Document:

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                                                                     EXHIBIT 4.8

                                                                  EXECUTION COPY

                                 $800,000,000

                           BAXTER INTERNATIONAL INC.

                    1 1/4% Convertible Debentures Due 2021

                         REGISTRATION RIGHTS AGREEMENT
                         -----------------------------

                                                            May 21, 2001

CREDIT SUISSE FIRST BOSTON CORPORATION
DEUTSCHE BANC ALEX BROWN INC.
SALOMON SMITH BARNEY INC.
c/o Credit Suisse First Boston Corporation
    Eleven Madison Avenue
    New York, New York 10010-3629

Dear Sirs:

     Baxter International Inc., a Delaware corporation (the "Company"), proposes
to issue and sell to Credit Suisse First Boston Corporation, Deutsche Banc Alex
Brown Inc. and Salomon Smith Barney Inc. (the initial "Purchasers"), upon the
terms set forth in a purchase agreement dated May 16, 2001 (the "Purchase
Agreement"), $800,000,000 aggregate principal amount of its 1 1/4% Convertible
Debentures due 2021 (the "Debentures ")  The Debentures will be issued pursuant
to an Indenture, dated as of May 21, 2001  (the "Indenture"), among the Company
and Bank One Corporate Trust, N.A., as trustee (the "Trustee").  Under the terms
of the Indenture, the Debentures are convertible, in whole or in part, into
shares of the Company's common stock, par value $1.00 (the "Conversion Shares",
and together with the Debentures, the "Securities").  As an inducement, the
Company agrees with the Purchasers, for the benefit of the holders of the
Debentures (including, without limitation, the Purchasers) and Conversion Shares
(collectively the "Holders"), as follows:

          1.  Shelf Registration. (a) The Company shall promptly (but in no
     event more than 90 days of the First Closing Date (as defined in the
     Purchase Agreement) such 90th day being a "Filing Deadline") use its
     reasonable best efforts to file with the Securities and Exchange Commission
     (the "Commission") and thereafter use its reasonable best efforts to cause
     to be declared effective no later than 180 days after the First Closing
     Date (such 180th day being an "Effectiveness Deadline") a registration
     statement (the "Registration Statement") on an appropriate form under the
     Securities Act of 1933, as amended (the "Securities Act"), relating to the
     offer and sale of the Transfer Restricted Securities (as defined in Section
     5 hereof) by the Holders thereof from time to time in accordance with the
     methods of distribution set forth in the Registration Statement and Rule
     415 under the Securities Act (hereinafter, the "Shelf Registration");
     provided, however, that no Holder (other than a Purchaser) shall be
     entitled to have the Securities held by it covered by such Registration
     Statement unless such Holder agrees in writing to be bound by all the
     provisions of this Agreement applicable to such Holder.

          (b)  The Company shall use its reasonable best efforts to keep the
     Registration Statement continuously effective in order to permit the
     prospectus included therein to be lawfully delivered by the Holders of the
     relevant Securities, for a period of two years (or for such longer period
     if extended pursuant to Section 2(h) below) from the date of its
     effectiveness or such shorter period that will terminate when all the
     Securities covered by the Registration Statement (i) have been sold
     pursuant thereto or (ii) are no longer restricted securities (as defined in
     Rule 144 under the Securities Act) (in any such case, such period being
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     called the "Shelf Registration Period").  The Company shall be deemed not
     to have used its best efforts to keep the Registration Statement effective
     during the requisite period if it voluntarily takes any action that would
     result in Holders of Securities covered thereby not being able to offer and
     sell such Securities during that period, unless such action is required by
     applicable law.

          (c)  Notwithstanding any other provisions of this Agreement to the
     contrary, the Company shall cause the Registration Statement and the
     related prospectus and any amendment or supplement thereto, as of the
     effective date of the Registration Statement, amendment or supplement, (i)
     to comply in all material respects with the applicable requirements of the
     Securities Act and the rules and regulations of the Commission and (ii) not
     to contain any untrue statement of a material fact or omit to state a
     material fact required to be stated therein or necessary in order to make
     the statements therein, in the light of the circumstances under which they
     were made, not misleading.

     2.  Registration Procedures.  In connection with the Shelf Registration
contemplated by Section 1 hereof the following provisions shall apply:

     (a)  The Company shall (i) furnish to each Purchaser, prior to the filing
thereof with the Commission, a copy of the Registration Statement and each
amendment thereof and each supplement, if any, to the prospectus included
therein and, in the event that a Purchaser (with respect to any portion of an
unsold allotment from the original offering) is participating in the
Registration Statement, the Company shall use its reasonable best efforts to
reflect in each such document, when so filed with the Commission, such comments
as such Purchaser reasonably may propose; and (ii) subject to paragraph (l) of
this Section 2, include the names of the Holders who propose to sell Securities
pursuant to the Registration Statement as selling securityholders.

     (b)  The Company shall give written notice to the Purchasers and the
Holders of the Securities (which notice pursuant to clauses (ii)-(v) hereof
shall be accompanied by an instruction to suspend the use of the prospectus
until the requisite changes have been made):

               (i) when the Registration Statement or any amendment thereto has
          been filed with the Commission and when the Registration Statement or
          any post-effective amendment thereto has become effective;

               (ii) of any request by the Commission for amendments or
          supplements to the Registration Statement or the prospectus included
          therein or for additional information;

               (iii) of the issuance by the Commission of any stop order
          suspending the effectiveness of the Registration Statement or the
          initiation of any proceedings for that purpose;

               (iv) of the receipt by the Company or its legal counsel of any
          notification with respect to the suspension of the qualification of
          the Securities for sale in any jurisdiction or the initiation or
          threatening of any proceeding for such purpose; and

               (v) of the happening of any event that requires the Company to
          make changes in the Registration Statement or the prospectus in order
          that the Registration Statement or the prospectus do not contain an
          untrue statement of a material fact nor omit to state a material fact
          required to be stated therein or necessary to make the statements
          therein (in the case of the prospectus, in the light of the
          circumstances under which they were made) not misleading.

     (c)  The Company shall make every reasonable effort to obtain the
withdrawal at the earliest possible time, of any order suspending the
effectiveness of the Registration Statement.

     (d)  The Company shall furnish to each Holder of Securities included within
the coverage of the Shelf Registration, without charge, at least one copy of the
Registration Statement and any post-effective amendment thereto, including
financial statements and schedules, and, if the Holder so requests in writing,
all exhibits thereto (including those, if any, incorporated by reference).

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     (e)  The Company shall, during the Shelf Registration Period, deliver to
each Holder of Securities included within the coverage of the Shelf
Registration, without charge, as many copies of the prospectus (including each
preliminary prospectus) included in the Registration Statement and any amendment
or supplement thereto as such person may reasonably request.  The Company
consents, subject to the provisions of this Agreement, to the use of the
prospectus or any amendment or supplement thereto by each of the selling Holders
of the Securities in connection with the offering and sale of the Securities
covered by the prospectus, or any amendment or supplement thereto, included in
the Registration Statement.

     (f)  Prior to any public offering of the Securities pursuant to any
Registration Statement the Company shall register or qualify or cooperate with
the Holders of the Securities included therein and their respective counsel in
connection with the registration or qualification of the Securities for offer
and sale under the securities or "blue sky" laws of such states of the United
States as any Holder of the Securities reasonably requests in writing and do any
and all other acts or things necessary or advisable to enable the offer and sale
in such jurisdictions of the Securities covered by such Registration Statement;
provided, however, that the Company shall not be required to (i) qualify
generally to do business in any jurisdiction where it is not then so qualified
or (ii) take any action which would subject it to general service of process or
to taxation in any jurisdiction where it is not then so subject.

     (g)  The Company shall cooperate with the Holders of the Securities to
facilitate the timely preparation and delivery of certificates representing the
Securities to be sold pursuant to any Registration Statement free of any
restrictive legends and in such denominations and registered in such names as
the Holders may request a reasonable period of time prior to sales of the
Securities pursuant to such Registration Statement.

     (h)  Upon the occurrence of any event contemplated by paragraphs (ii)
through (v) of Section 2(b) above during the Shelf Registration Period, the
Company shall promptly prepare and file a post-effective amendment to the
Registration Statement or a supplement to the related prospectus and any other
required document so that, as thereafter delivered to Holders of the Securities
or purchasers of 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 the light of the
circumstances under which they were made, not misleading, provided however, that
the Company may delay preparing, filing and distributing any such supplement or
amendment if the Company determines in good faith that such supplement or
amendment would, in the reasonable judgment of the Company, (i) interfere with
or affect the negotiation or completion of a transaction that is being
contemplated by the Company (whether or not a final decision has been made to
undertake such transaction) or (ii) involve initial or continuing disclosure
obligations that are not in the best interests of the Company's stockholders at
such time; provided further, that such delay shall not extend for a period of
more than 30 business days in any three month period or more than 60 business
days in any twelve month period.  If the Company notifies the Purchasers and the
Holders of the Securities in accordance with paragraphs (ii) through (v) of
Section 2(b) above to suspend the use of the prospectus until the requisite
changes to the prospectus have been made, then the Purchasers and the Holders of
the Securities shall suspend use of such prospectus, and the period of
effectiveness of the Registration Statement provided for in Section 1 above
shall each be extended by the number of days from and including the date of the
giving of such notice to and including the date when the Purchasers and the
Holders of the Securities shall have received such amended or supplemented
prospectus pursuant to this Section 2(h).

     (i)  Not later than the effective date of the applicable Registration
Statement, the Company will provide a CUSIP number for the Debentures and the
Conversion Shares registered under the Registration Statement and provide the
Trustee with printed certificates for the Debentures in a form eligible for
deposit with The Depository Trust Company.

     (j)  The Company will comply with all rules and regulations of the
Commission to the extent and so long as they are applicable to the Shelf
Registration and will make generally available to its security holders (or
otherwise provide in accordance with Section 11(a) of the Securities Act) an
earnings statement satisfying the provisions of Section 11(a) of the Securities
Act, no later than 45 days after the end of a 12-month period (or 90 days, if
such period is a fiscal year) beginning with the first month of the Company's
first fiscal quarter commencing after the effective date of the Registration
Statement, which statement shall cover such 12-month period.

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     (k)  The Company shall cause the Indenture to be qualified under the Trust
Indenture Act of 1939 as amended (the "Trust Indenture Act"), in a timely manner
and containing such changes, if any, as shall be necessary for such
qualification. In the event that such qualification would require the
appointment of a new trustee under the Indenture, the Company shall appoint a
new trustee thereunder pursuant to the applicable provisions of the Indenture.

     (l)  The Company may require each Holder of Securities to be sold pursuant
to the Registration Statement to furnish to the Company such information
regarding the Holder and the distribution of the Securities as the Company may
from time to time reasonably require for inclusion in the Registration
Statement, and the Company may exclude from such registration the Securities of
any Holder that unreasonably fails to furnish such information within a
reasonable time after receiving such request.

     (m)  The Company shall enter into such customary agreements (including, if
requested, an underwriting agreement in customary form) and take all such other
action, if any, as any Holder of the Securities shall reasonably request in
order to facilitate the disposition of the Securities pursuant to any Shelf
Registration.

     (o) The Company shall (i) make reasonably available for inspection by the
Holders of the Securities, any underwriter participating in any disposition
pursuant to the Registration Statement and any attorney, accountant or other
agent retained by the Holders of the Securities or any such underwriter all
relevant financial and other records, pertinent corporate documents and
properties of the Company and (ii) cause the Company's officers, directors,
employees, accountants and auditors to supply all relevant information
reasonably requested by the Holders of the Securities or any such underwriter,
attorney, accountant or agent in connection with the Registration Statement, in
each case, as shall be reasonably necessary to enable such persons, to conduct a
reasonable investigation within the meaning of Section 11 of the Securities Act;
provided, however, that the foregoing inspection and information gathering shall
be coordinated on behalf of the Purchasers by you and on behalf of the other
parties, by one counsel designated by and on behalf of such other parties as
described in Section 3 hereof.

     (p)  The Company, if requested by any Holder of Securities covered by the
Registration Statement, shall cause (i) its counsel to deliver an opinion and
updates thereof relating to the Securities in customary form addressed to such
Holders and the managing underwriters, if any, thereof and dated, in the case of
the initial opinion, the effective date of such Registration Statement (it being
agreed that the matters to be covered by such opinion shall include, without
limitation, the due incorporation and good standing of the Company and its
subsidiaries; the qualification of the Company and its subsidiaries to transact
business as foreign corporations; the due authorization, execution and delivery
of the relevant agreement of the type referred to in Section 2(m) hereof; the
due authorization, execution, authentication and issuance, and the validity and
enforceability, of the applicable Securities; the absence of material legal or
governmental proceedings involving the Company and its subsidiaries; the absence
of governmental approvals required to be obtained in connection with the
Registration Statement, the offering and sale of the applicable Securities, or
any agreement of the type referred to in Section 2(m) hereof; the compliance as
to form of such Registration Statement and any documents incorporated by
reference therein and of the Indenture with the requirements of the Securities
Act and the Trust Indenture Act, respectively; and, as of the date of the
opinion and as of the effective date of the Registration Statement or most
recent post-effective amendment thereto, as the case may be, the absence from
such Registration Statement and the prospectus included therein, as then amended
or supplemented, and from any documents incorporated by reference therein of an
untrue statement of a material fact or the omission to state therein a material
fact required to be stated therein or necessary to make the statements therein
not misleading (in the case of any such documents, in the light of the
circumstances existing at the time that such documents were filed with the
Commission under the Exchange Act); (ii) its officers to execute and deliver all
customary documents and certificates and updates thereof requested by any
underwriters of the applicable Securities and (iii) its independent public
accountants and the independent public accountants with respect to any other
entity for which financial information is provided in the Registration Statement
to provide to the selling Holders of the applicable Securities and any
underwriter therefor a comfort letter in customary form and covering matters of
the type customarily covered in comfort letters in connection with primary
underwritten offerings, subject to receipt of appropriate documentation as
contemplated, and only if permitted, by Statement of Auditing Standards No. 72.

     (q)  The Company will use its reasonable best efforts to (a) if the
Debentures have been rated prior to the initial sale of such Debentures, confirm
such ratings will apply to the Securities covered by a Registration Statement,

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or (b) if the Debentures were not previously rated, cause the Securities covered
by a Registration Statement to be rated with the appropriate rating agencies, if
so requested by Holders of a majority in aggregate principal amount of
Securities covered by such Registration Statement, or by the managing
underwriters, if any.

     (r)  In the event that any broker-dealer registered under the Exchange Act
shall underwrite any Securities or participate as a member of an underwriting
syndicate or selling group or "assist in the distribution" (within the meaning
of the Conduct Rules (the "Rules") of the National Association of Securities
Dealers, Inc. ("NASD")) thereof, whether as a Holder of such Securities or as an
underwriter, a placement or sales agent or a broker or dealer in respect
thereof, or otherwise, the Company will assist such broker-dealer in complying
with the requirements of such Rules, including, without limitation, by (i) if
such Rules, including Rule 2720, shall so require, engaging a "qualified
independent underwriter" (as defined in Rule 2720) to participate in the
preparation of the Registration Statement relating to such Securities, to
exercise usual standards of due diligence in respect thereto and, if any portion
of the offering contemplated by such Registration Statement is an underwritten
offering or is made through a placement or sales agent, to recommend the yield
of such Securities, (ii) indemnifying any such qualified independent underwriter
to the extent of the indemnification of underwriters provided in Section 4
hereof and (iii) providing such information to such broker-dealer as may be
required in order for such broker-dealer to comply with the requirements of the
Rules.

     (s)  The Company shall use its reasonable best efforts to take all other
steps necessary to effect the registration of the Securities covered by the
Registration Statement contemplated hereby.

     3.  Registration Expenses.  (a) All expenses incident to the Company's
performance of and compliance with this Agreement will be borne by the Company,
regardless of whether a Registration Statement is ever filed or becomes
effective, including without limitation;

          (i)  all registration and filing fees and expenses;

          (ii) all fees and expenses of compliance with federal securities and
     state "blue sky" or securities laws;

          (iii) all expenses of printing, messenger and delivery services and
     telephone;

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

          (v)  all application and filing fees in connection with listing the
     Securities on a national securities exchange; and

          (vi)  all fees and disbursements of independent certified public
     accountants of the Company (including the expenses of any special audit and
     comfort letters required by or incident to such performance).

The Company will bear its internal expenses (including, without limitation, all
salaries and expenses of its officers and employees performing legal or
accounting duties), the expenses of any annual audit and the fees and expenses
of any person, including special experts, retained by the Company.

     (b)  In connection with any Registration Statement required by this
Agreement, the Company will reimburse the Purchasers and the Holders of Transfer
Restricted Securities who are selling or reselling Securities pursuant to the
"Plan of Distribution" contained in the Registration Statement for the
reasonable fees and disbursements of not more than one counsel, who shall be
Milbank, Tweed, Hadley & McCloy LLP unless another firm shall be chosen by the
Holders of a majority in principal amount of the Transfer Restricted Securities
for whose benefit such Registration Statement is being prepared.

     4.  Indemnification.  (a)  The Company agrees to indemnify and hold
harmless each Holder of the Securities and each person, if any, who controls
such Holder within the meaning of the Securities Act or the Exchange Act (each
Holder and such controlling persons are referred to collectively as the
"Indemnified Parties") from and

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against any losses, claims, damages or liabilities, joint or several, or any
actions in respect thereof (including, but not limited to, any losses, claims,
damages, liabilities or actions relating to purchases and sales of the
Securities) to which each Indemnified Party may become subject under the
Securities Act, the Exchange Act or otherwise, insofar as such losses, claims,
damages, liabilities or actions arise out of, or are based upon, any untrue
statement or alleged untrue statement of a material fact contained in the
Registration Statement or prospectus or in any amendment or supplement thereto
or in any preliminary prospectus relating to a Shelf Registration, or arise out
of, or are based upon, the omission or alleged omission to state therein a
material fact required to be stated therein or necessary to make the statements
therein not misleading, and shall reimburse, as incurred, the Indemnified
Parties for any legal or other expenses reasonably incurred by them in
connection with investigating or defending any such loss, claim, damage,
liability or action in respect thereof; provided, however, that (i) the Company
shall not be liable in any such case to the extent that such loss, claim, damage
or liability arises out of or is based upon any untrue statement or alleged
untrue statement or omission or alleged omission made in a Registration
Statement or prospectus or in any amendment or supplement thereto or in any
preliminary prospectus relating to a Shelf Registration in reliance upon and in
conformity with written information pertaining to such Holder and furnished to
the Company by or on behalf of such Holder specifically for inclusion therein
and (ii) with respect to any untrue statement or omission or alleged untrue
statement or omission made in any preliminary prospectus relating to a
Registration Statement, the indemnity agreement contained in this subsection (a)
shall not inure to the benefit of any Holder from whom the person asserting any
such losses, claims, damages or liabilities purchased the Securities concerned,
to the extent that a prospectus relating to such Securities was required to be
delivered by such Holder under the Securities Act in connection with such
purchase and any such loss, claim, damage or liability of such Holder results
from the fact that there was not sent or given to such person, at or prior to
the written confirmation of the sale of such Securities to such person, a copy
of the final prospectus if the Company had previously furnished copies thereof
to such Holder; provided further, however, that this indemnity agreement will be
in addition to any liability which the Company may otherwise have to such
Indemnified Party. The Company shall also indemnify underwriters, their officers
and directors and each person who controls such underwriters within the meaning
of the Securities Act or the Exchange Act to the same extent as provided above
with respect to the indemnification of the Holders of the Securities if
requested by such Holders.

     (b)  Each Holder of the Securities, severally and not jointly, will
indemnify and hold harmless the Company and each person, if any, who controls
the Company within the meaning of the Securities Act or the Exchange Act from
and against any losses, claims, damages or liabilities or any actions in respect
thereof, to which the Company or any such controlling person may become subject
under the Securities Act, the Exchange Act or otherwise, insofar as such losses,
claims, damages, liabilities or actions arise out of or are based upon any
untrue statement or alleged untrue statement of a material fact contained in a
Registration Statement or prospectus or in any amendment or supplement thereto
or in any preliminary prospectus relating to a Shelf Registration, or arise out
of or are based upon the omission or alleged omission to state therein a
material fact necessary to make the statements therein not misleading, but in
each case only to the extent that the untrue statement or omission or alleged
untrue statement or omission was made in reliance upon and in conformity with
written information pertaining to such Holder and furnished to the Company by or
on behalf of such Holder specifically for inclusion therein; and, subject to the
limitation set forth immediately preceding this clause, shall reimburse, as
incurred, the Company for any legal or other expenses reasonably incurred by the
Company or any such controlling person in connection with investigating or
defending any loss, claim, damage, liability or action in respect thereof. This
indemnity agreement will be in addition to any liability which such Holder may
otherwise have to the Company or any of its controlling persons.

     (c)  Promptly after receipt by an indemnified party under this Section 4 of
notice of the commencement of any action or proceeding (including a governmental
investigation), such indemnified party will, if a claim in respect thereof is to
be made against the indemnifying party under this Section 4, notify the
indemnifying party of the commencement thereof; but the omission so to notify
the indemnifying party will not, in any event, relieve the indemnifying party
from any obligations to any indemnified party other than the indemnification
obligation provided in paragraph (a) or (b) above.  In case any such action is
brought against any indemnified party, and it notifies the indemnifying party of
the commencement thereof, the indemnifying party will be entitled to participate
therein and, to the extent that it may wish, jointly with any other indemnifying
party similarly notified, to assume the defense thereof, with counsel reasonably
satisfactory to such indemnified party (who shall not, except with the consent
of the indemnified party, be counsel to the indemnifying party), and after
notice from the indemnifying party to such

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indemnified party of its election so to assume the defense thereof the
indemnifying party will not be liable to such indemnified party under this
Section 4 for any legal or other expenses, other than reasonable costs of
investigation, subsequently incurred by such indemnified party in connection
with the defense thereof. No indemnifying party shall, without the prior written
consent of the indemnified party, effect any settlement of any pending or
threatened action in respect of which any indemnified party is or could have
been a party and indemnity could have been sought hereunder by such indemnified
party unless such settlement includes an unconditional release of such
indemnified party from all liability on any claims that are the subject matter
of such action, and 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.

     (d)  If the indemnification provided for in this Section 4 is unavailable
or insufficient to hold harmless an indemnified party under subsections (a) or
(b) above, then each indemnifying party shall contribute to the amount paid or
payable by such indemnified party as a result of the losses, claims, damages or
liabilities (or actions in respect thereof) referred to in subsection (a) or (b)
above (i) in such proportion as is appropriate to reflect the relative benefits
received by the indemnifying party or parties on the one hand and the
indemnified party on the other from the sale of the Securities, pursuant to the
Shelf Registration, or (ii) if allocation provided by the foregoing clause (i)
is not permitted by applicable law, in such proportion as is appropriate to
reflect not only the relative benefits referred to in clause (i) above but also
the relative fault of the indemnifying party or parties on the one hand and the
indemnified party on the other in connection with the statements or omissions
that resulted in such losses, claims, damages or liabilities (or actions in
respect thereof) as well as any other relevant equitable considerations.  The
relative fault of the parties shall be determined by reference to, among other
things, whether the untrue or alleged untrue statement of a material fact or the
omission or alleged omission to state a material fact relates to information
supplied by the Company on the one hand or such Holder or such other indemnified
party, as the case may be, on the other, and the parties' relative intent,
knowledge, access to information and opportunity to correct or prevent such
statement or omission.  The amount paid by an indemnified party as a result of
the losses, claims, damages or liabilities referred to in the first sentence of
this subsection (d) shall be deemed to include any legal or other expenses
reasonably incurred by such indemnified party in connection with investigating
or defending any action or claim which is the subject of this subsection (d).
Notwithstanding any other provision of this Section 4(d), the Holders of the
Securities shall not be required to contribute any amount in excess of the
amount by which the net proceeds received by such Holders from the sale of the
Securities pursuant to a Registration Statement exceeds the amount of damages
which such Holders have otherwise been required to pay by reason of such 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.  For purposes of this paragraph
(d), each person, if any, who controls such indemnified party within the meaning
of the Securities Act or the Exchange Act shall have the same rights to
contribution as such indemnified party and each person, if any, who controls the
Company within the meaning of the Securities Act or the Exchange Act shall have
the same rights to contribution as the Company.

     (e)  The agreements contained in this Section 4 shall survive the sale of
the Securities pursuant to the Registration Statement and shall remain in full
force and effect, regardless of any termination or cancellation of this
Agreement or any investigation made by or on behalf of any indemnified party.

     5.  Additional Interest Under Certain Circumstances.  (a)  Additional
interest (the "Additional Interest") with respect to the Debentures shall be
assessed as follows if any of the following events occur (each such event in
clauses (i) through (iii) below being herein called a "Registration Default"):

      (i) If the Registration Statement required by this Agreement is not filed
          with the Commission on or prior to the Filing Deadline;

     (ii) If the Registration Statement has not been declared effective by the
          Commission by the Effectiveness Deadline; or

    (iii) If the Registration Statement has been declared effective by the
          Commission but (A) such Registration Statement thereafter ceases to be
          effective or (B) such Registration Statement or the related prospectus
          ceases to be usable in connection with resales of Transfer Restricted
          Securities during the periods specified herein because either (1) any
          event occurs as a result of which the

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          related prospectus forming part of such Registration Statement would
          include any untrue statement of a material fact or omit to state any
          material fact necessary to make the statements therein, in the light
          of the circumstances under which they were made, not misleading, or
          (2) it shall be necessary to amend such Registration Statement or
          supplement the related prospectus, to comply with the Securities Act
          or the Exchange Act or the respective rules thereunder.

Each of the foregoing will constitute a Registration Default whatever the reason
for any such event and whether it is voluntary or involuntary or is beyond the
control of the Company or pursuant to operation of law or as a result of any
action or inaction by the Commission.

     Additional Interest shall accrue on the Debentures over and above the
interest set forth in the title of the Securities from and including the date on
which any such Registration Default shall occur to but excluding the date on
which all such Registration Defaults have been cured, (A) at a rate of 0.25% per
annum  in the case of clause (i) above and (B) at a rate of 0.50% per annum in
the case of clause (ii) and clause (iii) above (the "Additional Interest Rate").

     (b)  A Registration Default referred to in Section 5(a)(iii) hereof shall
be deemed not to have occurred and be continuing in relation to a Registration
Statement or the related prospectus if (i) such Registration Default has
occurred solely as a result of (x) the filing of a post-effective amendment to
the Registration Statement to incorporate annual audited financial information
with respect to the Company where such post-effective amendment is not yet
effective and needs to be declared effective to permit Holders to use the
related prospectus or (y) other material events, with respect to the Company
that would need to be described in the Registration Statement or the related
prospectus and (ii) in the case of clause (y), the Company is proceeding
promptly and in good faith to amend or supplement the Registration Statement and
related prospectus to describe such events; provided, however, that in any case
if such Registration Default occurs for a continuous period in excess of 30
days, Additional Interest shall be payable in accordance with the above
paragraph from the day such Registration Default occurs until such Registration
Default is cured.

     (c)  Any amounts of Additional Interest due pursuant to Section 5(a) will
be payable in cash on the regular interest payment dates with respect to the
Debentures.  The amount of Additional Interest will be determined by multiplying
the applicable Additional Interest Rate by the principal amount of the
Debentures and further multiplied by a fraction, the numerator of which is the
number of days such Additional Interest Rate was applicable during such period
(determined on the basis of a 360-day year comprised of twelve 30-day months),
and the denominator of which is 360.

     (d)  "Transfer Restricted Securities" means each Security until (i)  the
date on which such Security has been effectively registered under the Securities
Act and disposed of in accordance with the Registration Statement or (ii) the
date on which such Security is distributed to the public pursuant to Rule 144
under the Securities Act or is saleable pursuant to Rule 144(k) under the
Securities Act.

     6.  Rules 144 and 144A.  The Company shall use its reasonable best efforts
to file the reports required to be filed by it under the Securities Act and the
Exchange Act in a timely manner and, if at any time the Company is not required
to file such reports, it will, upon the request of any Holder of Securities,
make publicly available other information so long as necessary to permit sales
of their securities pursuant to Rules 144 and 144A.  The Company covenants that
it will take such further action as any Holder of Debentures may reasonably
request, all to the extent required from time to time to enable such Holder to
sell Debentures without registration under the Securities Act within the
limitation of the exemptions provided by Rules 144 and 144A (including the
requirements of Rule 144A(d)(4)).  The Company will provide a copy of this
Agreement to prospective purchasers of Debentures identified to the Company by
the Purchasers upon request.  Upon the request of any Holder of Debentures, the
Company shall deliver to such Holder a written statement as to whether it has
complied with such requirements.  Notwithstanding the foregoing, nothing in this
Section 6 shall be deemed to require the Company to register any of its
securities pursuant to the Exchange Act.

     7.  Underwritten Registrations.  Holders of at least 25% in aggregate
principal amount of the Transfer Restricted Securities may elect to have one
underwritten offering of the Transfer Restricted Securities.  If any of the

                                       8
<PAGE>

Transfer Restricted Securities covered by any Shelf Registration are to be sold
in an underwritten offering, the investment banker or investment bankers and
manager or managers that will administer the offering ("Managing Underwriters")
will be selected by the Holders of a majority in aggregate principal amount of
such Transfer Restricted Securities to be included in such offering, and must be
reasonably acceptable to the Company.

     No person may participate in any underwritten registration hereunder unless
such person (i) agrees to sell such person's Transfer Restricted Securities on
the basis reasonably provided in any underwriting arrangements approved by the
persons entitled hereunder to approve such arrangements and (ii) completes and
executes all questionnaires, powers of attorney, indemnities, underwriting
agreements and other documents reasonably required under the terms of such
underwriting arrangements.  The Holders participating in any underwritten
offering shall be responsible for any expenses customarily borne by selling
securityholders, including underwriting discounts and commissions and fees and
expenses of counsel to the selling securityholders to the extent no required to
be paid by the Company pursuant to Section 3 hereof.  Notwithstanding the
foregoing or the provisions of Section 2(m) hereof, upon receipt of a request
from the managing underwriter or a representative of Holders of a majority of
the Transfer Restricted Securities outstanding to prepare and file an amendment
or supplement to the Registration Statement in connection with an underwritten
offering, the Company may delay the filing of such amendment or supplement as
set forth in Section 2(h).

     8.  Miscellaneous.

     (a)  Remedies.  The Company acknowledges and agrees that any failure by the
Company to comply with its obligations under Section 1 hereof may result in
material irreparable injury to the Purchasers or the Holders for which there is
no adequate remedy at law, that it will not be possible to measure damages for
such injuries precisely and that, in the event of any such failure, the
Purchasers or any Holder may obtain such relief as may be required to
specifically enforce the Company's obligations under Section 1 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 will not on or after the date
of this Agreement 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.  The rights granted to the
Holders hereunder do not in any way conflict with and are not inconsistent with
the rights granted to the holders of the Company's securities under any
agreement in effect on the date hereof.

     (c)  Amendments and Waivers.  The provisions of this Agreement may not be
amended, modified or supplemented, and waivers or consents to departures from
the provisions hereof may not be given, except by the Company and the written
consent of the Holders of a majority in principal amount of the Securities
affected by such amendment, modification, supplement, waiver or consents.

     (d)  Notices.  All notices and other communications provided for or
permitted hereunder shall be made in writing by hand delivery, first-class mail,
facsimile transmission, or air courier which guarantees overnight delivery:

          (1)  if to a Holder of the Securities, at the most current address
given by such Holder to the Company.

          (2)  if to the Purchasers;

               Credit Suisse First Boston Corporation
               Eleven Madison Avenue
               New York, NY 10010-3629
               Fax No.:  (212) 325-8278
               Attention:  Transactions Advisory Group

          (3)  if to the Company, at its address as follows:

               Baxter International Inc.

                                       9
<PAGE>

               One Baxter Parkway
               Deerield, IL 60015
               Fax No.: (847) 948-4509
               Attention: Treasurer

               With a copy to:

               J. Patrick Fitzsimmons
               Baxter International Inc.
               One Baxter Parkway
               Deerfield, IL  60015
               Fax No.: (847) 948-3827

     All such notices and communications shall be deemed to have been duly
given:  at the time delivered by hand, if personally delivered; three business
days after being deposited in the mail, postage prepaid, if mailed; when receipt
is acknowledged by recipient's facsimile machine operator, if sent by facsimile
transmission; and on the day delivered, if sent by overnight air courier
guaranteeing next day delivery.

     (e)  Third Party Beneficiaries.  The Holders shall be third party
beneficiaries to the agreements made hereunder between the Company, on the one
hand, and the Purchasers, on the other hand, and shall have the right to enforce
such agreements directly to the extent they may deem such enforcement necessary
or advisable to protect their rights or the rights of Holders hereunder.

     (f)  Successors and Assigns.  This Agreement shall be binding upon the
Company and its successors and assigns.

     (g)  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.

     (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 LAWS OF THE STATE OF NEW YORK WITHOUT REGARD TO PRINCIPLES
OF CONFLICTS OF LAWS.

     (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.

     (k)  Securities Held by the Company.  Whenever the consent or approval of
Holders of a specified percentage of principal amount of Securities is required
hereunder, Securities held by the Company or its affiliates (other than
subsequent Holders of Securities if such subsequent Holders are deemed to be
affiliates solely by reason of their holdings of such Securities) shall not be
counted in determining whether such consent or approval was given by the Holders
of such required percentage.

     (l)  Agent for Service; Submission to Jurisdiction; Waiver of Immunities.
By the execution and delivery of this Agreement, the Company (i) acknowledges
that it has, by separate written instrument, irrevocably designated and
appointed CT Corporation System (and any successor entity) presently located at
111 Eighth Avenue, New York, New York 10011, as its authorized agent upon which
process may be served in any suit or proceeding arising out of or relating to
this Agreement that may be instituted in any federal or state court in the State
of New York or brought under federal or state securities laws, and acknowledges
that CT Corporation System has accepted such designation, (ii) submits to the
nonexclusive jurisdiction of any such court in any such suit or proceeding, and
(iii) agrees that service of process upon CT Corporation System and written
notice of said service to the Company

                                       10
<PAGE>

shall be deemed in every respect effective service of process upon it in any
such suit or proceeding. The Company further agrees to take any and all action,
including the execution and filing of any and all such documents and
instruments, as may be necessary to continue such designation and appointment of
CT Corporation System in full force and effect so long as any of the Securities
shall be outstanding. To the extent that the Company may acquire any immunity
from jurisdiction of any court or from any legal process (whether through
service of notice, attachment prior to judgment, attachment in aid of execution,
execution or otherwise) with respect to itself or its property, it hereby
irrevocably waives such immunity in respect of this Agreement, to the fullest
extent permitted by law.

                                       11
<PAGE>

                                                                  EXECUTION COPY

     If the foregoing is in accordance with your understanding of our agreement,
please sign and return to the Company a counterpart hereof, whereupon this
instrument, along with all counterparts, will become a binding agreement among
the several Purchasers and the Company in accordance with its terms.

                            BAXTER INTERNATIONAL INC.

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

The foregoing Registration Rights Agreement
 is hereby confirmed and accepted
 as of the date first above written.
CREDIT SUISSE FIRST BOSTON CORPORATION
DEUTSCHE BANC ALEX BROWN INC.
SALOMON SMITH BARNEY INC.

By:  CREDIT SUISSE FIRST BOSTON CORPORATION

     By:
        --------------------------------
        Name:
        Title:<PAGE>

                                                                EXHIBIT 10.12(e)

                                                                       EXECUTION

                              PLANVISTA CORPORATION

                    FIRST AMENDMENT TO FORBEARANCE AGREEMENT

                THIS FIRST AMENDMENT TO FORBEARANCE AGREEMENT (this "Amendment
to Forbearance Agreement") is dated as of September 30, 2001, by and among
PLANVISTA CORPORATION (f/k/a HEALTHPLAN SERVICES CORPORATION), a Delaware
corporation (the "Borrower"), THE LENDERS LISTED ON THE SIGNATURE PAGES HEREOF
(the "Lenders"), FIRST UNION NATIONAL BANK ("First Union"), as administrative
agent (the "Administrative Agent"), and the Credit Parties listed on the
signature pages hereof, and is made with reference to: (i) that certain Second
Amended and Restated Credit Agreement dated as of June 8, 2000 by and among the
Borrower, the Lenders and the Administrative Agent (as modified by the Limited
Waiver and Consent thereto dated as of June 29, 2000, the Limited Waiver and
Consent thereto dated as of September 12, 2000, the Limited Waiver thereto
dated as of September 19, 2000, the Limited Waiver and Consent thereto dated as
of September 19, 2000, the Limited Waiver and Consent thereto dated as of
October 19, 2000, the Limited Waiver dated as of December 8, 2000, the First
Amendment and Limited Waiver and Consent dated as of March 29, 2001, the
Second Amendment and Limited Waiver and Consent dated as of April 16, 2001, the
Limited Waiver and Consent dated as of April 30,2001, the Limited Waiver and
Consent dated as of May 4, 2001, the Limited Waiver and Extension dated as of
June 15, 2001, the Third Amendment and Limited Waiver dated as of July 2, 2001
and as such agreement may have otherwise been amended, restated, supplemented
or otherwise modified from time to time prior to the date hereof, the "Credit
Agreement") and (ii) that certain Forbearance Agreement dated as of September
1, 2001 by and among the Borrower, the Credit Parties listed on the signature
pages thereto, the Lenders and the Administrative Agent (as amended, restated,
supplemented or otherwise modified from time to time prior to the date hereof,
the "Forbearance Agreement"). Capitalized terms used herein without definition
shall have the meanings set forth in the Forbearance Agreement, except to the
extent not defined herein or therein such terms shall have the meanings
ascribed to them in the Credit Agreement.

                                R E C I T A L S
                                ---------------

                 A. Each of the Existing Events of Default listed in clause A of
the recitals to the Forbearance Agreement is continuing.

                 B. The Borrower has requested that the Administrative Agent and
 the Lenders enter into this Amendment to Forbearance Agreement, and the
 Administrative Agent and the Lenders have agreed to do so, but only to the
 extent, and on the terms, set forth expressly below.

                 NOW, THEREFORE, for good and valuable consideration, the
 receipt and sufficiency of which are hereby acknowledged by the parties hereto,
 the parties hereby agree as follows:
<PAGE>

                                   SECTION 2.
                                ACKNOWLEDGMENTS

                 A. The Borrower and each other Credit Party acknowledges that
each of the Existing Events of Default is continuing.

                 B. The Borrower and each other Credit Party acknowledges and
agrees with the Administrative Agent and each of the Lenders that: (i) it has
no claim or cause of action against the Administrative Agent or any of the
Lenders (or any of the Administrative Agent's or any Lender's directors,
officers, shareholders, employees, agents or affiliates); and (ii) it has no
offset, right, counterclaim or defense of any kind against or with respect to
any of the Obligations. The Administrative Agent and each of the Lenders desire
(and the Borrower and each other Credit Party agrees) to eliminate any
possibility that any past conditions, acts, omissions, events, circumstances or
matters would impair or otherwise adversely affect any of the rights,
interests, contracts, collateral security or remedies of the Administrative
Agent or any of the Lenders. Therefore, the Borrower and each other Credit
Party on behalf of itself and each of its Subsidiaries and Affiliates
unconditionally, freely, voluntarily and after consultation with counsel
releases, waives and forever discharges the Administrative Agent and each of
the Lenders, and their respective directors, officers, shareholders, employees,
agents and affiliates, (x) from any and all claims, liabilities, obligations,
duties, promises or indebtedness of any kind (if any), known or unknown, and
(y) from all claims, offsets, causes of action, suits or defenses of any kind
whatsoever (if any), whether known or unknown, which the Borrower or any of the
other Credit Parties might otherwise have against the Administrative Agent or
any of the Lenders or any of the Administrative Agent's or any of the Lenders'
directors, officers, shareholders, employees, agents or affiliates, in either
case set forth in clauses (x) or (y) above in this Section 2D, on account of
any condition, act, omission, event, contract, liability, obligation,
indebtedness, claim, cause of action, defense, circumstance or matter of any
kind whatsoever which existed arose or occurred at any time prior to the date
hereof.

                 C. The Borrower and each other Credit Party hereby ratifies and
reaffirms the validity and enforceability of all of the Liens and security
interests heretofore granted, pursuant to the Security Documents, to the
Administrative Agent, for itself and on behalf of the several Lenders, as
collateral security for the Obligations, and acknowledges that all of such
Liens and security interests, and all collateral heretofore pledged as security
for the Obligations, continues to be and remain collateral for the Obligations
from and after the date hereof. Without limiting the foregoing, the Borrower and
each other Credit Party acknowledges and agrees that, pursuant and subject to
the Security Documents, the Administrative Agent, for itself and on behalf of
all of the Lenders, is entitled to receive and apply all proceeds of
Collateral.

                                  SECTION 3.
                    AMENDMENTS TO THE FORBEARANCE AGREEMENT

                 A. Amendment to Section 4.E. Section 4.E of the Forbearance
                    -------------------------
Agreement is hereby amended to delete the date "October 15, 2001" appearing in
the second line thereof and substitute therefor the date "October 19, 2001".

                                       2
<PAGE>

                 B. Amendment to Section 5.A. Clause (3) of Section 5.A of the
                    -------------------------
Forbearance Agreement is hereby deleted in its entirety and the following new
clause (3) substituted therefor:

                 "(3) Aggregate payments with respect to the Subject Obligations
   during the Forbearance Period (excluding any payments required to be made as
   a condition to the effectiveness of this Amendment to Forbearance Agreement)
   shall not be less than: (a) $450,000 as of October 31, 2001; (b) $700,000 as
   of November 30, 2001; and (c) the full amount of the Subject Obligations as
   of December 15, 2001."

                                   SECTION 4.
                         REPRESENTATIONS AND WARRANTIES

                In order to induce the Administrative Agent and Lenders to
enter into this Amendment to Forbearance Agreement, the Borrower hereby
represents and warrants to the Administrative Agent and Lenders that:

                A. Authorization; Binding Obligations. Each Credit Party has
                   -----------------------------------
all requisite corporate power and authority to enter into this Amendment to
Forbearance Agreement. The execution, delivery and performance of this
Amendment to Forbearance Agreement have been duly authorized by all necessary
corporate action by each Credit Party. This Amendment to Forbearance Agreement
has been duly executed and delivered by each Credit Party and is the legal,
valid and binding obligation of each Credit Party, enforceable against each
Credit Party in accordance with its terms, except to the extent that the
enforceability thereof may be limited by applicable bankruptcy, insolvency,
fraudulent conveyance, reorganization, moratorium or similar laws generally
affecting creditors' rights and by equitable principles (regardless of whether
enforcement is sought in equity or at law). The Credit Agreement constitutes
the legal, valid and binding obligation of each Credit Party, enforceable
against each Credit Party in accordance with its terms, except to the extent
that the enforceability thereof may be limited by applicable bankruptcy,
insolvency, fraudulent conveyance, reorganization, moratorium or similar laws
generally affecting creditors' rights and by equitable principles (regardless
of whether enforcement is sought in equity or at law).

                B. Incorporation of Representations. Each representation and
                   ---------------------------------
warranty of each Credit Party contained in each of the Loan Documents is true,
correct and complete in all material respects on and as of the Amendment
Effective Date (as defined below) to the same extent as though made on and as
of the Amendment Effective Date, except to the extent such representations and
warranties relate to an earlier date, in which case they were true, correct and
complete in all material respects as of such earlier date.

                C. Absence of Defaults. Other than the Existing Events of
                   --------------------
Default, no event has occurred and is continuing or would result from the
execution, delivery or performance of this Amendment to Forbearance Agreement
that constitutes or would constitute a Default or Event of Default after giving
effect to this Amendment to Forbearance Agreement.

                D. Financial Projections. All financial projections concerning
                   ----------------------
the Borrower and its Subsidiaries that have been or are hereafter made available
to the Administrative Agent or the other Lenders by the Borrower or any of its
representatives in connection with the

                                       3
<PAGE>

transactions contemplated hereby (the "Projections') have been (or will be, in
the case of Projections made available after the date hereof) prepared in good
faith based upon reasonable assumptions.

                E. Performance. The Borrower has performed in all material
                   ------------
respects all agreements to be performed on its part on or before the date hereof
as set forth in the Credit Agreement.

                                   SECTION 5.
                  ACKNOWLEDGEMENT AND CONSENT BY CREDIT PARTIES

                The Borrower and each other Credit Party executing a
counterpart hereto agrees to and acknowledges the terms and provisions of this
Amendment to Forbearance Agreement and confirms that each Loan Document to
which such Credit Party is a party shall continue in full force and effect and
that all of its obligations thereunder shall be valid and enforceable and shall
not be impaired or affected by the execution of this Amendment to Forbearance
Agreement, except as specifically provided herein. The Borrower and each other
Credit Party executing a counterpart hereof represents and warrants that all
representations and warranties contained in each Loan Document to which such
Credit Party is a party are true, correct and complete in all material respects
as of the date hereof to the same extent as though made on each such date and
that the Borrower and each such Credit Party has performed in all material
respects all agreements to be performed on its part on or before the date
hereof as set forth in the Loan Documents.

                                  SECTION 6.
                          CONDITIONS TO EFFECTIVENESS

                This Amendment to Forbearance Agreement shall become effective
as of the date hereof (the "Amendment Effective Date") only upon receipt of the
following by the Administrative Agent:

                         (1)  counterparts hereof duly executed by each Credit
Party and the Required Lenders and written or telephonic notification of such
execution and authorization of delivery thereof; and

                         (2)  such other documents as the Administrative Agent
may reasonably require.

                                  SECTION 7.
                                 MISCELLANEOUS

                 A. Effect of Amendment. Except as specifically provided herein,
                    --------------------
this Amendment does not in any way waive, amend, modify, affect or impair the
terms and conditions of the Forbearance Agreement, the Credit Agreement or the
other Loan Documents, and all terms and conditions of the Forbearance
Agreement, the Credit Agreement and the other Loan Documents are hereby
ratified and confirmed and shall remain in full force and effect unless
otherwise specifically amended, waived, modified or changed pursuant to the
terms and conditions of this Amendment.

                                       4
<PAGE>

                On and after the Amendment Effective Date, each reference in
the Forbearance Agreement to "this Agreement", "hereunder", "hereof", "herein"
or words of like import referring to the Forbearance Agreement, and each
reference in the Credit Agreement or other Loan Documents to the "Forbearance
Agreement", "thereunder", "thereof", or words of like import referring to the
Forbearance Agreement shall mean and be a reference to the Forbearance
Agreement as modified by this Amendment.

                B. Fees and Expenses. The Borrower and each other Credit Party
                   ------------------
ratify and affirm their reimbursement and indemnification obligations under
Section 13.2 of the Credit Agreement, including its obligation to pay all legal
and other fees and expenses incurred by the Administrative Agent and each of
the Lenders in connection with the negotiation, implementation, execution and
enforcement of this Amendment to Forbearance Agreement and any acts
contemplated hereby. Nothing herein shall be construed to limit, affect, modify
or alter the Borrower's obligations under Credit Agreement or elsewhere under
the Loan Documents or the Subsidiary Guarantors' obligations under the
Subsidiary Guaranty Agreement.

                C. No Waiver of Rights Under Loan Documents. Any negotiation
                   -----------------------------------------
heretofore or hereafter and any action undertaken pursuant to this Amendment to
Forbearance Agreement or any Loan Document or during the Forbearance Period
shall not constitute a waiver of any Default or Event of Default (including
without limitation any Existing Event of Default) or of any Administrative
Agent's or Lender's rights or remedies under the Loan Documents or this
Amendment to Forbearance Agreement or prejudice any Administrative Agent's or
Lender's rights under the Loan Documents or this Amendment to Forbearance
Agreement except to the extent specifically set forth herein. No party shall be
bound by any oral agreement, and no rights or liabilities, either expressed or
implied, shall arise on the part of any party, or any third party, until and
unless the agreement on any given issue has been reduced to a written agreement
executed in accordance with the provisions of Section 13.2 of the Credit
Agreement. Furthermore, the parties agree that this Amendment to Forbearance
Agreement may be amended, replaced or supplemented only by a written agreement
executed in accordance with the provisions of Section 13.2 of the Credit
Agreement.

                D. No Waiver of Remedies. The Administrative Agent and each
                   ----------------------
Lender expressly reserves any and all rights and remedies available to it under
this Amendment to Forbearance Agreement, the Loan Documents, any other
agreement or at law or in equity or otherwise. No failure to exercise, or delay
by the Administrative Agent or any Lender in exercising, any right, power or
privilege hereunder or under any Loan Document shall preclude any other or
further exercise thereof, or the exercise of any other right, power or
privilege. The rights and remedies provided in this Amendment to Forbearance
Agreement and the Loan Documents are cumulative and not exhaustive of each
other or of any right or remedy provided by law or equity or otherwise. No
notice to or demand upon the Borrower, in any instance shall, in itself,
entitle the Borrower to any other or further notice or demand in similar or
other circumstances or constitute a waiver of the right of the Administrative
Agent or any Lender to any other or further action in any circumstance without
notice or demand.

                E. No Commitment. This Amendment to Forbearance Agreement is not
                   --------------
intended as a commitment by the Administrative Agent or the Lenders to modify
the Loan Documents in any respect or otherwise, except as expressly provided
herein, and the

                                       5
<PAGE>

Administrative Agent and the Lenders hereby specifically confirm that they make
no such commitment and specifically advise that no action should be taken by
the Borrower based upon any understanding that such a commitment exists or on
any expectation that any such commitment will be made in the future.

                F. Time is of the Essence. Time shall be of the strictest
                   -----------------------
essence in the performance of each and every one of the Borrower's obligations
hereunder and under the Loan Documents, including without limitation, the
obligations to make payments to the Administrative Agent and Lenders, to
furnish information to the Administrative Agent and Lenders and to comply with
all reporting requirements.

                G. Voluntary Agreement. Each of the Borrower, the Subsidiary
                   --------------------
Guarantors, the Administrative Agent and the Lenders understands that this is a
legally binding agreement that may affect such party's rights. Each represents
to the other that it has received legal advice from counsel of its choice in
connection with the negotiation, drafting, meaning and legal significance of
this Amendment to Forbearance Agreement and that it is satisfied with its legal
counsel and the advice received from it. The Borrower and each other Credit
Party (i) has entered into this Amendment to Forbearance Agreement freely and
voluntarily, without coercion, duress, distress or undue influence by the
Administrative Agent or the Lenders or any other person or entity affiliated
with the Borrower or the other Credit Parties or any of their respective
directors, offices, partners, agents or employees and (ii) acknowledges and
agrees that the terms and provisions of this Amendment to Forbearance Agreement
do not conflict with and are consistent with the manner in which it has
determined to conduct its affairs. The Borrower and each other Credit Party
acknowledges and agrees that this Amendment to Forbearance Agreement is a Loan
Document.

                 H. Construction. Should any provision of this Amendment to
                    -------------
Forbearance Agreement require judicial interpretation, it is agreed that a
court interpreting or construing the same shall not apply a presumption that
the terms of this Amendment to Forbearance Agreement shall be more strictly
construed against any party by reason of the rule of construction that a
document is to be construed more strictly against the party who itself or
through its agent prepared the same.

                I. Entire Agreement; Other Matters. This Amendment to
                   --------------------------------
Forbearance Agreement constitutes the entire agreement of the Borrower, the
Subsidiary Guarantors, the Administrative Agent and the Lenders concerning the
subject matter hereof, and all prior or contemporaneous understandings, oral
representations or agreements had among the parties with respect to the subject
matter hereof are merged in, and are contained in, this Amendment to
Forbearance Agreement. This Amendment to Forbearance Agreement is not intended
to confer any rights or benefits on any parties other than the parties hereto
and their respective successors and assigns. If any provision of this Amendment
to Forbearance Agreement shall be unenforceable under applicable law, such
provision shall be ineffective without invalidating the remaining provisions of
this Amendment to Forbearance Agreement.

                J. Binding Agreement. On and as of the Amendment Effective
                   ------------------
Date, this Amendment to Forbearance Agreement shall be effective as to and for
the benefit of the Borrower, the Subsidiary Guarantors, the Administrative Agent
and the Lenders, and thereupon

                                       6
<PAGE>

shall be binding upon and inure to the benefit of each of such signatory
parties and their respective heirs, successors and assigns, except that neither
the Borrower nor any Subsidiary Guarantor shall have the right to assign its
rights hereunder or any interest herein without the prior written consent of
the Administrative Agent and each of the Lenders.

                K. Effect on Loan Documents. The Credit Agreement and other Loan
                   -------------------------
Documents, including the Subsidiary Guaranty Agreement, continue in full force
and effect in accordance with their respective terms. Nothing contained herein
shall constitute a waiver of any Existing Event of Default or future Default or
Event of Default.

                L. Headings. Section and subsection headings in this Amendment
                   --------
to Forbearance Agreement are included herein for convenience of reference only
and shall not constitute a part of Amendment to Forbearance Agreement for any
other purpose or be given any substantive effect.

                M. Applicable Law. THIS AMENDMENT TO FORBEARANCE AGREEMENT AND
                   ---------------
THE RIGHTS AND OBLIGATIONS OF THE PARTIES HEREUNDER SHALL BE GOVERNED BY, AND
SHALL BE CONSTRUED AND ENFORCED IN ACCORDANCE WITH, THE INTERNAL LAWS OF THE
STATE OF NORTH CAROLINA, WITHOUT REGARD TO CONFLICTS OF LAWS PRINCIPLES.

                N. Counterparts. This Amendment to Forbearance Agreement may be
                   -------------
executed in any number of counterparts and by different parties hereto in
separate counterparts, each of which when so executed and delivered shall be
deemed an original, but all such counterparts together shall constitute but one
and the same instrument.

        [THE REMAINDER OF THIS PAGE HAS BEEN INTENTIONALLY LEFT BLANK]

                                       7
<PAGE>

                IN WITNESS WHEREOF, the parties hereto have caused this
Amendment to Forbearance Agreement to be duly executed and delivered by their
respective officers thereunto duly authorized as of the date first written
above.

                                        FIRST UNION NATIONAL BANK,
                                        as a Lender and as Administrative Agent

                                        By:  /s/ Matthew Berk
                                           ------------------------------
                                           Name:  MATTHEW BERK
                                           Title: AUTHORIZED OFFICER

                                        CREDIT LYONNAIS, NEW YORK BRANCH,
                                        as a Lender

                                        By:  /s/ John-Charles Van Essche
                                           ------------------------------
                                           Name:  JOHN-CHARLES VAN ESSCHE
                                           Title: VICE PRESIDENT

                                        SUNTRUST BANK, as a Lender

                                        By:  /s/ Samuel M. Ballesteros
                                           ------------------------------
                                           Name:  SAMUEL M. BALLESTEROS
                                           Title: DIRECTOR

                                        FLEET NATIONAL BANK, as a Lender

                                        By:  /s/ Fred P. Lucy, II
                                           ------------------------------
                                           Name:  FRED P. LUCY, II
                                           Title: VICE PRESIDENT

                                        SOUTHTRUST BANK, as a Lender

                                        By:  /s/ B.E. Dishman
                                           ------------------------------
                                           Name:  B.E. DISHMAN
                                           Title: VICE PRESIDENT

                                      S-1
<PAGE>

                                        COOPERATIEVE CENTRALE RAIFFEISEN-
                                        BOERENLEEBANK BA "RABOBANK
                                        NEDERLAND", NEW YORK BRANCH, as a Lender

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

                                        BANK OF AMERICA, N.A., as a Lender

                                        By:  /s/ Joseph M. Martens
                                            ----------------------------
                                            Name:  JOSEPH M. MARTENS
                                            Title: SENIOR VICE PRESIDENT

                                        AMSOUTH BANK, as a Lender

                                        By:  /s/ William R. Hoog
                                            ----------------------------
                                            Name:  WILLIAM R. HOOG
                                            Title: VICE PRESIDENT
                                                   AMSOUTH BANK

                                        HIBERNIA NATIONAL BANK, as a Lender

                                        By:  /s/ Tammy Angelety
                                            ----------------------------
                                            Name:  TAMMY ANGELETY
                                            Title: VICE PRESIDENT

                                        FIFTH THIRD BANK, CENTRAL OHIO, as a
                                        Lender

                                        By:  /s/ Mark Ransom
                                            ----------------------------
                                            Name:  MARK RANSOM
                                            Title: VICE PRESIDENT

                                      S-2
<PAGE>

                                        Borrower:

                                        PLANVISTA CORPORATION, as Borrower

                                        By:  /s/ Phillip S. Dingle
                                            ----------------------------
                                            Phillip S. Dingle
                                            Chairman and Chief Executive Officer

                                        OTHER CREDIT PARTIES:

                                        PLANVISTA SOLUTIONS, INC. (f/k/a
                                        NATIONAL PREFERRED PROVIDER
                                        NETWORK, INC.)

                                        By:  /s/ Phillip S. Dingle
                                            ----------------------------
                                            Phillip S. Dingle
                                            Chief Executive Officer

                                        NATIONAL NETWORK SERVICES, INC.

                                        By:  /s/ Phillip S. Dingle
                                            ----------------------------
                                            Phillip S. Dingle
                                            Secretary and Treasurer

                                        QUALITY MEDICAL ADMINISTRATORS, INC.

                                        By:  /s/ Phillip S. Dingle
                                            ----------------------------
                                            Phillip S. Dingle
                                            Secretary and Treasurer

                                        HPS OF DELAWARE LLC (f/k/a CENTRA
                                        HEALTHPLAN LLC)

                                        By:  /s/ Phillip S. Dingle
                                            ----------------------------
                                            Phillip S. Dingle
                                            Title: President

                                      S-3

<PAGE>

                                        HPS OF LOUISIANA, INC. (f/k/a EMPLOYEE
                                        BENEFIT SERVICES, INC.)

                                        By:  /s/ Phillip S. Dingle
                                            ----------------------------
                                            Phillip S. Dingle
                                            President

                                        HPS OF MISSOURI, INC. (f/k/a REH
                                        AGENCU OF MISSOURI, INC.)

                                        By:  /s/ Phillip S. Dingle
                                            ----------------------------
                                            Phillip S. Dingle
                                            Secretary and Treasurer

                                      S-4
<PAGE>

                                                                       EXECUTION

                              PLANVISTA CORPORATION

                       SECOND AMENDMENT AND LIMITED WAIVER
                            TO FORBEARANCE AGREEMENT

                THIS SECOND AMENDMENT AND LIMITED WAIVER TO FORBEARANCE
AGREEMENT (this "Amendment to Forbearance Agreement") is dated as of October
19, 2001, by and among PLANVISTA CORPORATION (f/k/a HEALTHPLAN SERVICES
CORPORATION), a Delaware corporation (the "Borrower"), THE LENDERS LISTED ON
THE SIGNATURE PAGES HEREOF (the "Lenders"), FIRST UNION NATIONAL BANK ("First
Union"), as administrative agent (the "Administrative Agent"), and the Credit
Parties listed on the signature pages hereof, and is made with reference to:
(i) that certain Second Amended and Restated Credit Agreement dated as of June
8, 2000 by and among the Borrower, the Lenders and the Administrative Agent (as
modified by the Limited Waiver and Consent thereto dated as of June 29, 2000,
the Limited Waiver and Consent thereto dated as of September 12, 2000, the
Limited Waiver thereto dated as of September 19, 2000, the Limited Waiver and
Consent thereto dated as of September 19, 2000, the Limited Waiver and Consent
thereto dated as of October 19, 2000, the Limited Waiver thereto dated as of
December 8, 2000, the First Amendment and Limited Waiver and Consent thereto
dated as of March 29, 2001, the Second Amendment and Limited Waiver and Consent
thereto dated as of April 16, 2001, the Limited Waiver and Consent thereto
dated as of April 30, 2001, the Limited Waiver and Consent thereto dated as
of May 4, 2001, the Limited Waiver and Extension thereto dated as of June 15,
2001, the Third Amendment and Limited Waiver thereto dated as of July 2, 2001
and as such agreement may have otherwise been amended, restated, supplemented
or otherwise modified from time to time prior to the date hereof, the "Credit
Agreement") and (ii) that certain Forbearance Agreement dated as of September
1, 2001 by and among the Borrower, the Credit Parties listed on the signature
pages thereto, the Lenders and the Administrative Agent (as amended by the
First Amendment thereto dated as of September 30, 2001 and as such agreement
may have otherwise been amended, restated, supplemented or otherwise modified
from time to time prior to the date hereof, the "Forbearance Agreement").
Capitalized terms used herein without definition shall have the meanings set
forth in the Forbearance Agreement, except to the extent not defined herein or
therein such terms shall have the meanings ascribed to them in the Credit
Agreement.

                                R E C I T A L S
                                - - - - - - - -

                 A. Each of the Existing Events of Default listed in clause A of
the recitals to the Forbearance Agreement is continuing.

                 B. The Borrower has requested that the Administrative Agent and
the Lenders enter into this Amendment to Forbearance Agreement, and the
Administrative Agent and the Lenders have agreed to do so, but only to the
extent, and on the terms, set forth expressly below.
<PAGE>

                 NOW, THEREFORE, for good and valuable consideration, the
receipt and sufficiency of which are hereby acknowledged by the parties hereto,
the parties hereby agree as follows:

                                  SECTION 2.
                                ACKNOWLEDGMENTS

                 A. The Borrower and each other Credit Party acknowledges that
each of the Existing Events of Default is continuing.

                 B. The Borrower and each other Credit Party acknowledges and
agrees with the Administrative Agent and each of the Lenders that: (i) it has
no claim or cause of action against the Administrative Agent or any of the
Lenders (or any of the Administrative Agent's or any Lender's directors,
officers, shareholders, employees, agents or affiliates); and (ii) it has no
offset, right, counterclaim or defense of any kind against or with respect to
any of the Obligations. The Administrative Agent and each of the Lenders desire
(and the Borrower and each other Credit Party agrees) to eliminate any
possibility that any past conditions, acts, omissions, events, circumstances or
matters would impair or otherwise adversely affect any of the rights,
interests, contracts, collateral security or remedies of the Administrative
Agent or any of the Lenders. Therefore, the Borrower and each other Credit
Party on behalf of itself and each of its Subsidiaries and Affiliates
unconditionally, freely, voluntarily and after consultation with counsel
releases, waives and forever discharges the Administrative Agent and each of
the Lenders, and their respective directors, officers, shareholders, employees,
agents and affiliates, (x) from any and all claims, liabilities, obligations,
duties, promises or indebtedness of any kind (if any), known or unknown, and
(y) from all claims, offsets, causes of action, suits or defenses of any kind
whatsoever (if any), whether known or unknown, which the Borrower or any of the
other Credit Parties might otherwise have against the Administrative Agent or
any of the Lenders or any of the Administrative Agent's or any of the Lenders'
directors, officers, shareholders, employees, agents or affiliates, in either
case set forth in clauses (x) or (y) above in this Section 2.B, on account of
any condition, act, omission, event, contract, liability, obligation,
indebtedness, claim, cause of action, defense, circumstance or matter of any
kind whatsoever which existed arose or occurred at any time prior to the date
hereof.

                C. The Borrower and each other Credit Party hereby ratifies and
reaffirms the validity and enforceability of all of the Liens and security
interests heretofore granted, pursuant to the Security Documents, to the
Administrative Agent, for itself and on behalf of the several Lenders, as
collateral security for the Obligations, and acknowledges that all of such
Liens and security interests, and all collateral heretofore pledged as security
for the Obligations, continues to be and remain collateral for the Obligations
from and after the date hereof. Without limiting the foregoing, the Borrower
and each other Credit Party acknowledges and agrees that, pursuant and subject
to the Security Documents, the Administrative Agent, for itself and on behalf
of all of the Lenders, is entitled to receive and apply all proceeds of
Collateral.

                                  SECTION 3.
                    AMENDMENTS TO THE FORBEARANCE AGREEMENT

                                       2
<PAGE>

                    A. Amendment to Section 4.E. Section 4.E of the Forbearance
                       -------------------------
Agreement is hereby deleted in its entirety and the following new Section 4.E
substituted therefor:

                    "E. Reserved."
                        --------

                    B. Amendment to Section 10.B. Section 10.B of the
                       --------------------------
Forbearance Agreement is hereby amended to delete the references to "Section
13.2" appearing therein and substituting therefor a reference to "Section
13.12".

                                  SECTION 4.
                 LIMITED WAIVERS TO THE FORBEARANCE AGREEMENT

                A. Forbearance Period Interest Payments. On the basis of the
                   -------------------------------------
representations and warranties contained in this Amendment to Forbearance
Agreement, and subject to the terms and conditions of this Amendment to
Forbearance Agreement, the Administrative Lenders and Lenders hereby agree to
waive until November 11, 2001, compliance with the proviso appearing at the
end of Section 3.B solely with respect to payments in respect of interest on
the Loans due October 31, 2001.

                B. Payments With Respect to Subject Obligations. On the basis
                   ---------------------------------------------
of the representations and warranties contained in this Amendment to
Forbearance Agreement, and subject to the terms and conditions of this
Amendment to Forbearance Agreement, the Administrative Lenders and Lenders
hereby agree to waive until November 11, 2001, compliance with Section
5.A(3)(a) of the Forbearance Agreement relating to minimum aggregate payments
with respect to the Subject Obligations as of October 31, 2001.

                                  SECTION 5.

                             LIMITATION OF WAIVER

                Except as expressly provided in this Amendment to Forbearance
Agreement, the Forbearance Agreement and each other Loan Document shall
continue to be, and shall remain, in full force and effect. Without limiting
the generality of the provisions of Section 10.B of the Forbearance Agreement
and Section 13.12 of the Credit Agreement, the waivers set forth above shall be
limited precisely as written and relate solely to noncompliance by the Borrower
with the provisions of Sections 3.B and 5.A(3)(a) of the Forbearance Agreement
in manner and to the extent described above and nothing in this Amendment to
Forbearance Agreement shall be deemed or otherwise construed to:

                         (1) constitute a waiver of, or consent to or a
modification or amendment of (i) Sections 3.B and 5.A(3)(a) of the Forbearance
Agreement in any other instance or (ii) any other term or condition of the
Forbearance Agreement or any other Loan Document;

                         (2) prejudice any other right or rights that the
Administrative Agent or the Lenders, or any of them, may now have or may have in
the future under or in connection with the Forbearance Agreement or the other
Loan Documents;

                         (3) constitute a commitment or any other undertaking or
expression of any willingness to engage in any further discussion with the
Borrower or any other person, firm

                                       3
<PAGE>

or corporation with respect to any waiver, amendment, modification or any other
change to the Forbearance Agreement or the other Loan Documents or any rights
or remedies arising in favor of the Lenders or the Administrative Agent, or any
of them, under or with respect to any such documents; or

                         (4) constitute a waiver of, or consent to or a
modification or amendment of, any other term or condition of any other agreement
by and among the Borrower, on the one hand, and the Administrative Agent or any
other Lender, on the other hand.

                                  SECTION 6.

                        REPRESENTATIONS AND WARRANTIES

                In order to induce the Administrative Agent and Lenders to
enter into this Amendment to Forbearance Agreement, the Borrower hereby
represents and warrants to the Administrative Agent and Lenders that:

                A. Authorization; Binding Obligations. Each Credit Party has
                   -----------------------------------
all requisite corporate power and authority to enter into this Amendment to
Forbearance Agreement. The execution, delivery and performance of this
Amendment to Forbearance Agreement have been duly authorized by all necessary
corporate action by each Credit Party. This Amendment to Forbearance Agreement
has been duly executed and delivered by each Credit Party and is the legal,
valid and binding obligation of each Credit Party, enforceable against each
Credit Party in accordance with its terms, except to the extent that the
enforceability thereof may be limited by applicable bankruptcy, insolvency,
fraudulent conveyance, reorganization, moratorium or similar laws generally
affecting creditors' rights and by equitable principles (regardless of whether
enforcement is sought in equity or at law). The Credit Agreement constitutes
the legal, valid and binding obligation of each Credit Party, enforceable
against each Credit Party in accordance with its terms, except to the extent
that the enforceability thereof may be limited by applicable bankruptcy,
insolvency, fraudulent conveyance, reorganization, moratorium or similar laws
generally affecting creditors' rights and by equitable principles (regardless
of whether enforcement is sought in equity or at law).

                B. Incorporation of Representations. Each representation and
                   ---------------------------------
warranty of each Credit Party contained in each of the Loan Documents is true,
correct and complete in all material respects on and as of the Second Amendment
Effective Date (as defined below) to the same extent as though made on and as
of the Second Amendment Effective Date, except to the extent such
representations and warranties relate to an earlier date, in which case they
were true, correct and complete in all material respects as of such earlier
date.

                C. Absence of Defaults. Other than the Existing Events of
                   --------------------
Default, no event has occurred and is continuing or would result from the
execution, delivery or performance of this Amendment to Forbearance Agreement
that constitutes or would constitute a Default or Event of Default after giving
effect to this Amendment to Forbearance Agreement.

                 D. Financial Projections. All financial projections concerning
                    ----------------------
the Borrower and its Subsidiaries that have been or are hereafter made available
to the Administrative Agent or the other Lenders by the Borrower or any of its
representatives in connection with the

                                       4
<PAGE>

transactions contemplated hereby (the "Projections") have been (or will be, in
the case of Projections made available after the date hereof) prepared in good
faith based upon reasonable assumptions.

                 E. Performance. The Borrower has performed in all material
                    ------------
respects all agreements to be performed on its part on or before the date
hereof as set forth in the Credit Agreement.

                                  SECTION 7.
                 ACKNOWLEDGEMENT AND CONSENT BY CREDIT PARTIES

                 The Borrower and each other Credit Party executing a
counterpart hereto agrees to and acknowledges the terms and provisions of this
Amendment to Forbearance Agreement and confirms that each Loan Document to
which such Credit Party is a party shall continue in full force and effect and
that all of its obligations thereunder shall be valid and enforceable and shall
not be impaired or affected by the execution of this Amendment to Forbearance
Agreement, except as specifically provided herein. The Borrower and each other
Credit Party executing a counterpart hereof represents and warrants that all
representations and warranties contained in each Loan Document to which such
Credit Party is a party are true, correct and complete in all material respects
as of the date hereof to the same extent as though made on each such date and
that the Borrower and each such Credit Party has performed in all material
respects all agreements to be performed on its part on or before the date
hereof as set forth in the Loan Documents.

                                  SECTION 8.
                          CONDITIONS TO EFFECTIVENESS

                This Amendment to Forbearance Agreement shall become effective
as of the date hereof (the "Second Amendment Effective Date") only upon receipt
of the following by the Administrative Agent:

                (1) counterparts hereof duly executed by each Credit Party and
the Required Lenders and written or telephonic notification of such execution
and authorization of delivery thereof; and

                (2) such other documents as the Administrative Agent may
reasonably require.

                                  SECTION 9.
                                 MISCELLANEOUS

                A. Effect of Amendment. Except as specifically provided herein,
                   --------------------
this Amendment does not in any way waive, amend, modify, affect or impair the
terms and conditions of the Forbearance Agreement, the Credit Agreement or the
other Loan Documents, and all terms and conditions of the Forbearance
Agreement, the Credit Agreement and the other Loan Documents are hereby
ratified and confirmed and shall remain in full force and effect unless
otherwise specifically amended, waived, modified or changed pursuant to the
terms and conditions of this Amendment.

                                       5
<PAGE>

                On and after the Second Amendment Effective Date, each
reference in the Forbearance Agreement to "this Agreement", "hereunder",
"hereof", "herein" or words of like import referring to the Forbearance
Agreement, and each reference in the Credit Agreement or other Loan Documents
to the "Forbearance Agreement", "thereunder", "thereof", or words of like
import referring to the Forbearance Agreement shall mean and be a reference to
the Forbearance Agreement as modified by this Amendment.

                B. Fees and Expenses. The Borrower and each other Credit Party
                   ------------------
ratify and affirm their reimbursement and indemnification obligations under
Section 13.2 of the Credit Agreement, including its obligation to pay all legal
and other fees and expenses incurred by the Administrative Agent and each of the
Lenders in connection with the negotiation, implementation, execution and
enforcement of this Amendment to Forbearance Agreement and any acts contemplated
hereby. Nothing herein shall be construed to limit, affect, modify or alter the
Borrower's obligations under Credit Agreement or elsewhere under the Loan
Documents or the Subsidiary Guarantors' obligations under the Subsidiary
Guaranty Agreement.

                C. No Waiver of Rights Under Loan Documents. Any negotiation
                   -----------------------------------------
heretofore or hereafter and any action undertaken pursuant to this Amendment to
Forbearance Agreement or any Loan Document or during the Forbearance Period
shall not constitute a waiver of any Default or Event of Default (including
without limitation any Existing Event of Default) or of any Administrative
Agent's or Lender's rights or remedies under the Loan Documents or this
Amendment to Forbearance Agreement or prejudice any Administrative Agent's or
Lender's rights under the Loan Documents or this Amendment to Forbearance
Agreement except to the extent specifically set forth herein. No party shall be
bound by any oral agreement, and no rights or liabilities, either expressed or
implied, shall arise on the part of any party, or any third party, until and
unless the agreement on any given issue has been reduced to a written agreement
executed in accordance with the provisions of Section 13.12 of the Credit
Agreement. Furthermore, the parties agree that this Amendment to Forbearance
Agreement may be amended, replaced or supplemented only by a written agreement
executed in accordance with the provisions of Section 13.12 of the Credit
Agreement.

                D. No Waiver of Remedies. The Administrative Agent and each
                   ----------------------
Lender expressly reserves any and all rights and remedies available to it under
this Amendment to Forbearance Agreement, the Loan Documents, any other
agreement or at law or in equity or otherwise. No failure to exercise, or delay
by the Administrative Agent or any Lender in exercising, any right, power or
privilege hereunder or under any Loan Document shall preclude any other or
further exercise thereof, or the exercise of any other right, power or
privilege. The rights and remedies provided in this Amendment to Forbearance
Agreement and the Loan Documents are cumulative and not exhaustive of each
other or of any right or remedy provided by law or equity or otherwise. No
notice to or demand upon the Borrower, in any instance shall, in itself,
entitle the Borrower to any other or further notice or demand in similar or
other circumstances or constitute a waiver of the right of the Administrative
Agent or any Lender to any other or further action in any circumstance without
notice or demand.

                E. No Commitment. This Amendment to Forbearance Agreement is not
                   -------------
intended as a commitment by the Administrative Agent or the Lenders to modify
the Loan Documents in any respect or otherwise, except as expressly provided
herein, and the

                                       6
<PAGE>

Administrative Agent and the Lenders hereby specifically confirm that they make
no such commitment and specifically advise that no action should be taken by
the Borrower based upon any understanding that such a commitment exists or on
any expectation that any such commitment will be made in the future.

                F. Time is of the Essence. Time shall be of the strictest
                   -----------------------
essence in the performance of each and every one of the Borrower's obligations
hereunder and under the Loan Documents, including without limitation, the
obligations to make payments to the Administrative Agent and Lenders, to
furnish information to the Administrative Agent and Lenders and to comply with
all reporting requirements.

                G. Voluntary Agreement. Each of the Borrower, the Subsidiary
                   --------------------
Guarantors, the Administrative Agent and the Lenders understands that this is a
legally binding agreement that may affect such party's rights. Each represents
to the other that it has received legal advice from counsel of its choice in
connection with the negotiation, drafting, meaning and legal significance of
this Amendment to Forbearance Agreement and that it is satisfied with its legal
counsel and the advice received from it. The Borrower and each other Credit
Party (i) has entered into this Amendment to Forbearance Agreement freely and
voluntarily, without coercion, duress, distress or undue influence by the
Administrative Agent or the Lenders or any other person or entity affiliated
with the Borrower or the other Credit Parties or any of their respective
directors, offices, partners, agents or employees and (ii) acknowledges and
agrees that the terms and provisions of this Amendment to Forbearance Agreement
do not conflict with and are consistent with the manner in which it has
determined to conduct its affairs. The Borrower and each other Credit Party
acknowledges and agrees that this Amendment to Forbearance Agreement is a Loan
Document.

                 H. Construction. Should any provision of this Amendment to
                    -------------
Forbearance Agreement require judicial interpretation, it is agreed that a court
interpreting or construing the same shall not apply a presumption that the terms
of this Amendment to Forbearance Agreement shall be more strictly construed
against any party by reason of the rule of construction that a document is to be
construed more strictly against the party who itself or through its agent
prepared the same.

                 I. Entire Agreement; Other Matters. This Amendment to
                    --------------------------------
Forbearance Agreement constitutes the entire agreement of the Borrower, the
Subsidiary Guarantors, the Administrative Agent and the Lenders concerning the
subject matter hereof, and all prior or contemporaneous understandings, oral
representations or agreements had among the parties with respect to the subject
matter hereof are merged in, and are contained in, this Amendment to
Forbearance Agreement. This Amendment to Forbearance Agreement is not intended
to confer any rights or benefits on any parties other than the parties hereto
and their respective successors and assigns. If any provision of this Amendment
to Forbearance Agreement shall be unenforceable under applicable law, such
provision shall be ineffective without invalidating the remaining provisions of
this Amendment to Forbearance Agreement.

                 J. Binding Agreement. On and as of the Second Amendment
                    ------------------
Effective Date, this Amendment to Forbearance Agreement shall be effective as to
and for the benefit of the Borrower, the Subsidiary Guarantors, the
Administrative Agent and the Lenders, and

                                       7
<PAGE>

thereupon shall be binding upon and inure to the benefit of each of such
signatory parties and their respective heirs, successors and assigns, except
that neither the Borrower nor any Subsidiary Guarantor shall have the right to
assign its rights hereunder or any interest herein without the prior written
consent of the Administrative Agent and each of the Lenders.

                 K. Effect on Loan Documents. The Credit Agreement and other
                    -------------------------
Loan Documents, including the Subsidiary Guaranty Agreement, continue in full
force and effect in accordance with their respective terms. Nothing contained
herein shall constitute a waiver of any Existing Event of Default or future
Default or Event of Default.

                 L. Headings. Section and subsection headings in this Amendment
                    ---------
to Forbearance Agreement are included herein for convenience of reference only
and shall not constitute a part of Amendment to Forbearance Agreement for any
other purpose or be given any substantive effect.

                 M. Applicable Law. THIS AMENDMENT TO FORBEARANCE AGREEMENT
                    ---------------
AND THE RIGHTS AND OBLIGATIONS OF THE PARTIES HEREUNDER SHALL BE GOVERNED BY,
AND SHALL BE CONSTRUED AND ENFORCED IN ACCORDANCE WITH, THE INTERNAL LAWS OF THE
STATE OF NORTH CAROLINA, WITHOUT REGARD TO CONFLICTS OF LAWS PRINCIPLES.

                 N. Counterparts. This Amendment to Forbearance Agreement may be
                    -------------
executed in any number of counterparts and by different parties hereto in
separate counterparts, each of which when so executed and delivered shall be
deemed an original, but all such counterparts together shall constitute but one
and the same instrument.

        [THE REMAINDER OF THIS PAGE HAS BEEN INTENTIONALLY LEFT BLANK]

                                       8
<PAGE>

                IN WITNESS WHEREOF, the parties hereto have caused this
Amendment to Forbearance Agreement to be duly executed and delivered by their
respective officers thereunto duly authorized as of the date first written
above.

                                        FIRST UNION NATIONAL BANK,
                                        as a Lender and as Administrative Agent

                                        By:  /s/ Matthew Berk
                                           ------------------------------
                                           Name:  MATTHEW BERK
                                           Title: AUTHORIZED OFFICER

                                        CREDIT LYONNAIS, NEW YORK BRANCH,
                                        as a Lender

                                        By:  /s/ John-Charles Van Essche
                                           ------------------------------
                                           Name:  JOHN-CHARLES VAN ESSCHE
                                           Title: VICE PRESIDENT

                                        SUNTRUST BANK, as a Lender

                                        By:  /s/ Samuel M. Ballesteros
                                           ------------------------------
                                           Name:  SAMUEL M. BALLESTEROS
                                           Title: DIRECTOR

                                        FLEET NATIONAL BANK, as a Lender

                                        By:  /s/ Fred P. Lucy, II
                                           ------------------------------
                                           Name:  FRED P. LUCY, II
                                           Title: VICE PRESIDENT

                                        SOUTHTRUST BANK, as a Lender

                                        By:  /s/ B.E. Dishman
                                           ------------------------------
                                           Name:  B.E. DISHMAN
                                           Title: VICE PRESIDENT

                                      S-1

<PAGE>

                                        COOPERATIEVE CENTRALE RAIFFEISEN-
                                        BOERENLEEBANK BA "RABOBANK
                                        NEDERLAND", NEW YORK BRANCH, as a Lender

                                        By: /s/ John McMahon
                                            ----------------------------
                                            Name:  JOHN MCMAHON
                                            Title: VICE PRESIDENT

                                        BANK OF AMERICA, N.A., as a Lender

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

                                        AMSOUTH BANK, as a Lender

                                        By:  /s/ William R. Hoog
                                            ----------------------------
                                            Name:  WILLIAM R. HOOG
                                            Title: VICE PRESIDENT
                                                   AMSOUTH BANK

                                        HIBERNIA NATIONAL BANK, as a Lender

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

                                        FIFTH THIRD BANK, CENTRAL OHIO, as a
                                        Lender

                                        By:  /s/ Mark Ransom
                                            ----------------------------
                                            Name:  MARK RANSOM
                                            Title: VICE PRESIDENT

                                      S-2

<PAGE>

                                        Borrower:

                                        PLANVISTA CORPORATION, as Borrower

                                        By:  /s/ Phillip S. Dingle
                                            ----------------------------
                                            Phillip S. Dingle
                                            Chairman and Chief Executive Officer

                                        OTHER CREDIT PARTIES:

                                        PLANVISTA SOLUTIONS, INC. (f/k/a
                                        NATIONAL PREFERRED PROVIDER
                                        NETWORK, INC.)

                                        By:  /s/ Phillip S. Dingle
                                            ----------------------------
                                            Phillip S. Dingle
                                            Chief Executive Officer

                                        NATIONAL NETWORK SERVICES, INC.

                                        By:  /s/ Phillip S. Dingle
                                            ----------------------------
                                            Phillip S. Dingle
                                            Secretary and Treasurer

                                        QUALITY MEDICAL ADMINISTRATORS, INC.

                                        By:  /s/ Phillip S. Dingle
                                            ----------------------------
                                            Phillip S. Dingle
                                            Secretary and Treasurer

                                        HPS OF DELAWARE LLC (f/k/a CENTRA
                                        HEALTHPLAN LLC)

                                        By:  /s/ Phillip S. Dingle
                                            ----------------------------
                                            Phillip S. Dingle
                                            Title: President

                                      S-3

<PAGE>

                                        HPS OF LOUISIANA, INC. (f/k/a EMPLOYEE
                                        BENEFIT SERVICES, INC.)

                                        By:  /s/ Phillip S. Dingle
                                            ----------------------------
                                            Phillip S. Dingle
                                            President

                                        HPS OF MISSOURI, INC. (f/k/a REH
                                        AGENCU OF MISSOURI, INC.)

                                        By:  /s/ Phillip S. Dingle
                                            ----------------------------
                                            Phillip S. Dingle
                                            Secretary and Treasurer

                                      S-4
<PAGE>

                                                                       EXECUTION

                             PLANVISTA CORPORATION

                      THIRD AMENDMENT AND LIMITED WAIVER
                           TO FORBEARANCE AGREEMENT

          THIS THIRD AMENDMENT AND LIMITED WAIVER TO FORBEARANCE AGREEMENT (this
"Amendment to Forbearance Agreement") is dated as of November 11, 2001, by and
among PLANVISTA CORPORATION (f/k/a HEALTHPLAN SERVICES CORPORATION), a Delaware
corporation (the "Borrower"), THE LENDERS LISTED ON THE SIGNATURE PAGES HEREOF
(the "Lenders"), FIRST UNION NATIONAL BANK ("First Union"), as administrative
agent (the "Administrative Agent"), and the Credit Parties listed on the
signature pages hereof, and is made with reference to:  (i) that certain Second
Amended and Restated Credit Agreement dated as of June 8, 2000 by and among the
Borrower, the Lenders and the Administrative Agent (as modified by the Limited
Waiver and Consent thereto dated as of June 29, 2000, the Limited Waiver and
Consent thereto dated as of September 12, 2000, the Limited Waiver thereto dated
as of September 19, 2000, the Limited Waiver and Consent thereto dated as of
September 19, 2000, the Limited Waiver and Consent thereto dated as of October
19, 2000, the Limited Waiver thereto dated as of December 8, 2000, the First
Amendment and Limited Waiver and Consent thereto dated as of March 29, 2001, the
Second Amendment and Limited Waiver and Consent thereto dated as of April 16,
2001, the Limited Waiver and Consent thereto dated as of April 30, 2001, the
Limited Waiver and Consent thereto dated as of May 4, 2001, the Limited Waiver
and Extension thereto dated as of June 15, 2001, the Third Amendment and Limited
Waiver thereto dated as of July 2, 2001 and as such agreement may have otherwise
been amended, restated, supplemented or otherwise modified from time to time
prior to the date hereof, the "Credit Agreement") and (ii) that certain
Forbearance Agreement dated as of September 1, 2001 by and among the Borrower,
the Credit Parties listed on the signature pages thereto, the Lenders and the
Administrative Agent (as amended by the First Amendment thereto dated as of
September 30, 2001, the Second Amendment and Limited Waiver thereto dated as of
October 19, 2001 and as such agreement may have otherwise been amended,
restated, supplemented or otherwise modified from time to time prior to the date
hereof, the "Forbearance Agreement").  Capitalized terms used herein without
definition shall have the meanings set forth in the Forbearance Agreement,
except to the extent not defined herein or therein such terms shall have the
meanings ascribed to them in the Credit Agreement.

                                R E C I T A L S
                                ---------------

          A.   Each of the Existing Events of Default listed in clause A of the
recitals to the Forbearance Agreement is continuing.

          B.   The Borrower has requested that the Administrative Agent and the
Lenders enter into this Amendment to Forbearance Agreement, and the
Administrative Agent and the Lenders have agreed to do so, but only to the
extent, and on the terms, set forth expressly below.

          NOW, THEREFORE, for good and valuable consideration, the receipt and
sufficiency of which are hereby acknowledged by the parties hereto, the parties
hereby agree as follows:

                                  SECTION 2.
                                ACKNOWLEDGMENTS

          A.   The Borrower and each other Credit Party acknowledges that each
of the Existing Events of Default is continuing.

          B.   The Borrower and each other Credit Party acknowledges and agrees
with the Administrative Agent and each of the Lenders that:  (i) it has no claim
or cause of action against the Administrative Agent or any of the Lenders (or
any of the Administrative Agent's or any Lender's directors, officers,
shareholders, employees, agents or affiliates); and (ii) it has no offset,
right, counterclaim or defense of any kind against or with respect to any of the
Obligations.  The Administrative Agent and each of the Lenders desire (and the
Borrower and
<PAGE>

each other Credit Party agrees) to eliminate any possibility that any past
conditions, acts, omissions, events, circumstances or matters would impair or
otherwise adversely affect any of the rights, interests, contracts, collateral
security or remedies of the Administrative Agent or any of the Lenders.
Therefore, the Borrower and each other Credit Party on behalf of itself and each
of its Subsidiaries and Affiliates unconditionally, freely, voluntarily and
after consultation with counsel releases, waives and forever discharges the
Administrative Agent and each of the Lenders, and their respective directors,
officers, shareholders, employees, agents and affiliates, (x) from any and all
claims, liabilities, obligations, duties, promises or indebtedness of any kind
(if any), known or unknown, and (y) from all claims, offsets, causes of action,
suits or defenses of any kind whatsoever (if any), whether known or unknown,
which the Borrower or any of the other Credit Parties might otherwise have
against the Administrative Agent or any of the Lenders or any of the
Administrative Agent's or any of the Lenders' directors, officers, shareholders,
employees, agents or affiliates, in either case set forth in clauses (x) or (y)
above in this Section 2.B, on account of any condition, act, omission, event,
contract, liability, obligation, indebtedness, claim, cause of action, defense,
circumstance or matter of any kind whatsoever which existed arose or occurred at
any time prior to the date hereof.

          C.   The Borrower and each other Credit Party hereby ratifies and
reaffirms the validity and enforceability of all of the Liens and security
interests heretofore granted, pursuant to the Security Documents, to the
Administrative Agent, for itself and on behalf of the several Lenders, as
collateral security for the Obligations, and acknowledges that all of such Liens
and security interests, and all collateral heretofore pledged as security for
the Obligations, continues to be and remain collateral for the Obligations from
and after the date hereof.  Without limiting the foregoing, the Borrower and
each other Credit Party acknowledges and agrees that, pursuant and subject to
the Security Documents, the Administrative Agent, for itself and on behalf of
all of the Lenders, is entitled to receive and apply all proceeds of Collateral.

                                  SECTION 3.
                    AMENDMENT TO THE FORBEARANCE AGREEMENT

          Amendment to Section 5.B.  Clause (1) of Section 5.B of the
          ------------------------
Forbearance Agreement is hereby deleted in its entirety and the following new
clause (1) substituted therefor:

               "(1)  Any amount required to be applied as a mandatory prepayment
     of the Obligations pursuant to Sections 5A(1) and (2) of this Agreement
     shall be applied first, to Outstanding Professional Fees, second, to the
                      -----                                    ------
     extent of any remaining portion of such amount, to the Incurred Fees,
     third, to the extent of any remaining portion of such amount, to the
     -----
     Forbearance Fee (as defined below), fourth, to the extent of any remaining
                                         ------
     portion of such amount, to the Interest Forbearance Fee (as defined below),
     fifth, to the extent of any remaining portion of such amount, to
     -----
     Outstanding Interest, and sixth, to the extent of any remaining portion of
                               -----
     such amount, to the Loans as set forth in Section 2.3(b)(iv) of the Credit
     Agreement.  Each date for payment set forth in this Section 5 shall be
     referred to as a "Recapture Date".  For the avoidance of doubt and
     notwithstanding anything herein to the contrary, the mandatory prepayment
     requirements of Section 2.3(b)(iii) of the Credit Agreement and the
     application of such mandatory prepayments as provided in Section 2.3(b)(iv)
     of the Credit Agreement shall remain in full force and effect, including,
     without limitation, the requirement that one hundred percent (100%) of Net
     Securities Proceeds from the issuance of any equity or Debt Securities of
     the Borrower shall be used by the Borrower to prepay the Loans."

                                  SECTION 4.
                 LIMITED WAIVERS TO THE FORBEARANCE AGREEMENT

          A.   Forbearance Period Interest Payments.  On the basis of the
               ------------------------------------
representations and warranties contained in this Amendment to Forbearance
Agreement, and subject to the terms and conditions of this Amendment to
Forbearance Agreement, the Administrative Lenders and Lenders hereby agree to
waive until December 15, 2001, compliance with the proviso appearing at the end
of Section 3.B solely with respect to payments in respect of interest on the
Loans due October 31, 2001 and November 30, 2001.

          B.   Payments With Respect to Subject Obligations.  On the basis of
               --------------------------------------------
the representations and warranties contained in this Amendment to Forbearance
Agreement, and subject to the terms and conditions of this Amendment to
Forbearance Agreement, the

                                       2
<PAGE>

Administrative Lenders and Lenders hereby agree to waive until December 15,
2001, compliance with Section 5.A(3)(a) of the Forbearance Agreement relating to
minimum aggregate payments with respect to the Subject Obligations as of October
31, 2001 and November 30, 2001.

                                  SECTION 5.
                             LIMITATION OF WAIVER

          Except as expressly provided in this Amendment to Forbearance
Agreement, the Forbearance Agreement and each other Loan Document shall continue
to be, and shall remain, in full force and effect.  Without limiting the
generality of the provisions of Section 10.B of the Forbearance Agreement and
Section 13.12 of the Credit Agreement, the waivers set forth above shall be
limited precisely as written and relate solely to noncompliance by the Borrower
with the provisions of Sections 3.B and 5.A(3)(a) of the Forbearance Agreement
in manner and to the extent described above and nothing in this Amendment to
Forbearance Agreement shall be deemed or otherwise construed to:

               (1)  constitute a waiver of, or consent to or a modification or
amendment of (i) Sections 3.B and 5.A(3)(a) of the Forbearance Agreement in any
other instance or (ii) any other term or condition of the Forbearance Agreement
or any other Loan Document;

               (2)  prejudice any other right or rights that the Administrative
Agent or the Lenders, or any of them, may now have or may have in the future
under or in connection with the Forbearance Agreement or the other Loan
Documents;

               (3)  constitute a commitment or any other undertaking or
expression of any willingness to engage in any further discussion with the
Borrower or any other person, firm or corporation with respect to any waiver,
amendment, modification or any other change to the Forbearance Agreement or the
other Loan Documents or any rights or remedies arising in favor of the Lenders
or the Administrative Agent, or any of them, under or with respect to any such
documents; or

               (4)  constitute a waiver of, or consent to or a modification or
amendment of, any other term or condition of any other agreement by and among
the Borrower, on the one hand, and the Administrative Agent or any other Lender,
on the other hand.

                                  SECTION 6.
                        REPRESENTATIONS AND WARRANTIES

          In order to induce the Administrative Agent and Lenders to enter into
this Amendment to Forbearance Agreement, the Borrower hereby represents and
warrants to the Administrative Agent and Lenders that:

          A.   Authorization; Binding Obligations.  Each Credit Party has all
               ----------------------------------
requisite corporate power and authority to enter into this Amendment to
Forbearance Agreement.  The execution, delivery and performance of this
Amendment to Forbearance Agreement have been duly authorized by all necessary
corporate action by each Credit Party.  This Amendment to Forbearance Agreement
has been duly executed and delivered by each Credit Party and is the legal,
valid and binding obligation of each Credit Party, enforceable against each
Credit Party in accordance with its terms, except to the extent that the
enforceability thereof may be limited by applicable bankruptcy, insolvency,
fraudulent conveyance, reorganization, moratorium or similar laws generally
affecting creditors' rights and by equitable principles (regardless of whether
enforcement is sought in equity or at law).  The Credit Agreement constitutes
the legal, valid and binding obligation of each Credit Party, enforceable
against each Credit Party in accordance with its terms, except to the extent
that the enforceability thereof may be limited by applicable bankruptcy,
insolvency, fraudulent conveyance, reorganization, moratorium or similar laws
generally affecting creditors' rights and by equitable principles (regardless of
whether enforcement is sought in equity or at law).

          B.   Incorporation of Representations.  Each representation and
               --------------------------------
warranty of each Credit Party contained in each of the Loan Documents is true,
correct and complete in all material respects on and as of the Third Amendment
Effective Date (as defined below) to the same extent as though made on and as of
the Third Amendment Effective Date, except to the

                                       3
<PAGE>

extent such representations and warranties relate to an earlier date, in which
case they were true, correct and complete in all material respects as of such
earlier date.

          C.   Absence of Defaults.  Other than the Existing Events of Default,
               -------------------
no event has occurred and is continuing or would result from the execution,
delivery or performance of this Amendment to Forbearance Agreement that
constitutes or would constitute a Default or Event of Default after giving
effect to this Amendment to Forbearance Agreement.

          D.   Financial Projections.  All financial projections concerning the
               ---------------------
Borrower and its Subsidiaries that have been or are hereafter made available to
the Administrative Agent or the other Lenders by the Borrower or any of its
representatives in connection with the transactions contemplated hereby (the
"Projections") have been (or will be, in the case of Projections made available
after the date hereof) prepared in good faith based upon reasonable assumptions.

          E.   Performance. The Borrower has performed in all material respects
               -----------
all agreements to be performed on its part on or before the date hereof as set
forth in the Credit Agreement.

                                  SECTION 7.
                 ACKNOWLEDGEMENT AND CONSENT BY CREDIT PARTIES

          The Borrower and each other Credit Party executing a counterpart
hereto agrees to and acknowledges the terms and provisions of this Amendment to
Forbearance Agreement and confirms that each Loan Document to which such Credit
Party is a party shall continue in full force and effect and that all of its
obligations thereunder shall be valid and enforceable and shall not be impaired
or affected by the execution of this Amendment to Forbearance Agreement, except
as specifically provided herein.  The Borrower and each other Credit Party
executing a counterpart hereof represents and warrants that all representations
and warranties contained in each Loan Document to which such Credit Party is a
party are true, correct and complete in all material respects as of the date
hereof to the same extent as though made on each such date and that the Borrower
and each such Credit Party has performed in all material respects all agreements
to be performed on its part on or before the date hereof as set forth in the
Loan Documents.

                                  SECTION 8.
                          CONDITIONS TO EFFECTIVENESS

          This Amendment to Forbearance Agreement shall become effective as of
the date hereof (the "Third Amendment Effective Date") only upon receipt of the
following by the Administrative Agent:

               (1)  counterparts hereof duly executed by each Credit Party and
the Required Lenders and written or telephonic notification of such execution
and authorization of delivery thereof; and

               (2)  such other documents as the Administrative Agent may
reasonably require.

                                  SECTION 9.
                                 MISCELLANEOUS

          A.   Effect of Amendment.  Except as specifically provided herein,
               -------------------
this Amendment does not in any way waive, amend, modify, affect or impair the
terms and conditions of the Forbearance Agreement, the Credit Agreement or the
other Loan Documents, and all terms and conditions of the Forbearance Agreement,
the Credit Agreement and the other Loan Documents are hereby ratified and
confirmed and shall remain in full force and effect unless otherwise
specifically amended, waived, modified or changed pursuant to the terms and
conditions of this Amendment.

          On and after the Third Amendment Effective Date, each reference in the
Forbearance Agreement to "this Agreement", "hereunder", "hereof", "herein" or
words of like import referring to the Forbearance Agreement, and each reference
in the Credit Agreement or other Loan Documents to the "Forbearance Agreement",
"thereunder", "thereof", or words of

                                       4
<PAGE>

like import referring to the Forbearance Agreement shall mean and be a reference
to the Forbearance Agreement as modified by this Amendment.

          B.   Fees and Expenses.  The Borrower and each other Credit Party
               -----------------
ratify and affirm their reimbursement and indemnification obligations under
Section 13.2 of the Credit Agreement, including its obligation to pay all legal
and other fees and expenses incurred by the Administrative Agent and each of the
Lenders in connection with the negotiation, implementation, execution and
enforcement of this Amendment to Forbearance Agreement and any acts contemplated
hereby.  Nothing herein shall be construed to limit, affect, modify or alter the
Borrower's obligations under Credit Agreement or elsewhere under the Loan
Documents or the Subsidiary Guarantors' obligations under the Subsidiary
Guaranty Agreement.

          C.   No Waiver of Rights Under Loan Documents.  Any negotiation
               ----------------------------------------
heretofore or hereafter and any action undertaken pursuant to this Amendment to
Forbearance Agreement or any Loan Document or during the Forbearance Period
shall not constitute a waiver of any Default or Event of Default (including
without limitation any Existing Event of Default) or of any Administrative
Agent's or Lender's rights or remedies under the Loan Documents or this
Amendment to Forbearance Agreement or prejudice any Administrative Agent's or
Lender's rights under the Loan Documents or this Amendment to Forbearance
Agreement except to the extent specifically set forth herein.  No party shall be
bound by any oral agreement, and no rights or liabilities, either expressed or
implied, shall arise on the part of any party, or any third party, until and
unless the agreement on any given issue has been reduced to a written agreement
executed in accordance with the provisions of Section 13.12 of the Credit
Agreement.  Furthermore, the parties agree that this Amendment to Forbearance
Agreement may be amended, replaced or supplemented only by a written agreement
executed in accordance with the provisions of Section 13.12 of the Credit
Agreement.

          D.   No Waiver of Remedies.  The Administrative Agent and each Lender
               ---------------------
expressly reserves any and all rights and remedies available to it under this
Amendment to Forbearance Agreement, the Loan Documents, any other agreement or
at law or in equity or otherwise.  No failure to exercise, or delay by the
Administrative Agent or any Lender in exercising, any right, power or privilege
hereunder or under any Loan Document shall preclude any other or further
exercise thereof, or the exercise of any other right, power or privilege.  The
rights and remedies provided in this Amendment to Forbearance Agreement and the
Loan Documents are cumulative and not exhaustive of each other or of any right
or remedy provided by law or equity or otherwise.  No notice to or demand upon
the Borrower, in any instance shall, in itself, entitle the Borrower to any
other or further notice or demand in similar or other circumstances or
constitute a waiver of the right of the Administrative Agent or any Lender to
any other or further action in any circumstance without notice or demand.

          E.   No Commitment.  This Amendment to Forbearance Agreement is not
               -------------
intended as a commitment by the Administrative Agent or the Lenders to modify
the Loan Documents in any respect or otherwise, except as expressly provided
herein, and the Administrative Agent and the Lenders hereby specifically confirm
that they make no such commitment and specifically advise that no action should
be taken by the Borrower based upon any understanding that such a commitment
exists or on any expectation that any such commitment will be made in the
future.

          F.   Time is of the Essence.  Time shall be of the strictest essence
               ----------------------
in the performance of each and every one of the Borrower's obligations hereunder
and under the Loan Documents, including without limitation, the obligations to
make payments to the Administrative Agent and Lenders, to furnish information to
the Administrative Agent and Lenders and to comply with all reporting
requirements.

          G.   Voluntary Agreement.  Each of the Borrower, the Subsidiary
               -------------------
Guarantors, the Administrative Agent and the Lenders understands that this is a
legally binding agreement that may affect such party's rights.  Each represents
to the other that it has received legal advice from counsel of its choice in
connection with the negotiation, drafting, meaning and legal significance of
this Amendment to Forbearance Agreement and that it is satisfied with its legal
counsel and the advice received from it.  The Borrower and each other Credit
Party (i) has entered into this Amendment to Forbearance Agreement freely and
voluntarily, without coercion, duress, distress or undue influence by the
Administrative Agent or the Lenders or any other person or entity affiliated
with the Borrower or the other Credit Parties or any of their respective

                                       5
<PAGE>

directors, offices, partners, agents or employees and (ii) acknowledges and
agrees that the terms and provisions of this Amendment to Forbearance Agreement
do not conflict with and are consistent with the manner in which it has
determined to conduct its affairs.   The Borrower and each other Credit Party
acknowledges and agrees that this Amendment to Forbearance Agreement is a Loan
Document.

          H.   Construction.  Should any provision of this Amendment to
               ------------
Forbearance Agreement require judicial interpretation, it is agreed that a court
interpreting or construing the same shall not apply a presumption that the terms
of this Amendment to Forbearance Agreement shall be more strictly construed
against any party by reason of the rule of construction that a document is to be
construed more strictly against the party who itself or through its agent
prepared the same.

          I.   Entire Agreement; Other Matters.  This Amendment to Forbearance
               -------------------------------
Agreement constitutes the entire agreement of the Borrower, the Subsidiary
Guarantors, the Administrative Agent and the Lenders concerning the subject
matter hereof, and all prior or contemporaneous understandings, oral
representations or agreements had among the parties with respect to the subject
matter hereof are merged in, and are contained in, this Amendment to Forbearance
Agreement.  This Amendment to Forbearance Agreement is not intended to confer
any rights or benefits on any parties other than the parties hereto and their
respective successors and assigns.  If any provision of this Amendment to
Forbearance Agreement shall be unenforceable under applicable law, such
provision shall be ineffective without invalidating the remaining provisions of
this Amendment to Forbearance Agreement.

          J.   Binding Agreement.  On and as of the Third Amendment Effective
               -----------------
Date, this Amendment to Forbearance Agreement shall be effective as to and for
the benefit of the Borrower, the Subsidiary Guarantors, the Administrative Agent
and the Lenders, and thereupon shall be binding upon and inure to the benefit of
each of such signatory parties and their respective heirs, successors and
assigns, except that neither the Borrower nor any Subsidiary Guarantor shall
have the right to assign its rights hereunder or any interest herein without the
prior written consent of the Administrative Agent and each of the Lenders.

          K.   Effect on Loan Documents.  The Credit Agreement and other Loan
               ------------------------
Documents, including the Subsidiary Guaranty Agreement, continue in full force
and effect in accordance with their respective terms.  Nothing contained herein
shall constitute a waiver of any Existing Event of Default or future Default or
Event of Default.

          L.   Headings.  Section and subsection headings in this Amendment to
               --------
Forbearance Agreement are included herein for convenience of reference only and
shall not constitute a part of Amendment to Forbearance Agreement for any other
purpose or be given any substantive effect.

          M.   Applicable Law.  THIS AMENDMENT TO FORBEARANCE AGREEMENT AND THE
               --------------
RIGHTS AND OBLIGATIONS OF THE PARTIES HEREUNDER SHALL BE GOVERNED BY, AND SHALL
BE CONSTRUED AND ENFORCED IN ACCORDANCE WITH, THE INTERNAL LAWS OF THE STATE OF
NORTH CAROLINA, WITHOUT REGARD TO CONFLICTS OF LAWS PRINCIPLES.

          N.   Counterparts.  This Amendment to Forbearance Agreement may be
               ------------
executed in any number of counterparts and by different parties hereto in
separate counterparts, each of which when so executed and delivered shall be
deemed an original, but all such counterparts together shall constitute but one
and the same instrument.

         [THE REMAINDER OF THIS PAGE HAS BEEN INTENTIONALLY LEFT BLANK]

                                       6
<PAGE>

          IN WITNESS WHEREOF, the parties hereto have caused this Amendment to
Forbearance Agreement to be duly executed and delivered by their respective
officers thereunto duly authorized as of the date first written above.

                              FIRST UNION NATIONAL BANK,
                              as a Lender and as Administrative Agent

                              By: /s/ Matthew Berk
                                  ----------------------------------------------
                                  Name:  Matthew Berk
                                  Title: Authorized Officer

                              CREDIT LYONNAIS, NEW YORK BRANCH, as a Lender

                              By: /s/ John-Charles Van Essche
                                  ----------------------------------------------
                                  Name:  John-Charles Van Essche
                                  Title: Vice President

                              SUNTRUST BANK, as a Lender

                              By: /s/ Samuel M. Ballesteros
                                  ----------------------------------------------
                                  Name:  Samuel M. Ballesteros
                                  Title: Director

                              FLEET NATIONAL BANK, as a Lender

                              By: /s/ Fred P. Lucy II
                                  ----------------------------------------------
                                  Name:  Fred P. Lucy II
                                  Title: Vice President

                              SOUTHTRUST BANK, as a Lender

                              By: /s/ B. E. Dishman
                                  ----------------------------------------------
                                  Name:  B. E. Dishman
                                  Title: Vice President

                                      S-1
<PAGE>

                              COOPERATIEVE CENTRALE RAIFFEISEN-BOERENLEEBANK BA
                              "RABOBANK NEDERLAND", NEW YORK BRANCH, as a Lender

                              By: ______________________________________________
                                  Name:
                                  Title:

                              BANK OF AMERICA, N.A., as a Lender

                              By: ______________________________________________
                                  Name:
                                  Title:

                              AMSOUTH BANK, as a Lender

                              By: /s/ William R. Hoog
                                  ----------------------------------------------
                                  Name:  William R. Hoog
                                  Title: Vice President

                              HIBERNIA NATIONAL BANK, as a Lender

                              By: /s/ Tammy Angelety
                                  ----------------------------------------------
                                  Name:  Tammy Angelety
                                  Title: Vice President

                              FIFTH THIRD BANK, CENTRAL OHIO, as a Lender

                              By: ______________________________________________
                                  Name:
                                  Title:

                                      S-2
<PAGE>

                              BORROWER:

                              PLANVISTA CORPORATION, as Borrower

                              By: /s/ Phillip S. Dingle
                                  ----------------------------------------------
                                  Phillip S. Dingle
                                  Chairman and Chief Executive Officer

                              OTHER CREDIT PARTIES:

                              PLANVISTA SOLUTIONS, INC. (f/k/a NATIONAL
                              PREFERRED PROVIDER NETWORK, INC.)

                              By: /s/ Phillip S. Dingle
                                  ----------------------------------------------
                                  Phillip S. Dingle
                                  Chief Executive Officer

                              NATIONAL NETWORK SERVICES, INC.

                              By: /s/ Phillip S. Dingle
                                  ----------------------------------------------
                                  Phillip S. Dingle
                                  Secretary and Treasurer

                              QUALITY MEDICAL ADMINISTRATORS, INC.

                              By: /s/ Phillip S. Dingle
                                  ----------------------------------------------
                                  Phillip S. Dingle
                                  Secretary and Treasurer

                              HPS OF DELAWARE LLC (f/k/a CENTRA HEALTHPLAN LLC)

                              By: /s/ Phillip S. Dingle
                                  ----------------------------------------------
                                  Phillip S. Dingle
                                  President

                                      S-3
<PAGE>

                              HPS OF LOUISIANA, INC. (f/k/a EMPLOYEE BENEFIT
                              SERVICES, INC.)

                              By: /s/ Phillip S. Dingle
                                  ----------------------------------------------
                                  Phillip S. Dingle
                                  President

                              HPS OF MISSOURI, INC. (f/k/a REH AGENCY OF
                              MISSOURI, INC.)

                              By: /s/ Phillip S. Dingle
                                  ----------------------------------------------
                                  Phillip S. Dingle
                                  Secretary and Treasurer

                                      S-4

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