the time of receipt of such notice of suspension.

            (d) Each Holder agrees by acquisition of a Transfer Restricted
      Security, that no Holder shall be entitled to sell any of such Transfer
      Restricted Securities pursuant to a Registration Statement, or to receive
      a Prospectus relating thereto, unless such Holder has furnished the
      Company with a Notice and Questionnaire as required pursuant to Section
      2(e) hereof (including the information required to be included in such
      Notice and Questionnaire) and the information set forth in the next
      sentence. Each Notice Holder agrees to furnish to the Company as promptly
      as is practicable all information required to be disclosed in order to
      make the information previously furnished to the Company by such Notice
      Holder not misleading and any other information regarding such Notice
      Holder and the distribution of such Transfer Restricted Securities as the
      Company may from time to time reasonably request in writing. Any sale of
      any Transfer Restricted Securities by any Holder shall constitute a
      representation and warranty by such Holder that the information relating
      to such Holder and its plan of distribution is as set forth in the
      Prospectus delivered by such Holder in connection with such disposition,
      that such Prospectus does not as of the time of such sale contain any
      untrue statement of a material fact relating to or provided by such Holder
      or its plan of distribution and that such Prospectus does not as of the
      time of such sale omit to state any material fact relating to or provided
      by such Holder or its plan of distribution necessary to make the
      statements in such Prospectus, in the light of the circumstances under
      which they were made, not misleading.

      5. Registration Expenses.

      All expenses incident to the Company's performance of or compliance with
this Agreement shall be borne by the Company regardless of whether a Shelf
Registration Statement becomes effective, including, without limitation:

                  (i) all registration and filing fees and expenses (including
            filings made with the NASD);

<PAGE>
                                                                              15

                  (ii) all fees and expenses of compliance with federal
            securities and state Blue Sky or securities laws;

                  (iii) all expenses of printing (including printing of
            Prospectuses and certificates for the Common Stock to be issued upon
            conversion of the Debentures) and the Company's expenses for
            messenger and delivery services and telephone;

                  (iv) all fees and disbursements of counsel to the Company;

                  (v) all application and filing fees in connection with listing
            (or authorizing for quotation) the Common Stock on a national
            securities exchange or automated quotation system pursuant to the
            requirements hereof; and

                  (vi) all fees and disbursements of independent certified
            public accountants of the Company.

      The Company shall bear its internal expenses (including, without
limitation, all salaries and expenses of their officers and employees performing
legal, accounting or other duties), the expenses of any annual audit and the
fees and expenses of any Person, including special experts, retained by the
Company. All fees and expenses of the Notice Holders, including fees and
expenses of counsel, shall be borne by the Notice Holders.

      6. Indemnification And Contribution.

            (a) The Company agrees to indemnify and hold harmless each Holder of
      Transfer Restricted Securities by the Shelf Registration Statement
      (including each Initial Purchaser), its directors, officers, and employees
      and each person, if any, who controls any such Holder within the meaning
      of the Securities Act or the Exchange Act (each, an "INDEMNIFIED HOLDER"),
      against any loss, claim, damage, liability or expense, joint or several,
      or any action in respect thereof (including, but not limited to, any loss,
      claim, damage, liability or action relating to resales of the Transfer
      Restricted Securities), to which such Indemnified Holder may become
      subject, insofar as any such loss, claim, damage, liability or action
      arises out of, or is based upon:

                  (i) any untrue statement or alleged untrue statement of a
            material fact contained in (A) the Shelf Registration Statement as
            originally filed or in any amendment thereof, in any Prospectus, or
            in any amendment or supplement thereto or (B) any blue sky
            application or other document or any amendment or supplement thereto
            prepared or executed by the Company (or based upon written
            information furnished by or on behalf of the Company expressly for
            use in such blue sky application or other document or

<PAGE>
                                                                              16

            amendment on supplement) filed in any jurisdiction specifically for
            the purpose of qualifying any or all of the Transfer Restricted
            Securities under the securities law of any state or other
            jurisdiction (such application or document being hereinafter called
            a "BLUE SKY APPLICATION"); or

                  (ii) the omission or alleged omission to state therein any
            material fact required to be stated therein or necessary to make the
            statements therein, in the light of the circumstances under which
            they were made, not misleading,

and agrees to reimburse each Indemnified Holder promptly upon demand for any
legal or other expenses reasonably incurred by such Indemnified Holder in
connection with investigating, defending, settling, compromising or paying any
such loss, claim, damage, liability, expense or action; provided, however, that
the Company shall not be liable in any such case to the extent that any such
loss, claim, damage, liability or expense arises out of, or is based upon, any
untrue statement or alleged untrue statement or omission or alleged omission
made in reliance upon and in conformity with written information furnished to
the Company by or on behalf of such Holder (or its related Indemnified Holder)
specifically for use therein; provided, further, that the foregoing indemnity
agreement with respect to any prospectus shall not inure to the benefit of a
Holder, or any person controlling such Holder, who failed to deliver a
prospectus, as then amended or supplemented (so long as the prospectus and any
amendment or supplement thereto was provided by the Company to the Holder on a
timely basis to permit proper delivery upon confirmation of a sale), to the
person asserting any losses, claims, damages, liabilities, expenses or judgments
caused by any untrue statement or alleged untrue statement of a material fact
contained in any 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 statements therein not misleading, if such material misstatement or omission
or alleged material misstatement or omission was cured in the prospectus, as so
amended or supplemented. The foregoing indemnity agreement is in addition to any
liability which the Company may otherwise have.

            (b) Each Holder, severally and not jointly, agrees to indemnify and
      hold harmless the Company, its directors, officers and employees and each
      person, if any, who controls the Company within the meaning of the
      Securities Act or the Exchange Act to the same extent as the foregoing
      indemnity from the Company to each such Holder, but only with reference to
      written information relating to such Holder furnished to the Company by or
      on behalf of such Holder specifically for inclusion in the documents
      referred to in the foregoing indemnity. This indemnity agreement set forth
      in this Section shall be in addition to any liabilities which any such
      Holder may otherwise have. In no event shall any Holder, its directors,
      officers or any person who controls such Holder be liable or responsible
      for any amount in excess of the amount by which the total price at which
      the

<PAGE>
                                                                              17

      Transfer Restricted Securities purchased by it were resold exceeds the
      amount of any damages that such Holder, its directors, officers or any
      person who controls such Holder has otherwise been required to pay by
      reason of such untrue or alleged untrue statement or omission or alleged
      omission.

            (c) Promptly after receipt by an indemnified party under this
      Section 6 of notice of any claim or the commencement of any action, the
      indemnified party shall, if a claim in respect thereof is to be made
      against the indemnifying party under this Section 6, notify the
      indemnifying party in writing of the claim or the commencement of that
      action; provided, however, that the failure to notify the indemnifying
      party shall not relieve it from any liability which it may have under this
      Section 6 except to the extent it has been materially prejudiced by such
      failure and, provided, further, that the failure to notify the
      indemnifying party shall not relieve it from any liability which it may
      have to an indemnified party otherwise than under this Section 6. If any
      such claim or action shall be brought against an indemnified party, and it
      shall notify the indemnifying party thereof, the indemnifying party shall
      be entitled to participate therein and, to the extent that it wishes,
      jointly with any other similarly notified indemnifying party, to assume
      the defense thereof with counsel satisfactory to the indemnified party.
      After notice from the indemnifying party to the indemnified party of its
      election to assume the defense of such claim or action, the indemnifying
      party shall not be liable to the indemnified party under this Section 6
      for any legal or other expenses subsequently incurred by the indemnified
      party in connection with the defense thereof other than reasonable costs
      of investigation; provided, however, that the Holders shall have the right
      to employ a single counsel to represent jointly the Holders and their
      officers, employees and controlling persons who may be subject to
      liability arising out of any claim in respect of which indemnity may be
      sought by the Holders against the Company under this Section 6 if the
      Holders seeking indemnification shall have been advised by legal counsel
      that there may be one or more legal defenses available to such Holders and
      their respective officers, employees and controlling persons that are
      different from or additional to those available to the Company, and in
      that event, the fees and expenses of such separate counsel shall be paid
      by the Company.

            (d) The indemnifying party under this Section shall not be liable
      for any settlement of any proceeding effected without its written consent,
      which shall not be withheld unreasonably, but if settled with such consent
      or if there is a final judgment for the plaintiff, the indemnifying party
      agrees to indemnify the indemnified party against any loss, claim, damage,
      liability or expense by reason of such settlement or judgment. No
      indemnifying party shall, without the prior written consent of the
      indemnified party (which consent shall not be unreasonably withheld),
      effect any settlement, compromise or consent to the entry of judgment in

<PAGE>
                                                                              18

      any pending or threatened action, suit or proceeding in respect of which
      any indemnified party is or could reasonably have been a party and
      indemnity was or could reasonably have been sought hereunder by such
      indemnified party, unless such settlement, compromise or consent (x)
      includes an unconditional release of such indemnified party from all
      liability on claims that are the subject matter of such action, suit or
      proceeding and (y) does not include a statement as to or an admission of
      fault, culpability or a failure to act by or on behalf of any indemnified
      party.

            (e) If the indemnification provided for in this Section 6 shall for
      any reason be unavailable or insufficient to hold harmless an indemnified
      party under Section 6(a) or 6(b) in respect of any loss, claim, damage or
      liability (or action in respect thereof) referred to therein, each
      indemnifying party shall, in lieu of indemnifying such indemnified party,
      contribute to the amount paid or payable by such indemnified party as a
      result of such loss, claim, damage or liability (or action in respect
      thereof):

                  (i) in such proportion as is appropriate to reflect the
            relative benefits received by the Company from the offering and sale
            of the Transfer Restricted Securities on the one hand and a Holder
            with respect to the sale by such Holder of the Transfer Restricted
            Securities on the other, or

                  (ii) if the allocation provided by Section (6)(e)(i) is not
            permitted by applicable law, in such proportion as is appropriate to
            reflect not only the relative benefits referred to in Section
            6(e)(i) but also the relative fault of the Company on the one hand
            and the Holders on the other in connection with the statements or
            omissions or alleged statements or alleged omissions that resulted
            in such loss, claim, damage or liability (or action in respect
            thereof), as well as any other relevant equitable considerations.

The relative benefits received by the Company on the one hand and a Holder on
the other with respect to such offering and such sale shall be deemed to be in
the same proportion as the total net proceeds from the offering of the
Debentures purchased under the Purchase Agreement (before deducting expenses)
received by the Company, on the one hand, bear to the total proceeds received by
such Holder with respect to its sale of Transfer Restricted Securities on the
other. The relative fault of the parties shall be determined by reference to
whether the untrue or alleged untrue statement of a material fact or the
omission or alleged omission to state a material fact relates to information
supplied by the Company on the one hand or the Holders on the other, the intent
of the parties and their relative knowledge, access to information and
opportunity to correct or prevent such statement or omission. The Company and
each Holder agree that it would not be just and equitable if the amount of
contribution pursuant to this Section 6(e) were determined by pro rata
allocation or by any other method of allocation that does

<PAGE>
                                                                              19

not take into account the equitable considerations referred to in the first
sentence of this paragraph (e).

      The amount paid or payable by an indemnified party as a result of the
loss, claim, damage or liability, or action in respect thereof, referred to
above in this Section 6 shall be deemed to include, for purposes of this Section
6, any legal or other expenses reasonably incurred by such indemnified party in
connection with investigating or defending or preparing to defend any such
action or claim.

      Notwithstanding the provisions of this Section 6, no Holder shall be
required to contribute any amount in excess of the amount by which the total
price at which the Transfer Restricted Securities purchased by it were resold
exceeds the amount of any damages which such Holder has otherwise been required
to pay by reason of any untrue or alleged untrue statement or omission or
alleged omission. No Person guilty of fraudulent misrepresentation (within the
meaning of Section 11(f) of the Securities Act) shall be entitled to
contribution from any Person who was not guilty of such fraudulent
misrepresentation. The Holders' obligations to contribute as provided in this
Section 6(e) are several and not joint.

            (f) The provisions of this Section 6 shall remain in full force and
      effect, regardless of any investigation made by or on behalf of any Holder
      or the Company or any of the officers, directors or controlling persons
      referred to in Section 6 hereof, and will survive the sale by a Holder of
      Transfer Restricted Securities.

      7. Rule 144A and Rule 144. The Company agrees with each Holder, for so
long as any Transfer Restricted Securities remain outstanding and during any
period in which the Company (i) is not subject to Section 13 or 15(d) of the
Exchange Act, to make available, upon request of any Holder, to such Holder or
beneficial owner of Transfer Restricted Securities in connection with any sale
thereof and any prospective purchaser of such Transfer Restricted Securities
designated by such Holder or beneficial owner, the information required by Rule
144A(d)(4) under the Securities Act in order to permit resales of such Transfer
Restricted Securities pursuant to Rule 144A, and (ii) is subject to Section 13
or 15 (d) of the Exchange Act, to use its commercially reasonable efforts to
make all filings required thereby in a timely manner in order to permit resales
of such Transfer Restricted Securities pursuant to Rule 144.

      8. No Participation In Underwritten Registrations. No Holder may
participate in any Underwritten Registration hereunder.

      9. Miscellaneous.

            (a) Remedies. The Company acknowledges and agrees that any failure
      by the Company to comply with its obligations under Section 2 hereof may
      result in material irreparable injury to the Initial Purchasers or the
      Holders for which there is no adequate remedy at law, that it will not

<PAGE>
                                                                              20

      be possible to measure damages for such injuries precisely, and that, in
      the event of any such failure, the Initial Purchasers or any Holder may
      obtain such relief as may be required to specifically enforce the
      Company's obligations under Section 2 hereof. The Company further agrees
      to waive the defense in any action for specific performance that a remedy
      at law would be adequate.

            (b) No Inconsistent Agreements. The Company has not, as of the date
      hereof, entered into, nor shall it, on or after the date hereof, enter
      into, any agreement with respect to its securities that is inconsistent
      with the rights granted to the Holders in this Agreement or otherwise
      conflicts with the provisions hereof. In addition, the Company shall not
      grant to any of its securityholders (other than the Holders of Transfer
      Restricted Securities in such capacity) the right to include any of its
      securities in the Shelf Registration Statement provided for in this
      Agreement other than the Transfer Restricted Securities.

            (c) Amendments and Waivers. This Agreement may not be amended,
      modified or supplemented, and waivers or consents to or departures from
      the provisions hereof may not be given, unless the Company has obtained
      the written consent of a Majority of Holders; provided, however, that with
      respect to any matter that directly or indirectly adversely affects the
      rights of any Initial Purchaser hereunder, the Company shall obtain the
      written consent of each such Initial Purchaser against which such
      amendment, qualification, supplement, waiver or consent is to be
      effective. Notwithstanding the foregoing (except the foregoing proviso), a
      waiver or consent to depart from the provisions hereof, with respect to a
      matter, which relates exclusively to the rights of Holders whose
      securities are being sold pursuant to a Shelf Registration Statement and
      does not directly or indirectly adversely affect the rights of other
      Holders, may be given by the Majority Holders, determined on the basis of
      Debentures being sold rather than registered under such Shelf Registration
      Statement.

            (d) Notices. All notices and other communications provided for or
      permitted hereunder shall be made in writing by hand delivery, first class
      mail (registered or certified, return receipt requested), telex, facsimile
      transmission, or air courier guaranteeing overnight delivery:

                  (i) if to a Holder, at the address set forth on the records of
            the registrar under the Indenture or the transfer agent of the
            Common Stock, as the case may be; and

                  (ii) if to the Company, at its address set forth in the
            Purchase Agreement,

<PAGE>
                                                                              21

                               With a copy to:

                               Alston & Bird LLP
                               One Atlantic Center
                               1201 West Peachtree Street
                               Atlanta, Georgia 30309
                               Facsimile: 404-253-8247
                               Attention: J. Vaughan Curtis

      All such notices and communications shall be deemed to have been duly
given: at the time delivered by hand, if personally delivered; five Business
Days after being deposited in the mail, postage prepaid, if mailed; when
answered back, if telexed; when receipt acknowledged, if transmitted by
facsimile; and on the next Business Day, if timely delivered to an air courier
guaranteeing overnight delivery.

      Any party hereto may change the address for receipt of communications by
giving written notice to the others.

            (e) Successors and Assigns. This Agreement shall inure to the
      benefit of and be binding upon the successors and assigns of each of the
      parties, including without limitation and without the need for an express
      assignment, subsequent Holders of Transfer Restricted Securities. The
      Company hereby agrees to extend the benefit of this Agreement to any
      Holder and any such Holder may specifically enforce the provisions of this
      Agreement as if an original party hereto.

            (f) Counterparts. This Agreement may be executed in any number of
      counterparts and by the parties hereto in separate counterparts, each of
      which when so executed shall be deemed to be an original and all of which
      taken together shall constitute one and the same agreement.

            (g) Debentures Held by the Company or Their Affiliates. Whenever the
      consent or approval of Holders of a specified percentage of Transfer
      Restricted Securities is required hereunder, Transfer Restricted
      Securities held by the Company or its Affiliates (other than subsequent
      Holders if such subsequent Holders are deemed to be Affiliates solely by
      reason of their holding of such Debentures) shall not be counted in
      determining whether such consent or approval was given by the Holders of
      such required percentage.

            (h) Headings. The headings in this Agreement are for convenience of
      reference only and shall not limit or otherwise affect the meaning hereof.

            (i) Governing Law. This Agreement shall be governed by and construed
      in accordance with the law of the State of New York.

<PAGE>
                                                                              22

            (j) Severability. If any one or more of the provisions contained
      herein, or the application thereof in any circumstance, is held invalid,
      illegal or unenforceable, the validity, legality and enforceability of any
      such provision in every other respect and of the remaining provisions
      contained herein shall not be affected or impaired thereby, it being
      intended that all of the rights and privileges of the parties shall be
      enforceable to the fullest extent permitted by law.

            (k) Entire Agreement. This Agreement is intended by the parties as a
      final expression of their agreement and intended to be a complete and
      exclusive statement of the agreement and understanding of the parties
      hereto in respect of the subject matter contained herein. There are no
      restrictions, promises, warranties or undertakings, other than those set
      forth or referred to herein with respect to the registration rights
      granted by the Company with respect to the Transfer Restricted Securities.
      This Agreement supersedes all prior agreements and understandings between
      the parties with respect to such subject matter.

<PAGE>
                                                                              23

      IN WITNESS WHEREOF, the parties have executed this Agreement as of the
date first written above.

                                        PER-SE TECHNOLOGIES, INC.

                                        By: /s/ CHRIS E. PERKINS
                                            ------------------------------------
                                            Name: Chris E. Perkins
                                            Title: Executive Vice President
                                                   and Chief Financial Officer

                                        BANC OF AMERICA SECURITIES LLC
                                        Acting on behalf of itself and the
                                        several Initial Purchasers

                                        By: /s/ CHARLES DITKOFF
                                            ------------------------------------
                                            Authorized Representative<PAGE>

                                                                    EXHIBIT 10.1

                                 FIRST AMENDMENT

      THIS FIRST AMENDMENT TO CREDIT AGREEMENT dated as of June 30, 2004 (the
"Amendment") is entered into among Per-Se Technologies, Inc., a Delaware
corporation (the "Borrower"), the Guarantors party hereto, the Lenders party
hereto and Bank of America, N.A., as Administrative Agent. All capitalized terms
used herein and not otherwise defined herein shall have the meanings given to
such terms in the Credit Agreement (as defined below).

                                    RECITALS

      WHEREAS, the Borrower, the Guarantors, the Lenders and the Administrative
Agent entered into that certain Credit Agreement dated as of September 11, 2003
(as amended or modified from time to time, the "Credit Agreement");

      WHEREAS, the Borrower has requested that the Lenders amend certain terms
of the Credit Agreement as set forth herein; and

      WHEREAS, the Lenders have agreed to amend the Credit Agreement on the
terms and conditions set forth herein.

      NOW, THEREFORE, in consideration of the premises and the mutual covenants
contained herein, and for other good and valuable consideration, the receipt and
sufficiency of which are hereby acknowledged, the parties hereto agree as
follows:

      1. Amendments to the Credit Agreement.

            (a) The definition of "Aggregate Revolving Commitments" in Section
      1.01 is hereby amended to read as follows:

                  "Aggregate Revolving Commitments" means the Revolving
            Commitments of all the Lenders. The amount of the Aggregate
            Revolving Commitments in effect on the First Amendment Effective
            Date is SEVENTY FIVE MILLION DOLLARS ($75,000,000).

            (b) The definition of "Applicable Rate" in Section 1.01 is hereby
      amended to read as follows:

                  "Applicable Rate" means the following percentages per annum,
            based upon the Consolidated Senior Leverage Ratio as set forth in
            the most recent Compliance Certificate received by the
            Administrative Agent pursuant to Section 7.02(b):

<TABLE>
<CAPTION>
                 Consolidated
                    Senior
Pricing            Leverage         Commitment          Letters of          Eurodollar         Base Rate
  Tier               Ratio             Fee                Credit               Loans             Loans
--------------------------------------------------------------------------------------------------------
<S>           <C>                   <C>                 <C>                 <C>                <C>
   1                < 1.0:1.0         0.50%                2.50%               2.50%             1.00%
   2           > or = 1.0:1.0 but     0.50%                2.75%               2.75%             1.25%
                    < 1.5:1.0
   3           > or = 1.5:1.0         0.50%                3.00%               3.00%             1.50%
</TABLE>

<PAGE>

            Any increase or decrease in the Applicable Rate resulting from a
      change in the Consolidated Senior Leverage Ratio shall become effective as
      of the first Business Day immediately following the date a Compliance
      Certificate is required to be delivered pursuant to Section 7.02(b);
      provided, however, that if a Compliance Certificate is not delivered when
      due in accordance with such Section, then Pricing Level 3 shall apply as
      of the first Business Day after the date on which such Compliance
      Certificate was required to have been delivered and shall continue to
      apply until the first Business Day immediately following the date a
      Compliance Certificate is delivered in accordance with Section 7.02(b),
      whereupon the Applicable Rate shall be adjusted based upon the calculation
      of the Consolidated Leverage Ratio contained in such Compliance
      Certificate. The Applicable Rate in effect from the First Amendment
      Effective Date through the first Business Day immediately following the
      date a Compliance Certificate is required to be delivered pursuant to
      Section 7.02(b) for the fiscal quarter ending June 30, 2003 shall be
      determined based upon Pricing Level 3. Notwithstanding the Applicable Rate
      in each Pricing Tier identified in the pricing grid above, if the
      Administrative Agent receives evidence satisfactory to the Administrative
      Agent demonstrating that the Borrower's senior secured non-credit enhanced
      debt is rated BB- or higher by S&P and Ba3 or higher by Moody's, the
      Applicable Rate in each Pricing Tier in the pricing grid above shall be
      reduced by 0.25% on the first Business Day immediately following the
      Administrative Agent's receipt of such evidence.

      (c) Clause (c) in the definition of "Change of Control" in Section 1.01 is
hereby amended to read as follows:

            (c) the occurrence of a "Change of Control" (or any comparable term)
      under, and as defined in the Convertible Subordinated Debentures
      Documents.

      (d) Clause (a) in the definition of "Consolidated EBITDA" is hereby
amended to read as follows:

      (a) the following to the extent deducted in calculating such Consolidated
      Net Income: (i) Consolidated Interest Charges for such period, (ii) the
      provision for federal, state, local and foreign income taxes payable by
      the Borrower and its Subsidiaries for such period, (iii) the amount of
      depreciation and amortization expense for such period, (iv) all non-cash,
      non-recurring charges for such period, (v) for the fiscal quarter period
      ending on September 30, 2003, any non-recurring expenses incurred by the
      Borrower during such period in connection with the tender offer and early
      redemption of the Existing Senior Notes, including all premiums, fees and
      legal costs related thereto, (vi) professional fees and expenses incurred
      in connection with the 2003 fiscal year audit work related to compliance
      with Statement of Auditing Standards No. 99 and (vii) the amount of the
      prepayment premium paid in connection with the prepayment of the Term Loan
      plus

      (e) The definition of "Consolidated Fixed Charges" in Section 1.01 is
hereby amended to read as follows:

            "Consolidated Fixed Charges" means, for any period, for the Borrower
      and its Subsidiaries on a consolidated basis, an amount equal to the sum
      of (i) the cash portion of Consolidated Interest Charges for such period
      plus (ii) Consolidated Scheduled Funded Debt Payments for such period
      (other than any debt amortization payments on the Term

                                       2

<PAGE>

      Loan during such period) plus (iii) rent and lease expense for such
      period, all as determined in accordance with GAAP.

      (f) Clause (a) in the definition of "Maturity Date" in Section 1.01 is
hereby amended to read as follows:

      (a) as to the Revolving Loans, Swing Line Loans and Letters of Credit (and
      the related L/C Obligations), June 30, 2007 as may be extended pursuant to
      Section 2.14 and

      (g) Clauses (v) and (ix) in the definition of "Permitted Acquisitions" in
Section 1.01 are hereby amended to read as follows:

      (v) the Borrower shall have delivered to the Administrative Agent a Pro
      Forma Compliance Certificate demonstrating that, upon giving effect to
      such Acquisition on a Pro Forma Basis, the Loan Parties would be in
      compliance with the financial covenants set forth in Section 8.11(b) and
      Section 8.11(d) as of the most recent fiscal quarter for which the
      Borrower has delivered financial statements pursuant to Section 7.01(a) or
      (b),

                                     ******

      (ix)(a) the aggregate consideration (including cash and non-cash
      consideration, any assumption of Indebtedness, deferred purchase price and
      any Earn Out Obligations) for all such Acquisitions occurring during any
      fiscal year plus (b) the amount of all Stock Payments occurring during
      such fiscal year shall not exceed (1) if the Consolidated Senior Leverage
      Ratio (calculated on a Pro Forma Basis after giving effect to such
      Acquisition or such Stock Payment, as applicable) is greater than or equal
      to 1.0 to 1.0, an amount equal to 50% of Consolidated EBITDA for the most
      recently ended fiscal year plus or (2) if the Consolidated Senior Leverage
      Ratio (calculated on a Pro Forma Basis after giving effect to such
      Acquisition or Stock Payment, as applicable) is less than 1.0 to 1.0, an
      amount equal to 75% of Consolidated EBITDA for the most recently ended
      fiscal year; provided, however, that up to 50% of the unused amount for
      Permitted Acquisitions and Stock Payments in any fiscal year (excluding
      any carry forward available from any prior fiscal year) may be carried
      forward to the next fiscal year for Permitted Acquisitions and Stock
      Payments.

      (h) The last sentence in the definition of "Permitted Acquisitions" in
Section 1.01 is hereby amended to read as follows and an additional sentence is
hereby added after such sentence to read as follows:

      Notwithstanding the limitation on aggregate consideration for Acquisitions
      contained in the foregoing clause (ix) above and in Section 8.06(c), the
      Borrower may make additional Acquisitions subject to the other conditions
      contained above in any fiscal year with any available Asset Reinvestment
      Proceeds; provided, however, the aggregate amount of Asset Reinvestment
      Proceeds used as consideration for all Acquisitions consummated subsequent
      to the Closing Date shall not exceed $40,000,000. For purposes of this
      definition, "Asset Reinvestment Proceeds" means, as of any date of
      determination, the amount of the Net Cash Proceeds from Dispositions and
      Involuntary Dispositions that is available to the Borrower for
      reinvestment in Eligible Assets in accordance with Section 2.05(b)(ii).
      For purposes of clarification, it is understood and agreed that any
      Acquisition or Stock Payment made in conformity with the pro forma test
      identified in clause (ix) above

                                       3

<PAGE>

      shall always be considered a Permitted Acquisition or Stock Payment
      permitted by Section 8.06(c) even if the Consolidated Senior Leverage
      Ratio subsequent to any such Permitted Acquisition or Stock Payment
      increases above the applicable pro forma Consolidated Senior Leverage
      Ratio at the time of such Permitted Acquisition or Stock Payment.

      (i) The first sentence in the definition of "Pro Forma Basis" in Section
1.01 is hereby amended to read as follows:

            "Pro Forma Basis" means, for purposes of calculating the
      Consolidated Leverage Ratio and the Consolidated Senior Leverage Ratio
      (including for purposes of determining the Applicable Rate), that any
      Disposition, Involuntary Disposition or Acquisition shall be deemed to
      have occurred as of the first day of the most recent four fiscal quarter
      period preceding the date of such transaction for which the Borrower has
      delivered financial statements pursuant to Section 7.01(a) or (b).

      (j) The definition of "Pro Forma Compliance Certificate" in Section 1.01
is hereby amended to read as follows:

            "Pro Forma Compliance Certificate" means a certificate of a
      Responsible Officer of the Borrower containing reasonably detailed
      calculation of the Consolidated Leverage Ratio and the Consolidated Senior
      Leverage Ratio as of the most recent fiscal quarter end for which the
      Borrower has delivered financial statements pursuant to Section 7.01(a) or
      (b) after giving effect to the applicable transaction on a Pro Forma
      Basis.

      (k) The following definitions are hereby added to Section 1.01 in the
appropriate alphabetical order and shall read as follows:

            "Consolidated Senior Leverage Ratio" means, as of any date of
      determination, the ratio of (a) the sum of (i) Consolidated Funded
      Indebtedness as of such date minus (ii) unrestricted cash and Cash
      Equivalents in excess of $10,000,000 held by the Borrower and its
      Subsidiaries which would appear on a consolidated balance sheet of the
      Borrower and its Subsidiaries as of such date minus (iii) the Indebtedness
      under the Convertible Subordinated Debentures as of such date to (b)
      Consolidated EBITDA for the period of the four fiscal quarters most
      recently ended for which the Borrower has delivered financial statements
      pursuant to Section 7.01(a) or (b).

            "Convertible Subordinated Debentures" means those 3.25% Convertible
      Subordinated Debentures of the Borrower due 2024 issued pursuant to the
      Indenture, as in effect on the First Amendment Effective Date and as the
      same may be amended, modified or supplemented from time to time in
      accordance with the terms hereof and thereof.

            "Convertible Subordinated Debentures Documents" means the
      Convertible Subordinated Debentures, the Indenture and all other documents
      executed and delivered in respect of the Convertible Subordinated
      Debentures and the Indenture, in each case as in effect on the First
      Amendment Effective Date and as the same may be amended, modified or
      supplemented from time to time in accordance with the terms hereof and
      thereof.

            "First Amendment Effective Date" means June 30, 2004.

                                       4

<PAGE>

            "Indenture" means that certain Indenture dated as of June 30, 2004
      among the Borrower and U.S. Bank National Association, as trustee, as such
      Indenture may be amended, modified, restated or supplemented and in effect
      from time to time in accordance with the terms hereof and thereof.

            "Stock Payment" has the meaning specified in Section 8.06(c).

      (l) The definition of "Subordinated Indebtedness" in Section 1.01 is
hereby deleted in its entirety.

      (m) Section 1.03(c) of the Credit Agreement is hereby amended to read as
follows:

            (c) Notwithstanding the above, the parties hereto acknowledge and
      agree that all calculations of the Consolidated Leverage Ratio and the
      Consolidated Senior Leverage Ratio (including for purposes of determining
      the Applicable Rate) shall be made on a Pro Forma Basis.

      (n) The first sentence of Section 2.14(a) is hereby amended to read as
follows:

            (a) Not earlier than 90 days prior to, nor later than 60 days prior
      to the first anniversary of the First Amendment Effective Date, the
      Borrower may, upon notice to the Administrative Agent (which shall
      promptly notify the Lenders), request a one-year extension of the Maturity
      Date of the Revolving Loans, Swing Line Loans and Letters of Credit (and
      the related L/C Obligations).

      (o) Section 6.23 is hereby amended to read as follows:

      Section 6.23 Subordination.

            The subordination provisions contained in the Convertible
      Subordinated Debentures Documents are enforceable against the Borrower,
      the Guarantors and the holders of the Convertible Subordinated Debentures,
      and all Obligations hereunder and under the other Loan Documents are
      within the definitions of "Senior Indebtedness" and "Designated Senior
      Indebtedness" included in such subordination provisions. There exists no
      Designated Senior Indebtedness for purposes of, and as defined in, the
      Convertible Subordinated Debentures Documents (other than the
      Obligations).

      (p) Clause (h) in Section 8.03 is hereby amended to read as follows:

            (h) Indebtedness of the Borrower under the Convertible Subordinated
      Debentures in an aggregate principal amount not to exceed $100,000,000
      (or, if the initial purchaser's option to purchase additional Convertible
      Subordinated Debentures is exercised in full, $125,000,000);

      (q) Clause (j) in Section 8.03 is hereby amended to read as follows:

            (j) Guarantees with respect to Indebtedness permitted under clauses
      (a) through (g) of this Section 8.03.

                                       5

<PAGE>

      (r) Clause (c) in Section 8.06 is hereby amended to read as follows and
new clauses (d) and (e) are hereby added at the end of Section 8.06 to read as
follows:

            (c) the Borrower may make any dividends and purchase, redeem,
      acquire or retire shares of its Capital Stock of any class or any
      warrants, options or other rights to purchase any such shares of its
      Capital Stock ("Stock Payments") during any fiscal year so long as (i) no
      Default or Event of Default exists immediately prior to and after giving
      effect to any such Stock Payment and (ii) after giving effect to any such
      Stock Payment, (A) the aggregate amount of all Stock Payments made during
      such fiscal year plus (B) the aggregate consideration (including cash and
      non-cash consideration, any assumption of Indebtedness, deferred purchase
      price and any Earn Out Obligations) for Acquisitions occurring during such
      fiscal year shall not exceed (1) if the Consolidated Senior Leverage Ratio
      (calculated on a Pro Forma Basis after giving effect to such Stock Payment
      or Acquisition, as applicable) is greater than or equal to 1.0 to 1.0, an
      amount equal to 50% of Consolidated EBITDA for the most recently ended
      fiscal year or (2) if the Consolidated Senior Leverage Ratio (calculated
      on a Pro Forma Basis after giving effect to such Stock Payment or
      Acquisition, as applicable) is less than 1.0 to 1.0, an amount equal to
      75% of Consolidated EBITDA for the most recently ended fiscal year;
      provided, however, that up to 50% of the unused amount for Stock Payments
      or Permitted Acquisitions in any fiscal year (excluding any carry forward
      available from any prior fiscal year) may be carried forward to the next
      fiscal year for Stock Payments and Permitted Acquisitions;

            (d) in addition to the Stock Payments permitted under the
      immediately preceding clause (c), the Borrower may repurchase its Capital
      Stock in an aggregate amount not to exceed $25 million in connection with
      the issuance of the Convertible Subordinated Debentures on or about the
      First Amendment Effective Date; and

            (e) the Borrower may incur obligations to make Stock Payments on and
      subject to the terms and conditions (including without limitation the
      subordination provisions) of the Convertible Subordinated Debentures
      Documents.

      (s) The following sentence is hereby added at the end of Section 8.06(c)
and shall read as follows:

      For purposes of clarification, it is understood and agreed that any
      Acquisition or Stock Payment made in conformity with the pro forma test
      identified in clause (c) above shall always be considered a Permitted
      Acquisition or Stock Payment permitted by such Section 8.06(c) even if the
      Consolidated Senior Leverage Ratio subsequent to any such Permitted
      Acquisition or Stock Payment increases above the applicable pro forma
      Consolidated Senior Leverage Ratio at the time of such Permitted
      Acquisition or Stock Payment.

      (t) Section 8.10 is hereby amended to read as follows:

      8.10 Use of Proceeds.

            Use the proceeds of any Credit Extension, whether directly or
      indirectly, and whether immediately, incidentally or ultimately, to
      purchase or carry margin stock (within the meaning of Regulation U of the
      FRB) in any manner that would constitute a violation of Regulation U of
      the FRB or to extend credit to others for the purpose of purchasing or
      carrying

                                       6

<PAGE>

      margin stock or to refund indebtedness originally incurred for such
      purpose.

      (u) Section 8.11 is hereby amended to read as follows:

            (a) Consolidated Net Worth. Permit Consolidated Net Worth at any
      time to be less than the sum of negative $31,024,000, (i) decreased by the
      amount of Capital Stock of the Borrower repurchased subsequent to the
      First Amendment Effective Date in accordance with Section 8.06 and (ii)
      increased on a cumulative basis as of the end of each fiscal quarter of
      the Borrower, commencing with the fiscal quarter ending June 30, 2004 by
      an amount equal to 75% of Consolidated Net Income (to the extent positive)
      for the fiscal quarter then ended plus 100% of the amount of all Equity
      Issuances after the Closing Date.

            (b) Consolidated Leverage Ratio. Permit the Consolidated Leverage
      Ratio as of the end of any fiscal quarter of the Borrower to be greater
      than 4.0:1.0.

            (c) Consolidated Fixed Charge Coverage Ratio. Permit the
      Consolidated Fixed Charge Coverage Ratio as of the end of any fiscal
      quarter of the Borrower to be less than 1.5 to 1.0.

            (d) Consolidated Senior Leverage Ratio. Permit the Consolidated
      Senior Leverage Ratio as of the end of any fiscal quarter of the Borrower
      to be greater than 2.0:1.0.

      (v) Section 8.12 is hereby amended to read as follows:

      Section 8.12 Prepayment of Subordinated Indebtedness.

            (a) Amend or modify any of the terms of the Convertible Subordinated
      Debentures if such amendment or modification would add or change any terms
      in a manner adverse to the Borrower or any Subsidiary or the Lenders, or
      shorten the final maturity or average life to maturity or require any
      payment to be made sooner than originally scheduled or increase the
      interest rate applicable thereto.

            (b) Make (or give any notice with respect thereto) any voluntary or
      optional payment or prepayment or redemption or acquisition for value of
      (including without limitation, by way of depositing money or securities
      with the trustee with respect thereto before due for the purpose of paying
      when due), refund, refinance or exchange of the Indebtedness under the
      Convertible Subordinated Debentures (other than any conversion of such
      Indebtedness into common stock of the Borrower or other equity interests
      subordinated to the Obligations to at least the same extent as, or to a
      greater extent than, such Indebtedness).

      (w) Section 9.01(m) is hereby amended to read as follows:

            (m) Convertible Subordinated Debentures. (i) There shall occur an
      "Event of Default" (or any comparable term) under, and as defined in, the
      Convertible Subordinated Debentures Documents, (ii) any of the Obligations
      for any reason shall cease to be "Designated Senior Indebtedness" (or any
      comparable term) under, and as defined in, the

                                       7

<PAGE>

            Convertible Subordinated Debentures Documents, (iii) any
            Indebtedness other than the Obligations shall constitute "Designated
            Senior Indebtedness" (or any comparable term) under, and as defined
            in, the Convertible Subordinated Debentures Documents or (iv) the
            subordination provisions of the Convertible Subordinated Debentures
            Documents shall, in whole or in part, terminate, cease to be
            effective or cease to be legally valid, binding and enforceable
            against any holder of the Convertible Subordinated Debentures.

            (x) A new Section 11.19 is hereby added to the Credit Agreement and
      shall read as follows:

                11.19 USA PATRIOT Act Notice.

                Each Lender and the Administrative Agent (for itself and not on
            behalf of any Lender) hereby notifies the Borrower that pursuant to
            the requirements of the USA Patriot Act (Title III of Pub. L. 107-56
            (signed into law October 26, 2001)) (the "Act"), it is required to
            obtain, verify and record information that identifies the Borrower,
            which information includes the name and address of the Borrower and
            other information that will allow such Lender or the Administrative
            Agent, as applicable, to identify the Borrower in accordance with
            the Act.

            (y) The Revolving Commitments as of the First Amendment Effective
      Date are as set forth on Schedule 2.01 attached hereto.

      2. Conditions Precedent. This Amendment (other than Sections 1(b) and
1(f)) shall be effective upon satisfaction of the following conditions
precedent:

            (a) Receipt by the Administrative Agent of counterparts of this
      Amendment duly executed by the Borrower, the Guarantors, the Required
      Lenders and the Administrative Agent;

            (b) The Administrative Agent shall have received copies of
      resolutions of each Loan Party approving and adopting the Amendment and
      authorizing execution and delivery thereof, certified by a secretary or
      assistant secretary of such Loan Party to be true and correct and in force
      and effect as of the date hereof.

            (c) The Borrower shall have received gross proceeds from the
      issuance of the Convertible Subordinated Debentures in an aggregate amount
      of at least $100,000,000 and repaid the Term Loan in full with such
      proceeds and other cash and paid the prepayment premium required by
      Section 2.05(c).

            (d) Receipt by the Administrative Agent of a copy, certified by a
      Responsible Officer of the Borrower as true and complete, of the
      Convertible Subordinated Debentures Documents (together with all exhibits
      and schedules thereto), such documentation (including the subordination
      provisions) to be reasonably satisfactory in form and substance to the
      Administrative Agent.

            (e) Receipt by the Administrative Agent (i) for the account of the
      Lenders of an amendment fee equal to twenty five basis points (0.25%) on
      the aggregate Revolving Commitments (prior to the effectiveness of this
      Amendment), (ii) for the account of each Lender who is increasing its
      Revolving Commitment, a fee of fifty basis points (0.50%) on the
      difference between the amount of such Lender's Revolving Commitment prior
      to the effectiveness of this

                                       8

<PAGE>

      Amendment and the amount of such Lender's Revolving Commitment as of the
      First Amendment Effective Date and (iii) any other fees and expenses
      payable in connection with this Amendment.

            Sections 1(b) and 1(f) shall be effective upon (i) receipt by the
      Administrative Agent of counterparts of this Amendment duly executed by
      the Borrower, the Guarantors, the Lenders and the Administrative Agent and
      (ii) satisfaction of each of the conditions precedent identified in
      clauses (b) through (e) above.

      3. Miscellaneous.

            (a) The Credit Agreement, and the obligations of the Loan Parties
      thereunder and under the other Loan Documents, are hereby ratified and
      confirmed and shall remain in full force and effect according to their
      terms.

            (b) Each Guarantor (a) acknowledges and consents to all of the terms
      and conditions of this Agreement, (b) affirms all of its obligations under
      the Loan Documents and (c) agrees that this Agreement and all documents
      executed in connection herewith do not operate to reduce or discharge its
      obligations under the Credit Agreement or the other Loan Documents.

            (c) The Borrower and the Guarantors hereby represent and warrant as
      follows:

                  (i) Each Loan Party has taken all necessary action to
            authorize the execution, delivery and performance of this Agreement.

                  (ii) This Agreement has been duly executed and delivered by
            the Loan Parties and constitutes each of the Loan Parties' legal,
            valid and binding obligations, enforceable in accordance with its
            terms, except as such enforceability may be subject to (i)
            bankruptcy, insolvency, reorganization, fraudulent conveyance or
            transfer, moratorium or similar laws affecting creditors' rights
            generally and (ii) general principles of equity (regardless of
            whether such enforceability is considered in a proceeding at law or
            in equity).

                  (iii) No consent, approval, authorization or order of, or
            filing, registration or qualification with, any court or
            governmental authority or third party is required in connection with
            the execution, delivery or performance by any Loan Party of this
            Agreement.

            (d) The Loan Parties represent and warrant to the Lenders that (i)
      the representations and warranties of the Loan Parties set forth in
      Section 6 of the Credit Agreement and in each other Loan Document are true
      and correct as of the date hereof with the same effect as if made on and
      as of the date hereof, except to the extent such representations and
      warranties expressly relate solely to an earlier date and (ii) no event
      has occurred and is continuing which constitutes a Default or an Event of
      Default.

            (e) This Agreement may be executed in any number of counterparts,
      each of which when so executed and delivered shall be an original, but all
      of which shall constitute one and the same instrument. Delivery of an
      executed counterpart of this Agreement by telecopy shall be effective as
      an original and shall constitute a representation that an executed
      original shall be delivered.

                                       9

<PAGE>

            (f) THIS AGREEMENT AND THE RIGHTS AND OBLIGATIONS OF THE PARTIES
      HEREUNDER SHALL BE GOVERNED BY AND CONSTRUED AND INTERPRETED IN ACCORDANCE
      WITH THE LAWS OF THE STATE OF NORTH CAROLINA.

                            [Signature pages follow]

                                       10

<PAGE>

      Each of the parties hereto has caused a counterpart of this Agreement to
be duly executed and delivered as of the date first above written.

BORROWER:                            PER-SE TECHNOLOGIES, INC.,
                                     a Delaware corporation

                                     By: /s/ CHRIS E. PERKINS
                                        --------------------------------------
                                     Name: Chris E. Perkins
                                     Title: Executive Vice President and CFO

GUARANTORS:                          KNOWLEDGEABLE HEALTHCARE SOLUTIONS, INC.,
                                     an Alabama corporation

                                     By: /s/ CHRIS E. PERKINS
                                        --------------------------------------
                                     Name: Chris E. Perkins
                                     Title: Executive Vice President and CFO

                                     PATIENT ACCOUNT MANAGEMENT SERVICES, INC.,
                                     an Ohio corporation

                                     By: /s/ CHRIS E. PERKINS
                                        --------------------------------------
                                     Name: Chris E. Perkins
                                     Title: Executive Vice President and CFO

                                     PER-SE TRANSACTION SERVICES, INC.,
                                     an Ohio corporation

                                     By: /s/ CHRIS E. PERKINS
                                        --------------------------------------
                                     Name: Chris E. Perkins
                                     Title: Executive Vice President and CFO

                                     PST PRODUCTS, LLC,
                                     a California limited liability company

                                     By: /s/ CHRIS E. PERKINS
                                        --------------------------------------
                                     Name: Chris E. Perkins
                                     Title: Executive Vice President and CFO

                                     PST SERVICES, INC.,
                                     a Georgia corporation

                                     By: /s/ CHRIS E. PERKINS
                                        --------------------------------------
                                     Name: Chris E. Perkins
                                     Title: Executive Vice President and CFO

                                                                 FIRST AMENDMENT
<PAGE>

ADMINISTRATIVE
AGENT:                               BANK OF AMERICA, N.A.,
                                     as Administrative Agent

                                     By: /s/ KRISTINE THENNES
                                         --------------------------------------
                                     Name: Kristine Thennes
                                     Title: Vice President

                                                                 FIRST AMENDMENT
<PAGE>

LENDERS:                             BANK OF AMERICA, N.A.,
                                     as a Lender, L/C Issuer and Swing Line
                                     Lender

                                     By: /s/ WILLIAM H. POWELL
                                         --------------------------------------
                                     Name: William H. Powell
                                     Title: Senior Vice President

                                                                 FIRST AMENDMENT
<PAGE>

LENDERS:                             FLEET NATIONAL BANK,
                                     as a Lender

                                     By: /s/ WILLIAM H. POWELL
                                         --------------------------------------
                                     Name: William H. Powell
                                     Title: Senior Vice President

                                                                 FIRST AMENDMENT
<PAGE>

LENDERS:                             CAROLINA FIRST BANK,
                                     as a Lender

                                     By: /s/ CHARLES D. CHAMBERLAIN
                                         --------------------------------------
                                     Name: Charles D. Chamberlain
                                     Title: Executive Vice President

                                                                 FIRST AMENDMENT
<PAGE>

LENDERS:                             WACHOVIA BANK, NATIONAL ASSOCIATION,
                                     as a Lender

                                     By: /s/ RICHARD L. NELSON
                                         --------------------------------------
                                     Name: Richard L. Nelson
                                     Title: Vice President

                                                                 FIRST AMENDMENT
<PAGE>

LENDERS:                             MERRILL LYNCH CAPITAL,
                                     a division of Merrill Lynch Business
                                     Financial Services, Inc.,
                                     as a Lender

                                     By: /s/ LUIS A. VIERA
                                         --------------------------------------
                                     Name: Luis A. Viera
                                     Title: Vice President
                                                                 FIRST AMENDMENT

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