Document:

Exhibit 10.44

                                 LOAN AGREEMENT

         THIS LOAN AGREEMENT (this  "Agreement") is executed and entered into as
of the 15th day of March,  2006 (the  "Effective  Date"),  by and  between  Tate
Investments,  LLC, a  Wisconsin  limited  liability  company  ("Lender"),  whose
address is 3252 N. Lake Drive,  Milwaukee,  WI 53211, and MedSolutions,  Inc., a
Texas corporation, on behalf of itself and its subsidiaries (MedSolutions,  Inc.
and its subsidiaries  collectively referred to as "Borrower"),  whose address is
12750 Merit Drive, Park Central VII, Suite 770, Dallas, Texas 75251.

                             PRELIMINARY STATEMENTS

         A.  Lender has  offered  to make a loan to  Borrower  in the  aggregate
amount of up to  $500,000.00  (the  "Loan"),  which  Loan will be  secured  by a
first-priority  lien on certain  equipment,  and the Accounts of the Borrower as
set forth in the Security Agreements (as defined below); and

         B. Lender is willing to make the Loan to Borrower subject to the terms
and conditions stated in this Agreement.

         NOW, THEREFORE,  for and in consideration of Lender's agreement to make
the Loan to Borrower and the mutual  covenants  contained  herein and other good
and  valuable  consideration,  the  receipt and legal  sufficiency  of which are
hereby  acknowledged by the parties hereto,  Borrower and Lender hereby agree as
follows:

         1. Commitment of Lender. Upon Borrower's compliance with all conditions
set forth in Section 3 of this  Agreement,  Lender will advance and disburse the
Loan to Borrower. The Loan shall be repaid and is secured according to the terms
of the Note (as defined below) and the Security Agreements. Once fully advanced,
no payment or prepayment of principal  shall entitle  Borrower to any additional
advances.

         2. Loan  Documents.  Borrower agrees to execute or cause to be executed
contemporaneously  herewith  or  immediately  hereafter  all  of  the  following
documents:

         (a) the Convertible Secured Promissory Note in the form attached hereto
         as Exhibit A (the "Note");

         (b) the  Security  Agreement in the form  attached  hereto as Exhibit B
         (such Security  Agreement and the General Business  Security  Agreement
         dated as of July 15, 2005 between Lender and Borrower are  collectively
         referred to as the "Security Agreements"); and

         (c) Such other documents, certificates,  affidavits and agreements that
         Lender may reasonably require prior to advancing proceeds of the Loan.

All of the foregoing and such other agreements, documents and instruments now or
hereafter  evidencing,  governing,  or securing any portion of the  indebtedness
evidenced  by the  Note or the  performance  and  discharge  of the  obligations

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related  hereto or thereto,  together with any and all renewals,  modifications,
amendments,    restatements,    increases,    consolidations,     substitutions,
replacements,  extensions and supplements  hereof or thereof,  are  collectively
referred to herein as the "Loan Documents."

         3.  Conditions  to Closing.  The  obligation of the Lender to close the
Loan and to make each  advance of the  proceeds  of the Loan shall be subject to
the  prior  or   simultaneous   occurrence  or  satisfaction  of  the  following
conditions:

         (a) Borrower  shall have duly  executed and delivered to Lender each of
         the Loan Documents and provided Lender with evidence that all necessary
         action on the part of  Borrower  has been  taken  with  respect  to the
         execution and delivery of this Agreement and the Loan Documents and the
         consummation of the transactions  contemplated  hereby and thereby,  so
         that the Loan Documents,  and each of them,  shall be valid and binding
         upon Borrower;

         (b) The  representations  and  warranties of the Borrower  contained in
         Section 4 hereof, in the Loan Documents shall be true and correct as of
         the date of each such advance;

         (c) With respect to each  advance of the proceeds of the Loan,  receipt
         by  the  Lender  from  the  Borrower  of  a  written  request  therefor
         accompanied by documentation  reflecting the use of proceeds thereof to
         the reasonable satisfaction of the Lender; provided,  however, that the
         Lender  hereby  agrees that the use of proceeds of the Loan to purchase
         equipment  relating to the  Borrower's and its  affiliates'  businesses
         shall be deemed satisfactory;

         (d) On the date of each advance, the Borrower shall have complied,  and
         be in compliance,  with all of the covenants of the Borrower  contained
         in the Loan Documents and in the Transaction Documents;

         (e) There  shall be no  continuing  Event of Default (as defined in the
         Loan  Documents  or in the  "Transaction  Documents",  as that  term is
         defined in the Loan Documents); and

         (f) The Borrower shall have reimbursed  Lender for the reasonable costs
         and expenses  incurred by Lender in  connection  with the  preparation,
         execution  and  delivery  of the Loan  Documents  and the  transactions
         contemplated  thereby,  including the reasonable fees and disbursements
         of Davis & Kuelthau,  s.c.; provided,  however, that such reimbursement
         shall not exceed Four Thousand Dollars ($4,000.00).

         4. Representations and Warranties of the Borrower. To induce the Lender
to enter into this  Agreement and to consummate  the  transactions  contemplated
hereby, the Borrower hereby makes the following  representations  and warranties
to the Lender on and as of the Effective Date:

         (a) Authority.  The Borrower has full legal power to execute,  deliver,
         and perform this Agreement and the Loan  Documents.  This Agreement and
         the Loan  Documents  represent  valid and  binding  obligations  of the

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         Borrower  enforceable  against the  Borrower in  accordance  with their
         respective   terms,   except  as  limited  by  applicable   bankruptcy,
         insolvency, reorganization,  moratorium, and similar laws affecting the
         enforcement  of  creditors'  rights  generally and the  application  of
         general principles of equity and judicial discretion;

         (b) No Violation. The consummation of the transactions  contemplated by
         this  Agreement and the Loan Documents will not be in conflict with, or
         result  in a breach  of,  any  term,  condition,  or  provision  of, or
         constitute a default under, any indenture,  mortgage, deed of trust, or
         other  material  agreement  or  instrument  to which the  Borrower is a
         party,  and will not constitute an event that with the lapse of time or
         action by a third  party could  result in any default  under any of the
         foregoing;

         (c) No Event of Default has occurred under the  Transaction  Documents;
         and

         (d) The  Borrower  has  complied  with  and is in  compliance  with all
         covenants of the Borrower in the Transaction Documents.

         5. Remedies.  Upon the occurrence of an Event of Default (as defined in
the Loan  Documents or  Transaction  Documents,  Lender shall have the immediate
right,  at the sole  discretion of Lender  without  notice or demand and without
prejudice  to any other  right of Lender,  to:  (i)  declare  the entire  unpaid
balance of the Note and all accrued but unpaid  interest and any amounts payable
by Borrower to Lender under the  Transaction  Documents at once  immediately due
and payable (and the same shall be at once  immediately  due and payable and the
same may be  collected  forthwith),  (ii)  foreclose  and  enforce all liens and
security interests securing payment thereof,  and (iii) exercise any of Lender's
other rights,  powers,  recourses and remedies  under the Note, any of the other
Loan  Documents  or any of the  Transaction  Documents,  or at law or in equity.
Except as may be  prohibited  by  applicable  law,  all of  Lender's  rights and
remedies  shall be cumulative and may be exercised  singularly or  concurrently.
Election by Lender to pursue any remedy  shall not exclude  pursuit of any other
remedy,  and an  election to make  expenditures  or to take action to perform an
obligation of Borrower  shall not affect  Lender's  right to declare an Event of
Default and to exercise its rights and remedies.

         6. General Interest and Usury Provisions.

         (a) Savings  Clause.  It is expressly  stipulated  and agreed to be the
         intent of Borrower and Lender at all times to comply  strictly with the
         applicable  Texas law  governing the maximum rate or amount of interest
         payable  on the  indebtedness  evidenced  by the Note  and the  Related
         Indebtedness  (as  hereinafter  defined) or  applicable  United  States
         federal  law to the extent  that it  permits  Lender to  contract  for,
         charge,  take,  reserve or receive a greater  amount of  interest  than
         under Texas law. If the applicable law is ever  judicially  interpreted
         so as to render usurious any amount (i) contracted for, charged, taken,
         reserved  or  received  pursuant  to the Note,  any of the  other  Loan
         Documents or any other  communication or writing by or between Borrower
         and Lender  related to the  transaction  or  transactions  that are the
         subject matter of the Loan Documents,  (ii)  contracted  for,  charged,
         taken,  reserved  or  received  by reason of  Lender's  exercise of the
         option to  accelerate  the  maturity  of the Note  and/or  the  Related
         Indebtedness,  or (iii)  Borrower  will have  paid or Lender  will have

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         received by reason of any voluntary  prepayment by Borrower of the Note
         and/or the Related  Indebtedness,  then it is  Borrower's  and Lender's
         express intent that all amounts charged in excess of the Maximum Lawful
         Rate shall be  automatically  canceled,  ab initio,  and all amounts in
         excess of the Maximum Lawful Rate theretofore collected by Lender shall
         be  credited  on the  principal  balance of the Note and/or the Related
         Indebtedness (or, if the Note and all Related Indebtedness have been or
         would  thereby  be  paid  in  full,  refunded  to  Borrower),  and  the
         provisions of the Note and the other Loan Documents  shall  immediately
         be deemed reformed and the amounts thereafter collectible hereunder and
         thereunder  reduced,  without the necessity of the execution of any new
         document, so as to comply with the applicable laws, but so as to permit
         the recovery of the fullest amount  otherwise  called for hereunder and
         thereunder;  provided,  however, that if the Note has been paid in full
         before the end of the stated term of the Note, then Borrower and Lender
         agree that  Lender  shall,  with  reasonable  promptness  after  Lender
         discovers  or is advised by Borrower  that  interest was received in an
         amount in excess of the Maximum Lawful Rate,  either credit such excess
         interest against the Note and/or any Related Indebtedness then owing by
         Borrower to Lender  and/or  refund such  excess  interest to  Borrower.
         Borrower  hereby  agrees  that as a  condition  precedent  to any claim
         seeking usury penalties  against Lender,  Borrower will provide written
         notice to Lender,  advising  Lender in reasonable  detail of the nature
         and  amount of the  violation,  and  Lender  shall  have 60 days  after
         receipt of such  notice in which to correct  such usury  violation,  if
         any, by either  refunding such excess interest to Borrower or crediting
         such excess interest  against the Note and/or the Related  Indebtedness
         then owing by Borrower to Lender.  All sums  contracted  for,  charged,
         taken,  reserved  or  received  by Lender for the use,  forbearance  or
         detention  of  any  debt  evidenced  by the  Note  and/or  the  Related
         Indebtedness  shall,  to the extent  permitted  by  applicable  law, be
         amortized,  prorated,  allocated or spread, using the actuarial method,
         throughout the stated term of the Note and/or the Related  Indebtedness
         (including  any and all renewal and extension  periods  thereof)  until
         payment  in full so that the rate or amount of  interest  on account of
         the Note  and/or the Related  Indebtedness  does not exceed the Maximum
         Lawful  Rate  from time to time in effect  and  applicable  to the Note
         and/or the Related  Indebtedness  for so long as any debt thereunder is
         outstanding.  In no event  shall the  provisions  of Chapter 346 of the
         Texas  Finance  Code (which  regulates  certain  revolving  credit loan
         accounts and revolving  triparty accounts) apply to the Note and/or any
         of the Related Indebtedness.  Notwithstanding  anything to the contrary
         contained  herein or in any of the other Loan Documents,  it is not the
         intention of Lender to accelerate the maturity of any interest that has
         not  accrued at the time of such  acceleration  or to collect  unearned
         interest at the time of such acceleration.  The terms and provisions of
         this paragraph shall control and supersede  every other term,  covenant
         or provision  contained  herein,  in any other Loan  Document or in any
         other agreement between the Borrower and Lender.

         (b) Ceiling  Election.  To the extent that Lender is relying on Chapter
         303 of the Texas  Finance  Code to  determine  the Maximum  Lawful Rate
         payable  on  the  Note   and/or  any  other   portion  of  the  Related
         Indebtedness,  Lender will utilize the weekly ceiling from time to time
         in effect as provided in such  Chapter  303, as amended.  To the extent
         United States federal law permits Lender to contract for, charge, take,
         receive or reserve a greater  amount of interest  than under Texas law,

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         Lender will rely on United  States  federal law instead of such Chapter
         303  for  the  purpose  of   determining   the  Maximum   Lawful  Rate.
         Additionally,  to  the  extent  permitted  by  applicable  law  now  or
         hereafter  in effect,  Lender may, at its option and from time to time,
         utilize any other method of establishing  the Maximum Lawful Rate under
         such Chapter 303 or under other  applicable  law by giving  notice,  if
         required,  to  Borrower  as  provided  by  such  applicable  law now or
         hereafter in effect.

         (c) Definitions.

         (i) As used  herein,  the term  "Maximum  Lawful  Rate"  shall mean the
         maximum lawful rate of interest which may be contracted  for,  charged,
         taken, received or reserved by Lender in accordance with the applicable
         laws of the State of Texas (or applicable  United States federal law to
         the extent that such law permits Lender to contract for, charge,  take,
         receive or reserve a greater  amount of interest than under Texas law),
         taking into account all Charges made in connection with the transaction
         evidenced by the Note and the other Loan Documents.

         (ii) As used herein,  the term "Charges"  shall mean all fees,  charges
         and/or any other  things of value,  if any,  contracted  for,  charged,
         taken,   received  or  reserved  by  Lender  in  connection   with  the
         transactions  relating to the Note and the other Loan Documents,  which
         are treated as interest under applicable law.

         (iii) As used herein,  the term "Related  Indebtedness"  shall mean any
         and all indebtedness  paid or payable by Borrower to Lender pursuant to
         the Loan Documents or any other  communication or writing by or between
         Borrower and Lender related to the transaction or transactions that are
         the subject  matter of the Loan  Documents,  except  such  indebtedness
         which has been paid or is payable by Borrower to Lender under the Note.

         7. Notices.  Any notice or demand required hereunder shall be deemed to
be  delivered  when  deposited  in the  United  States  mail,  postage  prepaid,
certified mail,  return receipt  requested,  addressed to Borrower or Lender, as
the case may be, at the address first set forth above,  or at such other address
as such party may hereafter deliver in accordance herewith.  Any other method of
delivery  or demand  shall be  effective  only  when  actually  received  by the
recipient  thereof.  If and when included within the term "Borrower" or "Lender"
there are more than one person,  all shall jointly arrange among  themselves for
their joint  execution  and  delivery of a notice to the other  specifying  some
person  at some  specific  address  for the  receipt  of all  notices,  demands,
payments or other documents. All persons included within the terms "Borrower" or
"Lender,"  respectively,  shall be  bound  by  notices,  demands,  payments  and
documents  given in accordance with the provisions of this paragraph to the same
extent as if each had received such notice, demand, payment or document.

         8.  Governing  Law. This Agreement and each of the other Loan Documents
shall be deemed a contract  and  instrument  made under the laws of the State of
Wisconsin and shall be construed and enforced in accordance with and governed by
the laws of the State of Wisconsin and the laws of the United States of America.

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         9. Survival; Parties Bound. All representations,  warranties, covenants
and agreements made by or on behalf of the Borrower in connection herewith shall
survive the execution and delivery of the Loan Documents,  shall not be affected
by any investigation made by or on behalf of Lender, and shall bind the Borrower
and its successors,  trustees, receivers and assigns and inure to the benefit of
the  successors and assigns of the Lender.  The term of this Agreement  shall be
until the later of the final maturity of the Note and the payment of all amounts
due under the Loan Documents.

         10.  Counterparts.  This Agreement may be executed in several identical
counterparts,  and by the  parties  hereto on  separate  counterparts,  and each
counterpart,  when so  executed  and  delivered,  shall  constitute  an original
instrument,  and all such separate counterparts shall constitute but one and the
same instrument.

         11.  Severability.  If any provision of any of the Loan Documents shall
be invalid,  illegal or  unenforceable  in any respect under any applicable law,
the validity,  legality and enforceability of the remaining provisions shall not
be affected or impaired thereby.

         12. Captions. The headings and captions appearing in the Loan Documents
have been  included  solely  for  convenience  and shall  not be  considered  in
construing the Loan Documents.

         13.  ENTIRE  AGREEMENT.  THIS  WRITTEN LOAN  AGREEMENT,  THE OTHER LOAN
DOCUMENTS AND THE TRANSACTION  DOCUMENTS  REPRESENT THE FINAL AGREEMENT  BETWEEN
THE PARTIES AND MAY NOT BE CONTRADICTED  BY EVIDENCE OF PRIOR,  CONTEMPORANEOUS,
OR  SUBSEQUENT  ORAL  AGREEMENTS  OF THE PARTIES.  THERE ARE NO ORAL  AGREEMENTS
BETWEEN THE PARTIES.

                            [Signature Page Follows]

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         IN WITNESS  WHEREOF,  the parties have  executed  this  Agreement to be
effective as of the day first written above.

                                           LENDER:
                                           -------

                                           TATE INVESTMENTS, LLC
                                           By: Tate Revocable Trust, sole member

                                           By: /s/ Joseph P. Tate
                                              ----------------------------------
                                              Joseph P. Tate, Trustee

                                           BORROWER:

                                           MEDSOLUTIONS, INC.

                                            /s/ Matthew H. Fleeger
                                           -------------------------------------
                                           Matthew H. Fleeger, President & CEO

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                                    EXHIBIT A
                                    ---------

                             FORM OF PROMISSORY NOTE

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                                    EXHIBIT B
                                    ---------

                           FORM OF SECURITY AGREEMENT

                                       9Exhibit 10.45

                       CONVERTIBLE SECURED PROMISSORY NOTE

$500,000.00                                                       March 15, 2006
                                                                   Dallas, Texas

         FOR  VALUE  RECEIVED,  the  undersigned,  MedSolutions,  Inc.,  a Texas
corporation on behalf of itself and its subsidiaries (MedSolutions, Inc. and its
subsidiaries   are   collectively   referred   to  as   the   "Maker"),   hereby
unconditionally  promises  to pay to the  order  of  Tate  Investments,  LLC,  a
Wisconsin limited  liability company (the "Payee"),  at such place as designated
by the Payee, or at such other place or to such other party or parties as may be
designated  by the Payee from time to time, in lawful money of the United States
of America, the principal amount (the "Principal Amount") of $500,000.00 secured
by certain of the assets of the Maker as  described  in the  Security  Agreement
entered into by Maker and Payee  effective as of the date hereof and the General
Business  Security  Agreement dated as of July 15, 2005 by and between Maker and
Payee  (collectively,  the "Security  Agreements"),  with simple  interest at an
annual rate of (i) 10.0%  during the period  beginning  on the date of the first
advance  hereunder  and ending on the 12-month  anniversary  of the date of this
Note, (ii) 11.0% during the period  beginning on the day  immediately  following
the  12-month  anniversary  of the date of this Note and ending on the  24-month
anniversary  of the  date of this  Note,  and  (iii)  12.0%  during  the  period
beginning on the day immediately  following the 24-month anniversary of the date
of this Note and ending on the Maturity Date (as defined below).  From and after
an Event of Default (as defined herein or in the Loan Agreement  entered into by
Maker and Payee  effective  as of the date hereof) and for so long as such Event
of Default shall continue,  the unpaid principal balance of this Note shall bear
interest  at an annual  rate  equal to the  lesser  of:  (i) the  prime  rate as
published in the Wall Street Journal from time to time, plus eight percent (8%);
or (ii) the Highest Lawful Rate (as defined below), payable on demand.

         1. Payments. This Promissory Note (the "Note") shall be due and payable
in (i) thirty-five  (35) monthly  installments of interest only on the Principal
Amount  outstanding  from time to time,  at such rate as in effect  from time to
time as set forth  herein,  each due  monthly  beginning  on April 30,  2006 and
ending on February 28, 2009 and (ii) one final  installment  of the  outstanding
Principal  Amount and all accrued and unpaid  interest  thereon due on March 31,
2009. Each date on which a payment is due, including the Maturity Date, shall be
referred to herein as a "Payment  Date";  provided,  however,  that if a Payment
Date should fall on a Saturday,  Sunday, or bank holiday,  then the Payment Date
shall be the next  business day. The Maker may prepay any portion or this entire
Note at any time in accordance with the provisions  hereof.  Any prepayment will
be applied  first  against  accrued  but unpaid  interest  and then  against the
outstanding principal balance.

         2. Notation of  Indebtedness  and Payments.  The Payee is authorized to
record the date and amount of the  indebtedness  evidenced by this Note, and the
date and  amount of each  payment  and  prepayment  of  principal  hereof on any
schedule  annexed hereto and made a part hereof,  or on a  continuation  thereof

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which shall be attached  thereto and made a part hereof,  and any such  notation
shall  be  conclusive  and  binding  for all  purposes  absent  manifest  error;
provided, however, that failure by the Payee to make any such notation shall not
affect the obligations of the Maker hereunder.

         3.  Prepayment.  The Maker  may  prepay  any or all of the  outstanding
Principal  Amount under this Note, and any accrued and unpaid interest  thereon,
at any time and from time to time after March 31, 2007 without the prior written
consent of the Payee and without any premium or penalty; provided, however, that
the Maker  shall  provide the Payee with 30 days'  prior  written  notice of its
intent to prepay any or all of such outstanding Principal Amount. The Payee may,
after receipt of such prepayment notice, elect to convert, pursuant to Section 8
below, any or all of such outstanding Principal Amount proposed to be prepaid by
providing  written notice to the Maker of the Payee's intent to convert prior to
the effective  date of such  prepayment.  Notice of prepayment  pursuant to this
Section 3 shall be  irrevocable,  and in the event the Maker fails to prepay the
amount  specified in the  prepayment  notice (or to  effectuate  any  conversion
requested by the Payee in connection  therewith)  upon the expiration of 30 days
from the date of the delivery of such notice,  the outstanding  Principal Amount
under this Note,  together with any accrued and unpaid interest  thereon,  shall
become immediately due and payable.

         4. Default.

         (a) Each of the following shall  constitute an "Event of Default" under
this Note:

                  (i) The  Maker  shall  fail to pay  when  due any  payment  of
         principal or interest or any other  amount due  hereunder in the manner
         provided herein; or

                  (ii) An Event of Default (as defined in the Loan  Documents or
         the Transaction Documents) shall have occurred; or

                  (iii) Any  representation or warranty made by the Maker in the
         Loan  Documents  or the  Transaction  Documents  shall  be false in any
         material respect on the date made; or

                  (iv) The Maker  fails to  materially  perform or  observe  any
         agreement, covenant, term or condition herein, or in the Loan Documents
         or in the Transaction Documents; or

                  (v) The Maker  commences any case,  proceeding or other action
         relating to it in  bankruptcy or seeking  reorganization,  liquidation,
         dissolution,   winding-up,   arrangement,    composition,   compromise,
         readjustment  of its debts or any other  relief  under any  bankruptcy,
         insolvency,  reorganization,   liquidation,  dissolution,  arrangement,
         composition,  compromise, readjustment of debt or similar act or law of
         any jurisdiction,  now or hereafter existing,  or consents to, approves
         of or acquiesces  in, any such case,  proceeding  or other  action,  or
         applies for a receiver, trustee or custodian for itself or for all or a
         substantial  part of its  properties or assets,  or makes an assignment
         for the benefit of  creditors,  or fails  generally to pay its debts as
         they mature or admits in writing its inability to pay its debts as they
         mature, or is adjudicated insolvent or bankrupt; or

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                  (vi)  There  is  commenced  against  the  Maker  any  case  or
         proceeding,  or  any  other  action  is  taken  against  the  Maker  in
         bankruptcy  or  seeking   reorganization,   liquidation,   dissolution,
         winding-up, arrangement,  composition,  compromise, readjustment of its
         debts  or  any  other   relief   under  any   bankruptcy,   insolvency,
         reorganization,  liquidation,  dissolution,  arrangement,  composition,
         compromise,  readjustment  of  debt  or  similar  act  or  law  of  any
         jurisdiction,  now or  hereafter  existing;  or  there is  appointed  a
         receiver,  trustee  or  custodian  for  the  Maker  or  for  all  or  a
         substantial  part of its  properties  or  assets;  or there is issued a
         warrant  of  attachment,  execution  or  similar  process  against  any
         substantial part of the properties or assets of the Maker, and any such
         event continues for 90 days undismissed, unbonded or undischarged.

         (b) If any Event of Default shall have occurred and be continuing,  the
Payee may:

                  (i)  declare  this  Note,  all  interest  hereon and all other
         amounts,  if any, payable  hereunder or in respect of this Note, or the
         Loan  Documents or the  Transaction  Documents to be forthwith  due and
         payable,  whereupon they shall become and be forthwith due and payable,
         without presentment, demand, protest or further notice of any kind, all
         of which are hereby expressly waived by the Maker;

                  (ii)  Proceed to enforce its rights  hereunder,  and under the
         Loan Documents and/or the Transaction Documents.

Notwithstanding  the  foregoing,  upon the  occurrence  of any of the  events or
conditions described in subsection (v) or (vi) of Section 4(a) above, this Note,
all  interest  hereon and all other  amounts,  if any,  payable  hereunder or in
respect  of this Note shall  immediately  become due and  payable,  without  any
requirement on the part of the Payee to give notice, or make declaration, of any
kind regarding such Event of Default and without presentment, demand, protest or
any  other  requirement  on the  part of the  Payee,  all of  which  are  hereby
expressly waived by the Maker.

         5. Waiver of Certain  Demands and  Notices.  Presentment  for  payment,
demand, notice of dishonor, protest, notice of protest and all other demands and
notices in connection  with the delivery,  performance  and  enforcement of this
Note are hereby expressly waived by the Maker.

         6.  Payment of Court  Costs.  If this Note is placed in the hands of an
attorney for collection,  or if it is collected  through any legal  proceedings,
the Maker agrees to pay court costs,  reasonable attorneys' fees and other costs
of collection of the holder hereof.

         7.  Usury.  It is the  intention  of the Maker to conform  strictly  to
applicable  usury laws now or hereafter in force,  and therefore all  agreements
between the Maker and the Payee are expressly  limited so that in no contingency
or event  whatsoever,  whether by reason of advancement of the proceeds  hereof,
acceleration  of maturity of the unpaid  principal  balance hereof or otherwise,
shall  the  amount  paid  or  agreed  to be  paid to the  Payee,  for  the  use,
forbearance  or  detention  of the money to be  advanced  hereunder  exceed  the
highest  lawful rate  permitted by applicable  law.  Regardless of any provision
contained  herein,  or  in  any  other  documents  or  instruments  executed  in
connection  herewith,  the Payee shall never be entitled to receive,  collect or

                                       3
<PAGE>

apply,  as  interest  hereon,  any amount in excess of the  Highest  Lawful Rate
(hereinafter  defined)  and in the event the Payee ever  receives,  collects  or
applies,  as  interest,  any such  excess,  such amount which would be excessive
interest shall be deemed a partial prepayment of principal and treated hereunder
as such;  and, if the principal  hereof is paid in full,  any  remaining  excess
shall be refunded to the Maker. In determining  whether or not the interest paid
or payable, under any specific contingency, exceeds the Highest Lawful Rate, the
Maker and the Payee shall, to the maximum extent permitted under applicable law,
(a) characterize any nonprincipal  payment as an expense,  fee or premium rather
than as interest, (b) exclude voluntary prepayments and the effects thereof, and
(c) spread the total amount of interest  throughout the entire contemplated term
hereof;  provided  that if the  interest  received  for  the  actual  period  of
existence  hereof  exceeds the Highest Lawful Rate, the Payee shall either apply
or refund to the Maker the amount of such excess as herein provided, and in such
event the Payee shall not be subject to any  penalties  provided by any laws for
contracting for, charging or receiving  interest in excess of the Highest Lawful
Rate. As used in this Note, the term "Highest  Lawful Rate" means,  at any given
time during  which  indebtedness  shall be  outstanding  hereunder,  the maximum
nonusurious  interest rate, if any, that at any time or from time to time may be
contracted  for,  taken,  reserved,  charged  or  received  on the  indebtedness
evidenced  by this Note  under the  applicable  laws of the  United  States  and
applicable state law currently in effect or, to the extent allowed by law, under
such applicable laws of the United States and applicable state law may hereafter
be in effect and which allow a higher  maximum  nonusurious  interest  rate than
applicable laws now allow, in any case after taking into account,  to the extent
required by applicable law, any and all relevant  payments or charges under this
Note and any documents executed in connection herewith.

         8. Conversion.

         (a) Subject to and upon  compliance with the provisions of this Section
8, the Payee shall have the right (the "Conversion  Right"),  at its option,  at
any time and from time to time, to convert all or any portion of the outstanding
principal amount of and accrued but unpaid interest on this Note into the number
of fully paid and  nonassessable  shares of common stock of the Maker, par value
$.001 (the "Common Stock"),  obtained by dividing (i) the amount of this Note to
be so converted,  by (ii) the Conversion  Price.  For purposes of this Note, the
term "Conversion Price" means (x) $0.85 during the period beginning on March 15,
2006 and ending on March 31,  2007,  (y) $1.00  during the period  beginning  on
April 1, 2007 and  ending on March 31,  2008,  and (z) $1.15  during  the period
beginning on April 1, 2008 and ending on March 31, 2009,  each as adjusted  from
time to time pursuant to the provisions of this Section 8.

         (b) In order to exercise the  conversion  right  provided in subsection
(a) above,  the Payee shall notify the Maker in writing (a "Conversion  Notice")
that the Payee elects to convert this Note or a specified  portion thereof,  and
the Payee shall contemporaneously surrender this Note at the office of the Maker
for cancellation. Unless the shares issuable upon conversion are to be issued in
the name of the Payee, the Conversion Notice shall be accompanied by instruments
of transfer,  in a form reasonably  satisfactory to the Maker,  duly executed by
the Payee or its duly  authorized  attorney and an amount  sufficient to pay any
transfer  or  similar  tax (or  evidence  reasonably  satisfactory  to the Maker
demonstrating that such taxes have been paid).

                                       4
<PAGE>

         As promptly as  practicable  after the compliance by the Payee with any
other  conditions  set forth in this  subsection  (b), the Maker shall issue and
shall deliver to the Payee,  or otherwise in accordance with the Payee's written
instruction,  (i) a certificate or certificates for the number of full shares of
Common Stock  issuable upon the  conversion of this Note in accordance  with the
provisions of this Section 8 (and any fractional  interest in respect of a share
of Common  Stock  arising upon such  conversion  shall be settled as provided in
subsection  (c) of this Section 8), and (ii) if  applicable,  a new Note of like
tenor in the  original  principal  amount equal to the portion of this Note that
has not been so converted.

         Each  conversion  of this Note  shall be  deemed to have been  effected
immediately  prior to the close of business on the date on which the  Conversion
Notice is  received  by the Maker.  The person or persons in whose name or names
any certificate or certificates for the shares of Common Stock issuable upon any
conversion  of this Note shall be deemed to have become the holder or holders of
record of the shares represented  thereby at the time and on the date determined
in accordance  with the first sentence of this  paragraph,  and such  conversion
shall be at the Conversion Price in effect at such time on such date. All shares
of Common Stock  delivered  upon  conversion of this Note shall upon delivery be
duly and validly issued and fully paid and nonassessable.

         (c)  No  fractional  shares  of  Common  Stock  shall  be  issued  upon
conversion of this Note.  Instead of any fractional  shares of Common Stock that
would  otherwise be issuable upon conversion of this Note, the Maker shall pay a
cash  adjustment in respect of such  fractional  share in an amount equal to the
same  fraction of the current  market price (as defined in  subsection  (d)(iii)
below)  per  share of  Common  Stock  at the  close  of  business  on the day of
conversion.

         (d) The  Conversion  Price is subject to  adjustment  from time to time
upon the occurrence of any of the events  specified in this  subsection (d). For
the purpose of this subsection (d), "Common Stock" means shares now or hereafter
authorized  of any class of common stock of the Maker and any other stock of the
Maker,  however  designated,  that has the right (subject to any prior rights of
any class or series of preferred  stock) to participate in any  distribution  of
the assets or earnings of the Maker without limit as to per share amount.

                  (i) In case  the  Maker  shall  (A) pay a  dividend  or make a
         distribution  in  shares  of  Common  Stock  or other  securities,  (B)
         subdivide its outstanding  shares of Common Stock into a greater number
         of shares,  (C) combine its  outstanding  shares of Common Stock into a
         smaller  number  of  shares,  or (D) issue by  reclassification  of its
         shares  of  Common  Stock  other  securities  of the  Maker,  then  the
         Conversion  Price in  effect  at the time of the  record  date for such
         dividend or of the effective date of such  subdivision,  combination or
         reclassification,  and/or the number and kind of securities issuable on
         such date, shall be proportionately adjusted so that the holder of this
         Note  thereafter  converted  shall be entitled to receive the aggregate
         number  and kind of shares of Common  Stock (or such  other  securities
         other  than  Common  Stock)  of the Maker  that,  if this Note had been
         converted  immediately  prior to such date, the holder would have owned
         upon such  exercise  and been  entitled  to  receive  by virtue of such
         dividend, subdivision, combination or reclassification. Such adjustment
         shall be made successively whenever any event listed above shall occur.

                                       5
<PAGE>

                  (ii) In the event that the Maker  shall fix a record  date for
         the making of a distribution to all holders of Common Stock  (including
         any such distribution made in connection with a consolidation or merger
         in which the Maker is the surviving  corporation) of cash, evidences of
         indebtedness  or  assets,  or  subscription  rights  or  warrants,  the
         Conversion  Price to be in  effect  after  such  record  date  shall be
         determined by multiplying  the Conversion  Price in effect  immediately
         prior to such record date by a fraction,  the  numerator of which shall
         be the current  market  price per share of Common  Stock on such record
         date,  less the amount of cash so to be  distributed or the fair market
         value (as  determined  in good  faith  by,  and  reflected  in a formal
         resolution  of, the Board of  Directors of the Maker) of the portion of
         the assets or evidences of  indebtedness  so to be  distributed,  or of
         such subscription rights or warrants, applicable to one share of Common
         Stock,  and the denominator of which shall be such current market price
         per share of Common Stock.  Such adjustment shall be made  successively
         whenever  such a record  date is  fixed;  and in the  event  that  such
         distribution  is not so  made,  the  Conversion  Price  shall  again be
         adjusted  to be the  Conversion  Price  that would then be in effect if
         such record date had not been fixed.

                  (iii) For the purpose of any  computation  under any paragraph
         of this  subsection (d), the "current market price" per share of Common
         Stock on any date shall be the per share  price of the Common  Stock on
         the trading day immediately  prior to the event requiring an adjustment
         hereunder  and shall be: (A) if the principal  trading  market for such
         securities is a national or regional securities  exchange,  the closing
         price on such  exchange on such day; or (B) if sales  prices for shares
         of Common Stock are reported by the NASDAQ National Market System (or a
         similar  system then in use), the last reported sales price so reported
         on such day; or (C) if neither (A) nor (B) above are applicable, and if
         bid and ask  prices  for  shares of Common  Stock are  reported  in the
         over-the-counter  market  by NASDAQ  (or,  if not so  reported,  by the
         National  Quotation  Bureau),  the  average of the high bid and low ask
         prices so reported on such day. Notwithstanding the foregoing, if there
         is no reported closing price, last reported sales price, or bid and ask
         prices,  as the case may be, for the day in question,  then the current
         market  price shall be  determined  as of the latest date prior to such
         day for which such closing price, last reported sales price, or bid and
         ask prices,  as the case may be, are available,  unless such securities
         have not been traded on an exchange or in the  over-the-counter  market
         for 30 or more days immediately prior to the day in question,  in which
         case the current market price shall be determined in good faith by, and
         reflected  in a formal  resolution  of, the Board of  Directors  of the
         Maker.

                  (iv) Notwithstanding any provision herein to the contrary,  no
         adjustment  in the  Conversion  Price  shall be  required  unless  such
         adjustment  would require an increase or decrease of at least 1% in the
         Conversion  Price;  provided,  however,  that any adjustments  which by
         reason of this  subsection  (v) are not  required  to be made  shall be
         carried  forward and taken into account in any  subsequent  adjustment.
         All calculations under this subsection (d) shall be made to the nearest
         cent or the nearest one-hundredth of a share, as the case may be.

                  (v)  In  the  event  that  at  any  time,  as a  result  of an
         adjustment made pursuant to subsection  (d)(i), the holder of this Note
         thereafter  converted  shall  become  entitled to receive any shares of
         capital  stock  of  the  Maker  other  than  shares  of  Common  Stock,

                                       6
<PAGE>

         thereafter  the  number  of  such  other  shares  so  receivable   upon
         conversion  of this Note shall be subject  to  adjustment  from time to
         time in a manner and on terms as nearly  equivalent as  practicable  to
         the provisions  with respect to the shares of Common Stock contained in
         this subsection (d), and the other  provisions of this Note shall apply
         on like terms to any such other shares.

                  (vi) If the Maker merges or consolidates  into or with another
         corporation or entity, or if another  corporation or entity merges into
         or with the  Maker  (excluding  such a merger in which the Maker is the
         surviving or  continuing  corporation  and which does not result in any
         reclassification,   conversion,   exchange,   or  cancellation  of  the
         outstanding  shares of Common Stock), or if all or substantially all of
         the assets or business of the Maker are sold or  transferred to another
         corporation,   entity,  or  person,   then,  as  a  condition  to  such
         consolidation,  merger, or sale (a "Transaction"),  lawful and adequate
         provision  shall be made whereby the holder of this Note shall have the
         right from and after the  Transaction  to receive,  upon  conversion of
         this Note and upon the terms and  conditions  specified  herein  and in
         lieu of the shares of the Common Stock that would have been issuable if
         this Note had been fully converted  immediately before the Transaction,
         such shares of stock,  securities,  or assets as such holder would have
         owned  immediately  after the  Transaction if such holder had converted
         this Note immediately before the effective date of the Transaction. The
         Maker   shall  not  effect   any   Transaction   unless   prior  to  or
         simultaneously with the consummation thereof the successor corporation,
         entity,  or  person  (if  other  than  the  Maker)  resulting  from the
         Transaction  or  purchasing  assets or the business of the Maker in the
         Transaction  shall  assume by  written  instrument  the  obligation  to
         deliver to the holder of this Note such shares of stock, securities, or
         assets as, in accordance with the foregoing provisions, such holder may
         be entitled to receive.

                  (vii) In case any  event  shall  occur as to which  the  other
         provisions of this  subsection (d) are not strictly  applicable but the
         failure to make any adjustment  would not fairly protect the conversion
         rights  set  forth  in  this  subsection  (d) in  accordance  with  the
         essential  intent and principles  hereof,  then, in each such case, the
         Maker shall  effect such  adjustment,  on a basis  consistent  with the
         essential intent and principles  established in this subsection (d), as
         may be necessary to preserve,  without dilution,  the conversion rights
         represented hereby.

         (e) The Conversion  Price is subject to adjustment from time to time as
set forth in Sections 3.2(i)(ii)(C) of the Investment Agreement dated as of July
15, 2005 by and between Maker and Payee.

         (f) The Maker agrees at all times to reserve and hold  available out of
the aggregate of its authorized  but unissued  Common Stock the number of shares
of its Common Stock  issuable upon the full  conversion of this Note.  The Maker
further  covenants  and  agrees  that all  shares  of Common  Stock  that may be
delivered  upon the conversion of this Note will,  upon delivery,  be fully paid
and  nonassessable  and free  from all taxes and  mortgages,  pledges,  security
interests,  encumbrances,  liens or  charges  of any kind  with  respect  to the
issuance thereof hereunder.

                                       7
<PAGE>

         (g) Upon any adjustment of the Conversion  Price pursuant to subsection
(d) of Section 8, the Maker shall promptly  thereafter  cause to be given to the
holder of this Note written notice of such adjustment. Such notice shall include
the Conversion  Price after such  adjustment,  and shall set forth in reasonable
detail  the  Maker's  method  of  calculation  and the  facts  upon  which  such
calculations  were  based.  Where  appropriate,  such  notice  shall be given in
advance  and  included  as a part of any notice  required  to be given under the
other provisions of this subsection (g).

         In the  event of (i) any  fixing  by the  Maker of a record  date  with
respect to the holders of any class of  securities  of the Maker for the purpose
of  determining  which  of such  holders  are  entitled  to  dividends  or other
distributions  (excluding  dividends  payable on the Maker's  Series A Preferred
Stock), or any rights to subscribe for, purchase or otherwise acquire any shares
of capital stock of any class or any other securities or property, or to receive
any  other  right,  or  (ii)  any  capital   reorganization  of  the  Maker,  or
reclassification  or  recapitalization  of the capital stock of the Maker or any
transfer of all or substantially  all of the assets or business of the Maker to,
or  consolidation  or  merger  of the Maker  with or into,  any other  entity or
person,  or (iii) any voluntary or involuntary  dissolution or winding up of the
Maker,  then and in each such event the Maker shall give the holder of this Note
a written  notice  specifying,  as the case may be, (A) the record  date for the
purpose of such  dividend,  distribution,  or right,  and stating the amount and
character of such dividend, distribution, or right, or (B) the date on which any
such    reorganization,     reclassification,     recapitalization,    transfer,
consolidation, merger, conveyance, dissolution, liquidation, or winding up is to
take  place and the  time,  if any is to be fixed,  as of which the  holders  of
record of Common Stock (or such other  capital  stock or  securities  receivable
upon the  conversion of this Note) shall be entitled to exchange their shares of
Common Stock (or such other stock  securities)  for securities or other property
deliverable  upon such event.  Any such  notice  shall be given at least 40 days
prior to the earliest date therein specified.

         (h) This Note does not entitle the holder  hereof to any voting  rights
or  other  rights  as a  shareholder  of the  Maker,  nor to  any  other  rights
whatsoever except the rights herein set forth.

         9. Additional Covenants of the Maker.

         (a) The Maker shall materially  comply with the reporting  requirements
of Sections 13 and 15(d) of the Securities Exchange Act of 1934, as amended, for
so long as and to the extent that such requirements apply to the Maker.

         (b) The Maker shall not, by amendment of its Articles of  Incorporation
or Bylaws or through  any  reorganization,  transfer  of assets,  consolidation,
merger, dissolution, issue or sale of securities, or any other voluntary action,
avoid or seek to avoid the observance or performance of any of the terms of this
Note.  Without  limiting the generality of the foregoing,  the Maker (i) will at
all times  reserve and keep  available,  solely for issuance  and delivery  upon
conversion of this Note,  shares of Common Stock issuable from time to time upon
conversion  of this Note,  (ii) will not increase the par value of any shares of
capital stock  receivable  upon conversion of this Note above the amount payable
therefor  upon such  conversion,  and (iii) will take all such actions as may be
necessary or  appropriate  in order that the Maker may validly and legally issue
fully paid and nonassessable stock upon conversion of this Note.

                                       8
<PAGE>

         10.  Governing  Law.  This Note shall be governed by, and construed and
interpreted in accordance with, the laws of the State of Wisconsin.

         11. Permitted Transfer or Assignment by Holder. The holder of this Note
may not  transfer  or assign to any person or entity all or any  portion of this
Note unless, prior to any transfer or assignment,  the holder of this Note gives
written notice to the Maker of such holder's proposal to effect such transfer or
assignment,  together with such information and other written  assurances as the
Maker may reasonably request with respect to the proposed transfer or assignment
and the proposed  transferee or assignee.  The Maker and the holder of this Note
acknowledge that the foregoing  condition is intended only to ensure  compliance
with  the  provisions  of the  Securities  Act of  1933,  as  amended,  and  any
applicable  state  securities  laws in respect of the transfer or  assignment of
this Note.

         12.  Successors and Assigns.  This Note shall be binding upon the Maker
and its  successors,  and  shall  inure  to the  benefit  of the  Payee  and its
successors  and permitted  assigns.  The Maker shall not assign its  obligations
hereunder without the prior written consent of the Payee.

         13.  Notices.  Any  notice,  request,  demand  or  other  communication
permitted  or  required  to be given  pursuant to this Note shall be in writing,
shall be sent by one of the following  means to the addressee at the address set
forth below (or at such other address as shall be designated hereunder by notice
to the other parties receiving copies,  effective upon actual receipt) and shall
be  deemed  conclusively  to have been  given:  (a) on the  first  business  day
following the day timely  deposited  with Federal  Express (or other  equivalent
national  overnight  courier) or United States  Express  Mail,  with the cost of
delivery  prepaid;  (b) on the fifth business day following the day duly sent by
certified or registered  United States mail,  postage prepaid and return receipt
requested;  or (c) when  otherwise  actually  delivered to the  addressee.  If a
written notice or signed item is expressly required by another provision of this
Note, a manually  signed  original must be delivered by the party giving it. Any
other  notice,  request,  demand  or  other  communication  also  may be sent by
telegram  or  facsimile,  with the cost of  transmission  prepaid,  and shall be
deemed  inclusively to have been given on the day duly sent.  Copies may be sent
by regular  first-class mail,  postage prepaid,  to the parties set forth below,
but any failure or delay in sending  copies shall not affect the validity of any
such notice,  request,  demand or other  communication  so given to a party. The
addresses of the parties are as follows:

         (i)      If to the Maker:      MedSolutions,  Inc.
                                        12750 Merit Drive
                                        Park Central VII,  Suite 770
                                        Dallas,  Texas 75251
                                        Attention:  ________________
                                        Fax:  (972) 931-2250

                                       9
<PAGE>

                  With a copy to:       Fish & Richardson P.C.
                                        1717 Main Street, Suite 5000
                                        Dallas, TX 75201
                                        Attn: Steven R. Block
                                        Facsimile: (214) 747-2091

         (ii)     If to the Payee:      Tate Investments, LLC
                                        3252 N. Lake Drive
                                        Milwaukee, WI 53211
                                        Attn:  Joseph P. Tate
                                        Facsimile: (414) 962-7960

                  With a copy to:       Davis & Kuelthau, S.C.
                                        300 N. Corporate Dr., Suite 150
                                        Brookfield, WI 53045
                                        Attn: Peter J. Ruud
                                        Facsimile: (262) 792-2471

         14. Severability.  In case any provision of this Note shall be invalid,
illegal or  unenforceable,  the  validity,  legality and  enforceability  of the
remaining provisions shall not in any way be affected or impaired thereby.

         15.  Amendments  and  Waivers.  This Note may be amended  only with the
mutual  consent  of  the  Payee  and  the  Maker.  No  amendment  or  waiver  or
modification  of this Note shall be  effective  unless in writing  and signed by
both the Maker and the Payee.

         16. WAIVER OF JURY TRIAL. THE MAKER HEREBY  KNOWINGLY,  VOLUNTARILY AND
INTENTIONALLY  WAIVES (TO THE EXTENT  PERMITTED BY APPLICABLE  LAW) ANY RIGHT IT
MAY HAVE TO A TRIAL BY JURY OF ANY  DISPUTE  ARISING  UNDER OR  RELATING TO THIS
NOTE AND AGREES  THAT ANY SUCH  DISPUTE  SHALL,  AT THE OPTION OF THE PAYEE,  BE
TRIED BEFORE A JUDGE SITTING WITHOUT A JURY.

                                 MEDSOLUTIONS, INC.

                                 By: /s/ Matthew H. Fleeger
                                    --------------------------------------------
                                    Name:  Matthew H. Fleeger
                                    Title: President and Chief Executive Officer

                                       10

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