Document:

<PAGE>

                                                                     Exhibit 4.8

                              PLANVISTA CORPORATION
                       4010 Boy Scout Boulevard. Ste. 607
                               Tampa Florida 33607

                                 (813) 353-2300

                                  June 28, 2002

The Lenders party from time to time
to the Credit Agreement referred to
below,in their capacities as such, and to
the Investors under the Issuance Agreement
referred to below:

Ladies and Gentlemen:

         Reference is made to that certain letter agreement dated April 12, 2002
(the "Letter Agreement") among PlanVista Corporation and the financial
institutions party to that certain Third Amended and Restated Credit Agreement
dated April 12, 2002 (the "Credit Agreement") from time to time as Lenders (the
"Lenders") and Wachovia Bank, National Association, as Administrative Agent, and
to Wachovia Bank, National Association, as agent for the financial institutions
listed as Investors under that certain Series C Convertible Preferred Stock
Issuance and Restructuring Agreement dated April 12, 2002 (the "Issuance
Agreement"). Capitalized terms used herein without definition have the meanings
assigned to them by the Credit Agreement.

         This letter hereby amends and restates the Letter Agreement to reflect
certain rights and conditions to which the parties have agreed following
execution of the Letter Agreement.

         In connection with the execution and delivery of the Credit Agreement
and the Issuance of the Series C Preferred Stock of PVC, PVC has informed the
Lenders that it is PVC's intention to raise equity capital through a public or
private sale of its Common Stock (the "Equity Offering"). In connection with the
Equity Offering, the Company intends to effect a one-for-five reverse stock
split of the Common Stock (the "Reverse Stock Split"), subject to stockholder
approval and as described in the Company's definitive Proxy Statement filed with
the Securities and Exchange Commission (the "SEC") on June 17, 2002 (the "Proxy
Statement), to be implemented prior to the effective date of the Equity
Offering. The Lenders, in their capacities as such and as holders of the Series
C Preferred Stock, will be separately asked to consent to the amendment of the
Company's Certificate of Incorporation as provided in the Proxy Statement to
give effect to the Reverse Stock Split. The Lenders agree hereby that if the
following conditions shall have been satisfied within 120 days (or if the 120th
day should fall on a day other than a business day, then by the close of the
next business day following the 120th day) after the Closing Date under the
Credit Agreement and the Issuance Agreement:

     (i)    the Company shall have paid to the Lenders, out of the proceeds of
            the Equity Offering or other funds of the Company, the sum of
            $40,000,000 plus accrued but

<PAGE>

            unpaid interest under the Credit Agreement, plus the outstanding
            principal balance of and all accrued but unpaid interest on the
            Additional Note, plus all amounts due and owing to the Lenders for
            the fees and expenses of their counsel and consultants (including,
            without limitation, such fees and expenses relating to the
            Restructuring) incurred in connection with the Credit Agreement and
            prior credit agreements with the Company and its Subsidiaries;

     (ii)   the Company shall have either (A) obtained and delivered to the
            Lenders satisfactory evidence of having obtained letters of credit
            in substitution for or replacement of the letters of credit
            outstanding under Article III of the Credit Agreement, or (B)
            delivered cash collateral to the issuer of such letters of credit as
            security for the timely reimbursement of all amounts drawn under
            such outstanding letters of credit in an amount equal to 110% of the
            face amount of such outstanding letters of credit;

     (iii)  the Company shall have issued to the Lenders an additional 1,650,000
            (subject to adjustment for the Reverse Stock Split) shares of Common
            Stock (in addition to the 150,000 shares of Common Stock issued to
            the Lenders as fees in connection with the Restructuring or under
            prior credit agreements (the "Fee Shares")); and

     (iv)   to the extent that the Company files a registration statement with
            the SEC in connection with the Equity Offering, the Company shall
            include therein the Fee Shares to be sold by the Lenders in such
            Equity Offering;

then, and in such event, the Lenders agree that such amount shall constitute
payment in full of all amounts outstanding under the Credit Agreement and the
related Notes (other than amounts owed in respect of any letters of credit
remaining outstanding pursuant to item (ii)(B) above), and the Lenders agree to:

     (1)    cancel the Credit Facilities and all letters of credit outstanding
            thereunder (other than any letters of credit remaining outstanding
            pursuant to item (ii)(B) above);

     (2)    return all Notes issued by the Company under the Credit Agreement,
            including the Agent Note and the Additional Note, to the Company,
            marked "cancelled";

     (3)    terminate all related agreements (including but not limited to the
            Stockholders Agreement and all guaranties or other credit support
            agreements);

     (4)    release all security interests and liens securing the Obligations of
            the Borrowers and the Subsidiaries under the Credit Agreement; and

     (5)    return to the Company all Series C Preferred Stock issued under the
            Issuance Agreement or as PIK Shares (as defined in the Issuance
            Agreement), which return shall constitute a complete redemption of
            the Series C Preferred Stock without any additional payment
            therefor.

<PAGE>

         Within ten (10) days following written notice by us to each Lender of
our satisfaction of the conditions under (i), (ii) and (iii) above (the "Option
Election Period"), each Lender who elects to exercise the Put Option (as defined
below) will provide written notice to the Company of its election to exercise
the option (the "Put Option") to sell to the Company its allocable portion of
the 1,650,000 shares of the Company's Common Stock to be received hereunder at
the per share price at which the Equity Offering is effected (net of
underwriting discounts and commissions), such sale to close within ten (10) days
of the expiration of the Option Election Period. If the Equity Offering is
effected as an underwritten public offering, any Lender that does not exercise
its Put Option in full or holds any Fee Shares after the closing of the equity
offering shall, pursuant to an agreement with the Company's underwriters,
subject to the following sentence, agree not to sell, directly or indirectly,
during the one hundred and eighty (180) days following the closing of the Equity
Offering (the "Lock-Up Period"), any shares of the Company's Common Stock, or
any securities convertible into or exercisable or exchangeable for, or any
rights to purchase or acquire, Common Stock. Any Lender that elects not to
exercise its Put Option in full or whose Fee Shares registered in the Equity
Offering are not sold due to a reduction in the number of shares to be sold at
the request of the underwriters in connection with an underwritten Equity
Offering, may sell its Fee Shares, any Common Stock issued to it hereunder or
any other securities convertible into or exercisable or exchangeable for, or any
rights to purchase or acquire, Common Stock in a private transaction to (i) a
purchaser that, directly or indirectly through one or more intermediaries,
controls, is controlled by or is under common control with such Lender and (ii)
any other Lender, so long as such affiliated purchaser or such Lender agrees to
be bound by the selling restrictions contained in this paragraph until the
expiration of the Lock-Up Period. In the event that the Lenders, or any of them,
elect not to exercise their Put Option in full, or to the extent that any Fee
Shares registered in the Equity Offering are not sold due to a reduction in the
number of shares to be sold at the request of the underwriters in connection
with an underwritten Equity Offering, the Company agrees to include any such
shares for registration on a delayed or continuous basis on an appropriate
registration statement (the "Shelf Registration"), to be filed with the SEC not
later than one hundred five (105) days after the closing of the Equity Offering.
Notwithstanding anything stated herein, to the extent any shares of the
Company's Common Stock held by Lenders remain unsold after the expiration of the
Shelf Registration, the Lenders shall continue to have incidental registration
rights as provided under Article V, Section 5.2 of the Stockholders Agreement,
and such shares shall continue to be deemed "Registrable Securities" for such
purposes until they have been sold pursuant to an effective registration
statement filed with the SEC or in compliance with Rule 144(k), or otherwise
cease to be outstanding. Accordingly, the provisions of Article V, Sections 5.2,
5.3, 5.4, 5.5, 5.6(a), 5.7, 5.8, 5.9 and 5.10 of the Stockholders Agreement
shall survive following the consummation of the transactions contemplated by
this letter agreement.

         Exercise of the Put Option by any Lender shall not be subject to or
contingent upon exercise of the Put Option by any other Lender. Notwithstanding
any other provision of this letter agreement, nothing herein shall obligate any
Lender to return to the Company any portion of the 150,000 shares of Common
Stock issued to the Lenders as fees in connection with the Restructuring or
under prior credit agreements.

         If any of the conditions to the Lenders' agreements herein are not
satisfied or waived at the end of 120 days (or if the 120th day should fall on a
day other than a business day, then by the

<PAGE>

close of the next business day following the 120th day) from April 12, 2002,
this letter agreement shall automatically terminate and be of no further force
and effect.

         Any reference to any number of shares in this letter agreement does not
reflect the effect of the Reverse Stock Split, and any such shares are to be
adjusted for the Reverse Stock Split once it becomes effective.

         Please indicate your agreement with the foregoing by executing a
counterpart of this letter agreement and returning it to the Company.

                              PLANVISTA CORPORATION

                              By:      /s/ DONALD W. SCHMELING
                                  ------------------------------------
                              Name:        Donald W. Schmeling
                              Title:       Chief Financial Officer

<PAGE>

The foregoing terms are accepted:

                              WACHOVIA BANK, NATIONAL ASSOCIATION,
                              as a Series C Stockholder and as Administrative
                              Agent

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

                              CREDIT LYONNAIS, NEW YORK BRANCH

                              By:  /s/ JOHN-CHARLES VAN ESSCHE
                                 ---------------------------------
                              Name:    John-Charles van Essche
                              Title:   Vice President

                              SUNTRUST BANK

                              By:  /s/ SAMUEL BALLESTEROS
                                 ---------------------------------
                              Name:    Samuel Ballesteros
                              Title:   Director

                              FLEET NATIONAL BANK

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

                              SOUTHTRUST BANK

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

<PAGE>

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

                              By:  /s/ JOHN MCMAHON
                                 -----------------------------
                              Name:    John McMahon
                              Title:   Vice President

                              BANK OF AMERICA, N.A.

                              By:  /s/ JOSEPH M. MARTENS
                                 -----------------------------
                              Name:    Joseph M. Martens
                              Title:   Senior Vice President

                              AMSOUTH BANK

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

                              HIBERNIA NATIONAL BANK

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

                              FIFTH THIRD BANK, CENTRAL OHIO

                              By:  /s/ MARK RANSOM
                                 -----------------------------
                              Name:    Mark Ransom
                              Title:   Vice President<PAGE>
                                                                 Exhibit 10.9(b)

                                  AMENDMENT TO
                     EMPLOYMENT AND NONCOMPETITION AGREEMENT

     THIS AMENDMENT TO EMPLOYMENT AND NONCOMPETITION AGREEMENT is made and
entered into this 17 day of July, 2002, to be effective as provided in Section
8 below (the "Effective Date"), by and between PlanVista Corporation, a Delaware
corporation (f/k/a HealthPlan Services Corporation) and certain of its
subsidiaries as set forth in the Employment Agreement defined below (hereinafter
collectively called the "Employer") and Phillip S. Dingle (hereinafter called
"Employee").

     WHEREAS, the Employer and Employee entered into that certain Employment and
Noncompetition Agreement dated as of June 1, 2000 (as amended on January 30,
2001) (collectively, the "Employment Agreement"); and

     WHEREAS, Employer and Employee desire to further amend said Employment
Agreement.

     NOW, THEREFORE, the parties hereto agree as follows:

     1. The parties to this Employment Agreement shall be PlanVista Corporation,
as Employer, and Phillip S. Dingle, as Employee, and any references to
subsidiaries of PlanVista Corporation as set forth in the original Employment
Agreement dated as of June 1, 2000 are hereby deleted.

     2. Section 2 of the Employment Agreement is hereby deleted in its entirety
and the following substituted therefor:

          "2. Term. Subject to the provisions of resignation and termination as
     hereinafter provided, the term of this Agreement shall commence on the
     Effective Date and shall terminate on December 31, 2005."

     3. Section 5(b) of the Employment Agreement is hereby amended by inserting
a new subsection (v) as set forth below:

          "(v) a grant, pursuant to the provisions of Employer's 2002 Employee
     Stock Option Plan, of stock options (the "New Options") to purchase 140,000
     shares of Employer's common stock (determined on the basis of the
     outstanding shares of common stock of the Employer after the reverse stock
     split which was approved at the Company's 2002 annual meeting of
     shareholders). The New Options shall be granted at the offering price to
     the public in the public offering of the Employer's common stock pursuant
     to the registration statement filed with the Securities Exchange Commission
     on August 1, 2001 as amended May 24, 2002 and subsequently thereafter (the
     "Recapitalization Offering"). These options will vest according to the
     following vesting schedule:

                                  Time Vesting
     ---------------------------------------------------------------------------

         Percent of Options Vesting                      Event
         --------------------------                      -----

     15%                                December 31, 2002, if Employee remains
                                        continuously employed until that date

     15%                                December 31, 2003, if Employee remains
                                        continuously employed until that date

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

<PAGE>

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

     15%                                December 31, 2004, if Employee remains
                                        continuously employed until that date

     15%                                December 31, 2005, if Employee remains
                                        continuously employed until that date

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

                               Accelerated Vesting

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

         Percent of Options Vesting                  Vesting Event
         --------------------------                  -------------

     10%                                December 31, 2002, if and only if,
                                        Employer's Adjusted EBITDA (as defined
                                        below) equals or exceeds $7,000,000 for
                                        the third and fourth quarters of the
                                        Employer's 2002 calendar year.

     10%                                Any calendar year end on or before
                                        December 31, 2006 in which the
                                        Employer's Adjusted EBITDA (as defined
                                        below) equals or exceeds $17,000,000 for
                                        the calendar year then ended (the "$17
                                        Million EBITDA Vesting Event"), provided
                                        that only one $17 Million EBITDA Vesting
                                        Event may cause the vesting of this 10%.
                                        Accordingly, once this threshold is
                                        attained, attaining it in subsequent
                                        years shall not cause further vesting.

     10%                                Any calendar year end on or before
                                        December 31, 2006 in which the
                                        Employer's Adjusted EBITDA (as defined
                                        below) equals or exceeds $20,000,000 for
                                        the calendar year then ended (the "$20
                                        Million EBITDA Vesting Event"), provided
                                        that only one $20 Million EBITDA Vesting
                                        Event may cause the vesting of this 10%.
                                        Accordingly, once this threshold is
                                        attained, attaining it in subsequent
                                        years shall not cause further vesting.

     Balance of any                     Any calendar year end on or before
     unvested options                   December 31, 2006 in which the
                                        Employer's Adjusted EBITDA (as defined
                                        below) equals or exceeds $25,000,000 for
                                        the calendar year then ended.

     *                                  More than one different vesting event
                                        may occur in any given year.

     **                                 If Employee is terminated as a result of
                                        Employee's death or disability, during a
                                        calendar year, the Employee will be
                                        entitled to immediate vesting of the
                                        time vesting options (but not the
                                        accelerated vesting options ) which
                                        would have vested at the end of the
                                        Calendar year in which the event
                                        occurred as if he was still employed on
                                        such date.

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

          For purposes of the foregoing determinations, Adjusted EBITDA is
     defined as earnings before interest, taxes, depreciation, and amortization
     for the year then ended determined in accordance with Generally Accepted
     Accounting Principles except that in determining earnings for this purpose,
     there will be no deduction from revenue for any

                                       2

<PAGE>

     compensation charge attributable to the vesting of options, and there will
     be no deduction for expenses associated with (i) the Recapitalization
     Offering (ii) the debt restructure between the Employer and its senior
     lenders which occurred on April 12, 2002 or (iii) any litigation in which
     the Employer is involved ( the foregoing being referred to as "Disregarded
     Expenses"). Additionally, the EBITDA targets listed above shall be adjusted
     to reflect the projected impact of any business combination involving
     Employer which may occur prior to the vesting event with such adjustments
     to be determined by adding to the prospective EBITDA targets the EBITDA of
     any such business combined with the business of the Employer for the 12
     months preceding the acquisition).

          The Employee shall have six months from the date of any termination of
     Employee's employment other than for Cause or as a result of death or
     Permanent Disability to exercise any vested New Options. If Employee is
     terminated for Cause, the New Options shall terminate immediately. If
     Employee's employment is terminated by Death or Permanent Disability,
     Employee shall have six (6) months from the date of such termination to
     exercise any vested Options. All New Options shall be subject to the terms
     of the 2002 Employee Stock Option Plan and the Employee shall enter into a
     standard stock option agreement containing the foregoing terms and other
     customary provisions for options issued under the 2002 Stock Option Plan."

     4. Section 6 of the Employment Agreement is hereby amended by deleting
subsection (a) and substituting the following therefor:

          "(a) The foregoing notwithstanding, this Agreement is not to be
     considered an agreement for a fixed term or as a guarantee of continuing
     employment. Accordingly, subject to the provisions of Section 7 hereof,
     Employee's employment may be terminated by Employer with or without Cause
     (as defined below) upon immediate written notice to Employee at any time
     during the term of this Agreement. Additionally, Employee's employment
     shall automatically terminate upon his death or upon a determination that
     he is Permanently Disabled (as defined below). Employee may resign as an
     officer and, if applicable, director and terminate his employment at any
     time upon 30 days' written notice to Employer. In the event that such
     termination is by the Employer for Cause or by the Employee other than as a
     result of a Constructive Termination Event (as defined below), Employee
     shall be paid the bi-weekly portion of his Annual Base Salary then due
     through the date of such termination and shall be entitled to no salary
     from that date forward and to only those benefits which Employer is
     required by law to provide to Employee. In the event that the Employee dies
     of becomes Permanently Disabled, the Employee shall be paid all accrued
     salary and benefits up to the date of death or determination of Permanent
     Disability, as the case may be, shall be entitled to have all outstanding
     options (other than New Options) which are not then vested vest, and shall
     further be entitled to receive the proceeds of any life insurance policy or
     disability policy maintained by the Employer for the Employee's benefit.
     The Employer shall use it best efforts to maintain a term life insurance
     policy on the life of Employee, the beneficiaries of which shall be named
     by the Employee, with a death benefit of at least 1 million dollars and a
     disability policy covering the Employee which has a benefit which will pay
     upon permanent disability a benefit of at least $15,000 per month during
     the period of Permanent Disability as defined in the policy. Upon any
     termination, Employee shall immediately return any and all property and
     records belonging to Employer which are in Employee's possession and shall
     vacate Employer's offices in a prompt and professional manner. In addition
     to the foregoing, upon termination of Employee's employment with Employer
     for any reason, Employee shall resign promptly as an officer and, if
     applicable, director of Employer and any subsidiary or parent of Employer
     unless Employer indicates in writing to Employee its desire that Employee
     retain any such position. In the event of

                                       3

<PAGE>

     a termination by the Employer without Cause, or in the event that the
     Employee terminates his employment as a result of a Constructive
     Termination Event, Employee shall be entitled solely to (y) the Severance
     Benefits provided in Section 7, and (z) immediate vesting of all unvested
     options, rights and benefits under any stock option plan in which Employee
     has an unvested interest, except that only fifty percent (50%) of the New
     Options which at that time are unvested shall vest immediately. The
     foregoing notwithstanding, in the event of any termination of Employee's
     employment whether or not for Cause or by reason of Employee's death or
     Permanent Disability, Employee shall be entitled to receive all benefits
     which are accrued, vested and earned up to the termination date under the
     terms of any existing benefit plans such as the vested balance of the
     Employee's account under any retirement or benefit plan such as the vested
     balance of the employee's account under any retirement or deferred
     compensation plan and any benefits which are legally required to be
     provided after termination such as COBRA benefits (the "Legally Earned or
     Required Benefits")."

     5. Section 7 of the Employment Agreement is hereby amended by deleting it
in its entirety and substituting the following therefor:

          "7. Severance Benefits.

          (a) If during the term of this Agreement, Employee's employment is
     terminated (i) by the Employer other than for Cause, as defined below, or
     (ii) by the Employee as a result of the occurrence of a Constructive
     Termination Event, as defined below, which has not been cured by the
     Employer within 30 days of receipt of written notice from the Employee that
     such event has occurred, then upon the occurrence of such event Employer
     shall pay to the Employee (or the Employee's estate in the event of death
     after termination), as a severance benefit and in complete satisfaction of
     any and all claims which Employee may have against Employer or its
     affiliates, officers, directors or employees as a result of this Agreement
     or his previous employment by Employer, an amount which is equal to (y) one
     (1) times Employee's Annual Base Salary plus (z) the average annual bonus
     earnings of the Employee determined by adding the annual bonus earnings for
     the Employee over the previous three immediately past completed calendar
     years and dividing the result by three (the "Initial Severance Benefit").
     Additionally, for so long as the Employer does not waive the provisions of
     Section 8(a), if Employee has not commenced employment with a new employer
     within twelve (12) months after a termination by Employer without Cause or
     by Employee as a result of a Constructive Termination Event, then for each
     month after the twelfth month during which such Employee remains unemployed
     and bound by the provisions of Section 8(a) from the twelfth and through
     the twenty-fourth month after such termination, Employer shall pay
     additional severance equal to 1/12th of the Initial Severance Benefit (the
     "Supplemental Severance Benefit"); however, no more than twelve (12) such
     payments shall be payable. Each Supplemental Severance Benefit payment
     shall be made by the 10th of the next month after the month to which it
     relates and no such payments shall be made for the month in which the
     Employee accepts employment with another employer or Employer waives the
     provisions of Section 8(a) or any month thereafter. Additionally, Employer
     shall not be obligated to pay any severance benefit until Employee (or
     Employee's personal representative in the event of Employee's death) has
     delivered to Employer a complete and unconditional release, in form
     reasonably satisfactory to Employer, releasing Employer from any and all
     claims which Employee may have against Employer as a result of any
     occurrence during Employee's employment and including, but not limited to,
     any claim for wrongful termination (the "Employee Release"). The foregoing
     notwithstanding, the Employee Release shall not release the Employer from
     any of its post termination obligations under this Agreement or under any
     employee benefit plan of

                                       4

<PAGE>

     the Employer. The Initial Severance Benefit shall be paid within ten (10)
     days following the effective date of such termination or the delivery of
     the foregoing release, whichever is the last to occur. As used in this
     Agreement:

               (A) the term "Cause" means (i) the Employee's violation of his
          fiduciary duty to the Employer, (ii) gross or willful failure by the
          Employee to perform the duties of Employee's position, (iii) the
          Employee's habitual unexcused absence over an extended period, (iv)
          embezzlement or misappropriation of Employer funds by the Employee, or
          (v) the Employee's conviction of a felony;

               (B) the term "Permanent Disability" means the permanent mental or
          physical inability of the Employee to perform with reasonable
          accommodation the essential duties of Employee's position as existing
          on the date of this Agreement which condition causes the Employee to
          be unable to perform the duties of his office for a period of six
          months in any twelve-month period; and

               (C) the term "Constructive Termination Event" means action by the
          Employer which is directed at the Employee specifically and not at all
          employees generally and which has the effect of significantly reducing
          the Employee's compensation, employment responsibilities, or
          authority, or the nonpayment by Employer of compensation due and owing
          to the Employee under this Agreement, which has not been cured by the
          Employer within 30 days of receipt of written notice from the Employee
          that such nonpayment has occurred.

          (b) Following Employer's termination of Employee's employment for any
     reason other than Cause or Employee's termination of his employment as a
     result of a Constructive Termination Event during the term of this
     Agreement, Employer shall maintain in full force and effect, for the
     Employee's continued benefit until the earlier of (i) the date when no more
     Initial Severance Benefit payments and Supplemental Severance Benefit
     payments are payable, or (ii) the Employee's commencement of full time
     employment with a new employer, all life insurance, medical, dental, health
     and accident, and disability plans, programs or arrangements of the
     Employer in which the Employee participated on the date of termination,
     provided that the Employee's continued participation is possible under the
     general terms and provisions of such plans and programs. In the event that
     such continued participation is not possible, the Employer shall obtain and
     pay for comparable individual coverage for the Employee.

          (c) The expiration of the term of this Agreement shall constitute a
     termination of Employee's employment by Employer without Cause for purposes
     of this Agreement, including Section 6 hereof."

     6. Section 8 of the Employment Agreement is hereby amended by deleting
subsection (a) in its entirety and substituting the following therefor:

          "(a) For a period equal to the term of this Agreement and two years
     after the termination of employment for any reason, without the written
     consent of the Employer, Employee shall not either directly or indirectly
     engage (whether for his own account or as a partner, joint venturer,
     employee, consultant, agent, contractor, officer, director or shareholder
     or otherwise) in any business within the United States which delivers
     preferred provider organization or claims repricing services on behalf of
     health care payors or networks; provided, however, that the foregoing shall
     not be deemed to prohibit Employee from purchasing and owning securities of
     a company traded on a national securities exchange or on the Nasdaq
     National Market with which Employee has

                                       5

<PAGE>

     no relationship so long as such ownership does not exceed 2% of the
     outstanding stock of such company."

     7. Section 13 of the Employment Agreement is hereby amended by deleting the
name and address of Employer and substituting the following therefor:

     If to Employer:    PlanVista Corporation
                        4010 Boy Scout Blvd.
                        Suite 200
                        Tampa, FL  33607
                        Attention:  General Counsel

     With a copy to:    David C. Shobe, Esq.
                        Fowler White Boggs Banker P.A.
                        501 East Kennedy Blvd., Suite 1700
                        Tampa, FL  33602

     8. This Amendment to Employment and Noncompetition Agreement shall only
become effective upon the closing of the Recapitalization Offering on or before
August 30, 2002 (the "Effective Date"). In the event the Recapitalization
Offering is not closed on or before this date, this Amendment to Employment and
Noncompetition Agreement shall be null and void.

     9. Except as set forth in this Amendment to Employment and Noncompetition
Agreement, all terms and conditions of the Employment Agreement shall remain in
full force and effect.

     IN WITNESS WHEREOF, the parties hereto have executed this Amendment to
Employment and Noncompetition Agreement the day and year first above written.

                                    PLANVISTA CORPORATION, on behalf of itself
                                    and its subsidiaries listed in the
                                    Employment Agreement dated as of June 1,
                                    2000

                                    By:   /s/ John D. Race
                                       -----------------------------------------
                                         John D. Race
                                    Its: Chairman of the Compensation Committee

                                         "EMPLOYER"

                                          /s/ Phillip S. Dingle
                                    --------------------------------------------
                                    Phillip S. Dingle

                                         "EMPLOYEE"

                                       6

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