Document:

EX-4.5

 Exhibit 4.5 
 EXECUTION VERSION 
 Supplemental Indenture (this “Supplemental
Indenture”), dated as of November 2, 2011, among Emdeon Inc., a Delaware corporation (the “Issuer”), the Guarantors listed on the signature pages hereto (the “Guarantors”) and Wilmington Trust,
National Association, a national banking association, as trustee (the “Trustee”). 
 W I T N E S S E T H

 WHEREAS, Beagle Acquisition Corp. (“Beagle”) has heretofore executed and delivered to
the Trustee an Indenture (the “Indenture”), dated as of November 2, 2011, providing for the issuance of an unlimited aggregate principal amount of 11 1/4% Senior Notes due 2020 (the “Notes”); 
 WHEREAS, the
Notes are being issued and sold in connection with the merger of Beagle with and into the Issuer (the “Merger”), whereby, upon consummation of the Merger, the Issuer will continue as the surviving corporation; 

WHEREAS, upon consummation of the Merger, and simultaneously with the execution of the Indenture, the Issuer, the Guarantors and the
Trustee will have entered into this Supplemental Indenture, under which the Issuer and the Guarantors will have become party to the Indenture; 
 WHEREAS, pursuant to this Supplemental Indenture the Issuer will succeed to all of the rights and obligations of Beagle thereunder, and each of the Guarantors will unconditionally guarantee all of
Beagle’s and the Issuer’s Obligations under the Notes and the Indenture on the terms and conditions set forth herein and under the Indenture (the “Guarantee”). 

WHEREAS, pursuant to Section 9.01 of the Indenture, the Trustee is authorized to execute and deliver this Supplemental Indenture.

 NOW THEREFORE, in consideration of the foregoing and for other good and valuable consideration, the receipt of which is
hereby acknowledged, the parties mutually covenant and agree for the equal and ratable benefit of the Holders as follows: 
 (1)
Capitalized Terms. Capitalized terms used herein without definition shall have the meanings assigned to them in the Indenture. 
 (2) Agreement. The Issuer and each Guarantor hereby 
 (a) acknowledges that
it has received and reviewed a copy of the Indenture and all other documents it deems necessary to review in order to enter into this Supplemental Indenture, and acknowledges and agrees to (i) join and become a party to the Indenture as
indicated by its signature below; (ii) be bound by the Indenture, as of the date hereof, as if made by, and with respect to, each signatory hereto; and (iii) perform all obligations and duties required of the Issuer or a Guarantor, as the
case may be, pursuant to the Indenture; and 
 (b) represents and warrants to and agrees with the Trustee that it has all the
requisite corporate, limited liability company or other power and authority to execute, deliver and perform its obligations under this Supplemental Indenture, that this Supplemental Indenture has been duly authorized, executed and delivered and that
the consummation of the transactions contemplated hereby has been duly and validly authorized. 
 Each of the Guarantors hereby
further agrees to provide an unconditional Guarantee on the terms and subject to the conditions set forth in the Indenture, including, but not limited to Article 10 thereof. 

  
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 (3) Governing Law. THIS SUPPLEMENTAL INDENTURE WILL BE GOVERNED BY AND CONSTRUED IN
ACCORDANCE WITH THE LAWS OF THE STATE OF NEW YORK. 
 (4) Counterparts. The parties may sign any number of copies of this
Supplemental Indenture. Each signed copy shall be an original, but all of them together represent the same agreement. This Supplemental Indenture may be executed in multiple counterparts which, when taken together, shall constitute one instrument.
The exchange of copies of this Supplemental Indenture and of signature pages by facsimile or PDF transmissions shall constitute effective execution and delivery of this Supplemental Indenture as to the parties hereto and may be used in lieu of the
original Supplemental Indenture for all purposes. Signatures of the parties hereto transmitted by facsimile or PDF shall be deemed to be their original signatures for all purposes. 

(5) Effect of Headings. The Section headings herein are for convenience only and shall not affect the construction hereof.

 (6) The Trustee. The Trustee shall not be responsible in any manner whatsoever for or in respect of the validity or
sufficiency of this Supplemental Indenture or for or in respect of the recitals contained herein, all of which recitals are made solely by the Issuer and the Guarantors. 
 (7) Benefits Acknowledged. Upon consummation of the Merger and execution and delivery of this Supplemental Indenture the Issuer and each of the Guarantors will be subject to the terms and
conditions set forth in the Indenture. Each of the Issuer and each Guarantor acknowledges that it will receive direct and indirect benefits from the financing arrangements contemplated by the Indenture and this Supplemental Indenture and that the
obligations of each as a result of this Supplemental Indenture are knowingly made in contemplation of such benefits. 
 (8)
Successors. All agreements of the Issuer and each of the Guarantors in this Supplemental Indenture shall bind its successors, except as otherwise provided in this Supplemental Indenture. All agreements of the Trustee in this Supplemental
Indenture shall bind its successors. 

  
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 IN WITNESS WHEREOF, the parties hereto have caused this Supplemental Indenture to be duly
executed, all as of the date first above written. 
  

			
	EMDEON INC.
		
	By:	 	/s/ George I. Lazenby, IV
	Name:	 	George I. Lazenby, IV
	Title:	 	Chief Executive Officer

 
			
	
	 EBS MASTER LLC
 EXPRESSBILL LLC
 THE SENTINEL GROUP SERVICES LLC

ENVOY LLC
 EQUICLAIM,
LLC
 MEDIFAX-EDI, LLC

CHAPIN REVENUE CYCLE MANAGEMENT,

    LLC
 HEALTHCARE
TECHNOLOGY
     MANAGEMENT SERVICES LLC
 DAKOTA IMAGING LLC
 INTERACTIVE PAYER NETWORK LLC

CLAIMS PROCESSING SERVICE LLC
 KINETRA
LLC
 ADVANCED BUSINESS FULFILLMENT, LLC
 ERX NETWORK, L.L.C.
 EMDEON FUTUREVISION LLC

ERX AUDIT, L.L.C.
 EBS HOLDCO I, LLC
EBS HOLDCO II, LLC
 EMDEON BUSINESS SERVICES LLC

		
	By:	 	/s/ George I. Lazenby, IV
	Name:	 	George I. Lazenby, IV
	Title:	 	President

 [2020 Supplemental Indenture Signature Page] 

 
			
	 IXT SOLUTIONS, INC.
 CHAMBERLIN EDMONDS HOLDINGS, INC.

CHAMBERLIN EDMONDS & ASSOCIATES, INC.
 MEDI, INC.
 MEDIFAX, INC.
 MEDIFAX-EDI HOLDINGS, INC.
 MEDIFAX-EDI HOLDING COMPANY

MEDIFAX-EDI SERVICES, INC.

		
	By:	 	/s/ George I. Lazenby, IV
	Name:	 	George I. Lazenby, IV
	Title:	 	President
	
	MEDE AMERICA OF OHIO LLC
		
	By:	 	/s/ Gregory T. Stevens
	Name:	 	Gregory T. Stevens
	Title:	 	Secretary

 [2020 Supplemental Indenture Signature Page] 

 
			
	 WILMINGTON TRUST, NATIONAL
 ASSOCIATION, as Trustee

		
	By:	 	/s/ Joseph P. O’Donnell
		 	Name: Joseph P. O’Donnell
		 	Title:   Vice President

 [2020 Supplemental Indenture Signature Page]EX-4.6

 Exhibit 4.6 
 Supplemental Indenture (this “Supplemental Indenture”), dated as of July 10, 2012, between TC3 Health, Inc., a Delaware corporation (the “Guaranteeing Subsidiary”),
a subsidiary of Emdeon Inc., a Delaware corporation (the “Issuer”), and Wilmington Trust, National Association, a national banking association, as trustee (the “Trustee”). 

W I T N E S S E T H 
 WHEREAS, Beagle Acquisition Corp. (“Beagle”) has heretofore executed and delivered to the Trustee an Indenture (the “Indenture”), dated as of November 2, 2011,
providing for the issuance of an unlimited aggregate principal amount of 11 1/4% Senior Notes due 2020 (the “Notes”); 
 WHEREAS, the
Notes were issued and sold in connection with the merger of Beagle with and into the Issuer (the “Merger”), whereby, upon consummation of the Merger, the Issuer continued as the surviving corporation; 

WHEREAS, upon consummation of the Merger, and simultaneously with the execution of the Indenture, the Issuer, certain Guarantors party
thereto and the Trustee entered into a supplemental indenture, under which the Issuer and the Guarantors became party to the Indenture; 
 WHEREAS, the Indenture provides that under certain circumstances the Guaranteeing Subsidiary shall execute and deliver to the Trustee a supplemental indenture pursuant to which the Guaranteeing Subsidiary
shall unconditionally guarantee all of the Issuer’s Obligations under the Notes and the Indenture on the terms and conditions set forth herein and under the Indenture (the “Guarantee”); and 

WHEREAS, pursuant to Section 9.01 of the Indenture, the Trustee is authorized to execute and deliver this Supplemental Indenture.

 NOW THEREFORE, in consideration of the foregoing and for other good and valuable consideration, the receipt of which is
hereby acknowledged, the parties mutually covenant and agree for the equal and ratable benefit of the Holders as follows: 

(1)        Capitalized Terms. Capitalized terms used herein without definition shall have
the meanings assigned to them in the Indenture. 
 (2)        Agreement to
Guarantee. The Guaranteeing Subsidiary acknowledges that it has received and reviewed a copy of the Indenture and all other documents it deems necessary to review in order to enter into this Supplemental Indenture, and acknowledges and agrees to
(i) join and become a party to the Indenture as indicated by its signature below; (ii) be bound by the Indenture, as of the date hereof, as if made by, and with respect to, each signatory hereto; and (iii) perform all obligations and
duties required of a Guarantor pursuant to the Indenture. The Guaranteeing Subsidiary hereby agrees to provide an unconditional Guarantee on the terms and subject to the conditions set forth in the Indenture, including, but not limited to, Article
10 thereof. 
 (3)        Execution and Delivery. The Guaranteeing Subsidiary
agrees that the Guarantee shall remain in full force and effect notwithstanding the absence of the endorsement of any notation of such Guarantee on the Notes. 
 (4)        No Recourse Against Others. No past, present or future director, officer, employee, incorporator, member, partner or stockholder of the Issuer or
any Guaranteeing Subsidiary (other than the Issuer and the Guarantors) shall have any liability for any obligations of the Issuer or the Guarantors (including the Guaranteeing Subsidiary) under the Notes, any Guarantees, the Indenture or this
Supplemental Indenture or for any claim based on, in respect of, or by reason of, such obligations or their creation. Each Holder by accepting Notes waives and releases all such liability. The waiver and release are part of the consideration for
issuance of the Notes. 

 (5)        Governing Law. THIS SUPPLEMENTAL
INDENTURE WILL BE GOVERNED BY AND CONSTRUED IN ACCORDANCE WITH THE LAWS OF THE STATE OF NEW YORK. 

(6)        Counterparts. The parties may sign any number of copies of this Supplemental
Indenture. Each signed copy shall be an original, but all of them together represent the same agreement. This Supplemental Indenture may be executed in multiple counterparts which, when taken together, shall constitute one instrument. The exchange
of copies of this Supplemental Indenture and of signature pages by facsimile or PDF transmissions shall constitute effective execution and delivery of this Supplemental Indenture as to the parties hereto and may be used in lieu of the original
Supplemental Indenture for all purposes. Signatures of the parties hereto transmitted by facsimile or PDF shall be deemed to be their original signatures for all purposes. 
 (7)        Effect of Headings. The Section headings herein are for convenience only and shall not affect the construction hereof. 

(8)        The Trustee. The Trustee shall not be responsible in any manner whatsoever for
or in respect of the validity or sufficiency of this Supplemental Indenture or for or in respect of the recitals contained herein, all of which recitals are made solely by the Guaranteeing Subsidiary. 

(9)        Benefits Acknowledged. The Guaranteeing Subsidiary’s Guarantee is subject
to the terms and conditions set forth in the Indenture. The Guaranteeing Subsidiary acknowledges that it will receive direct and indirect benefits from the financing arrangements contemplated by the Indenture and this Supplemental Indenture and that
the guarantee and waivers made by it pursuant to this Guarantee are knowingly made in contemplation of such benefits. 

(10)      Successors. All agreements of the Guaranteeing Subsidiary in this Supplemental Indenture
shall bind its Successors, except as otherwise provided in this Supplemental Indenture. All agreements of the Trustee in this Supplemental Indenture shall bind its successors. 

  
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 IN WITNESS WHEREOF, the parties hereto have caused this Supplemental Indenture to be duly
executed, all as of the date first above written. 
  

			
	 TC3 HEALTH, INC.

		
	By:	 	 /s/ Lowell
Stokes

		 	 Name: Lowell Stokes

		 	 Title: Assistant Secretary

  

			
	WILMINGTON TRUST, NATIONAL ASSOCIATION, as Trustee
		
	By:	 	 /s/ Joseph P.
O’Donnell

		 	 Name: Joseph P. O’Donnell

Title: Vice President

  
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