Document:

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                                                              Exhibit 10.17(iii)

                                PLEDGE AGREEMENT

            PLEDGE AGREEMENT, dated as of January 10, 2001 made by WILLIAM F.
MILLER III ("Pledgor"), in favor of ACCELERATED CLAIMS PROCESSING, INC., a
Delaware corporation ("ACP").

            WHEREAS Pledgor is acquiring an aggregate 550,000 shares and options
to acquire 750,000 shares (the "Pledged Shares") of Common Stock, $.01 par
value, of Health Management Systems, Inc., a New York corporation and the
corporate parent of ACP (the "Company"), in accordance with the terms and
provisions of the Restricted Stock Purchase Agreement dated January 10, 2001
(the "Purchase Agreement") and an option agreement dated January 10, 2001 (the
"Option Agreement, and collectively with the Purchase Agreement, the
"Agreements") between the Company and Pledgor; and

            WHEREAS in connection with the purchase by Pledgor of shares
pursuant to the Purchase Agreement, Pledgor has executed and delivered to ACP a
promissory note of Pledgor in the principal amount of $721,875 (the "Note"), in
order to pay the purchase price of such shares; and

            WHEREAS, it is a condition precedent to the obligation of the
Company to enter into the Agreements and to consummate the transactions
contemplated thereby that Pledgor shall have executed and delivered this
Agreement to ACP to secure the obligations of Pledgor under the Note;

            NOW, THEREFORE, Pledgor, in consideration of the premises and in
order to induce ACP to make the loan evidenced by the Note, intending to be
bound hereby, does hereby agree with ACP as follows:

            1. Pledge. Pledgor hereby pledges to ACP and grants to ACP a
security interest in the following (collectively, the "Pledged Collateral"):

            (a) the Pledged Shares and the certificates representing the Pledged
      Shares, including the shares issued upon exercise of the options granted
      pursuant to the Option Agreement, and all dividends, cash, instruments and
      other property from time to time received, receivable or otherwise
      distributed or distributable in respect of or in exchange for any or all
      of the Pledged Shares; and

            (b) any and all proceeds and substitutions of the foregoing.
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            2. Security for Obligations. This Agreement secures the full and
prompt payment and performance of all obligations and liabilities of Pledgor to
ACP now or hereafter existing under the Note, whether for principal, interest,
fees, expenses or otherwise, and all obligations of Pledgor now or hereafter
existing under this Agreement, in each case, direct or indirect, absolute or
contingent and whether or not evidenced by any note or written instrument (all
such obligations of Pledgor being hereinafter called collectively the
"Obligations"). The Pledged Collateral shall serve as collateral for, and
additional security to ACP securing the repayment of, the Obligations, but shall
not in any way limit Pledgor's liability for repayment of the Obligations.

            3. Delivery of Pledged Collateral. All certificates or instruments
representing or evidencing the Pledged Collateral shall be delivered to and held
by or on behalf of ACP pursuant hereto and shall be in suitable form for
transfer by delivery, or shall be accompanied by duly executed instruments of
transfer or assignment in blank, all in form and substance satisfactory to ACP.

            4. Voting Rights; Dividends; Etc.

            (a) So long as no Event of Default (as such term is defined in the
      Note) or event which, with the giving of notice or the lapse of time, or
      both, would become an Event of Default shall have occurred and be
      continuing:

                  (i) Pledgor shall be entitled to exercise any and all voting
            and other consensual rights pertaining to the Pledged Collateral or
            any part thereof for any purpose not inconsistent with the terms of
            this Agreement; provided, however, that Pledgor shall not exercise
            or refrain from exercising any such right if, in judgment of ACP
            reasonably exercised, such action would have a material adverse
            effect on the value of the Pledged Collateral or any part thereof.

                  (ii) Pledgor shall be entitled to receive and retain any and
            all dividends paid in respect of the Pledged Collateral; provided,
            however, that any and all:

                        (A) dividends paid or payable other than in cash in
                  respect of, and instruments and other property received,
                  receivable or otherwise distributed or distributable in
                  respect of, or in exchange for, any Pledged Collateral;

                        (B) dividends and other distributions paid or payable in
                  cash in respect of any Pledged Collateral in connection with a
                  partial or total liquidation or dissolution or in connection
                  with a reduction of capital, capital surplus or
                  paid-in-surplus; and

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                        (C) cash paid, payable or otherwise distributed or
                  distributable in respect of redemption of, or in exchange for,
                  any Pledged Collateral; shall be, and shall forthwith be
                  delivered to ACP to hold as, Pledged Collateral, and shall, if
                  received by Pledgor, be received in trust for the benefit of
                  ACP, be segregated from the other property or funds of
                  Pledgor, and be forthwith delivered to ACP as Pledged
                  Collateral in the same form as so received (with any necessary
                  endorsement).

                  (iii) ACP shall execute and deliver (or cause to be executed
            and delivered) to Pledgor all such proxies and other instruments as
            Pledgor may reasonably request for the purpose of enabling Pledgor
            to exercise the voting and other rights which Pledgor is to exercise
            pursuant to paragraph (i) above and to receive the dividend payments
            which Pledgor is authorized to receive and retain pursuant to
            paragraph (ii) above.

            (b) Upon the occurrence and during the continuance of an Event of
      Default or an event which, with the giving of notice or the lapse of time,
      or both, would become an Event of Default under the Note:

                  (i) all rights of Pledgor to receive the dividend and other
            payments which Pledgor would otherwise be authorized to receive and
            retain pursuant to Section 4(a)(ii) of this Agreement shall cease,
            and all such rights shall thereupon become vested in ACP which shall
            thereupon have the sole right to receive and hold as Pledged
            Collateral such dividend and other payments;

                  (ii) all dividend and other payments which are received by
            Pledgor contrary to the provisions of Section 4(b)(i) of this
            Agreement shall be received in trust for the benefit of ACP, shall
            be segregated from other funds of Pledgor and shall be forthwith
            paid over to ACP as Pledged Collateral in the same form as so
            received (with any necessary endorsement); and

                  (iii) the rights of Pledgor to exercise the voting and other
            consensual rights which Pledgor would otherwise be entitled to
            exercise pursuant to Section 4(a)(i) of this Agreement shall cease
            immediately upon receipt by Pledgor of notice of the termination of
            such rights, given by ACP in accordance with Section 10, and all
            such rights shall thereupon become vested in ACP which shall
            thereupon have the sole right to exercise such voting and other
            consensual rights.

            5. Transfers and Other Liens. Pledgor agrees that he will not (i)
sell or otherwise dispose of, or grant any option or proxy (other than to ACP or
the Company) with respect to, any of the Pledged Collateral or (ii) create or
permit to exist any lien, security interest, or

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other charge or encumbrance upon or with respect to any of the Pledged
Collateral, except for the security interests under this Agreement.

            6. ACP Appointed Attorney-in-Fact. Pledgor hereby irrevocably
appoints ACP as his attorney-in-fact, with full authority in his place and stead
and in his name or otherwise, from time to time in the discretion of ACP
reasonably exercised, to take, upon the occurrence and during the continuation
of any Event of Default, any action and to execute any instrument which ACP may
deem reasonably necessary or advisable to accomplish the purposes of this
Agreement, including, without limitation, to receive, endorse and collect all
instruments made payable to Pledgor representing any dividend, interest payment
or other distribution in respect of the Pledged Collateral or any part thereof
and to give full discharge for the same, when and to the extent permitted by
this Agreement.

            7. Remedies upon Default. If any Event of Default shall have
occurred and be continuing:

            (a) ACP shall exercise in respect of the Pledged Collateral, in
      addition to other rights and remedies provided for herein or otherwise
      available to it, all the rights and remedies of a secured party on default
      under the Uniform Commercial Code in effect in the State of New York at
      that time (in compliance with all applicable securities laws), and ACP may
      also, without notice except as specified below, sell (in compliance with
      all applicable securities laws) the Pledged Collateral or any part thereof
      in one or more parcels at public or private sale, at any exchange,
      broker's board or elsewhere, for cash, on credit or for future delivery,
      and at such price or prices and upon such other terms as ACP may deem
      commercially reasonable.

            (b) Any cash held by ACP as Pledged Collateral and all cash proceeds
      received by ACP in respect of any sale of, collection from, or other
      realization upon all or any part of the Pledged Collateral may, in the
      discretion of ACP, be held by ACP as collateral for, and/or then or at any
      time thereafter applied in whole or in part by ACP against all or any part
      of the Obligations. Any surplus of such cash or cash proceeds held by ACP
      and remaining after payment in full of all the Obligations shall be paid
      over to Pledgor or to whomsoever may be lawfully entitled to receive such
      surplus.

            8. Security Interests Absolute. All rights of ACP and the security
interests hereunder, and all obligations of Pledgor hereunder, shall be absolute
and unconditional irrespective of:

            (a)   any lack of validity or enforceability of the Note or any
      other agreement or instrument relating thereto;

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            (b) any change in the time, manner or place of payment of, or in any
      other term of, all or any of the Obligations, or any other amendment or
      waiver of or any consent to any departure from this Agreement, the Note or
      any other agreement or instrument relating thereto;

            (c)   any exchange, release or non-perfection of any other
      collateral, or any release or amendment or waiver of or consent to or
      departure from any guaranty, for all or any of the Obligations; or

            (d) any other circumstance which might otherwise constitute a
      defense available to, or a discharge of, Pledgor in respect of the
      Obligations or the Note.

            9. Amendments. No amendment or waiver of any provision of this
Agreement nor consent to any departure by Pledgor herefrom shall in any event be
effective unless the same shall be in writing and signed by ACP, and then such
waiver or consent shall be effective only in the specific instance and for the
specific purpose for which given.

            10. Addresses for Notices. Any notice or other communication to be
given or made to ACP hereunder shall be sent or otherwise communicated to ACP at
its address at 401 Park Avenue South, New York, New York 10016, with copies to
Reboul, MacMurray, Hewitt, Maynard & Kristol, 45 Rockefeller Plaza, New York,
New York 10111, Attention: Robert A. Schwed, or such other address and/or such
other attention as may be notified to Pledgor in accordance with this Section.
Any notice or other communication to be given to Pledgor hereunder shall be sent
or otherwise communicated to Pledgor at 3618 Harvard, Dallas, Texas 75203. Any
notice or other communication to be given or made pursuant to this Agreement may
be given or made by personal delivery, by certified or registered mail, return
receipt requested and postage prepaid, by a nationally known overnight courier
service or sent via facsimile confined in writing to the recipient.

            11. Continuing Security Interests; Assignments. This Agreement shall
create continuing security interests in the Pledged Collateral and shall (i) be
binding upon Pledgor, his heirs, executors, representatives, administrators and
assigns, (ii) inure, together with the rights and remedies hereunder, to the
benefit of ACP, its successors, transferees and assigns and (iii) remain in full
force and effect until Pledgor shall be entitled to the return and release from
the pledge hereunder of the Pledged Collateral pursuant to the next sentence of
this Section 11. When no Obligations are outstanding Pledgor shall be entitled
to the return and release from the pledge hereunder, upon his request, of such
of the Pledged Collateral as shall not have been sold or otherwise disposed of
by ACP pursuant to the terms of this Agreement.

            12. Governing Law; Terms. This Agreement shall be governed by and
construed in accordance with the substantive, internal laws of the State of New
York. All judicial proceedings brought against Pledgor with respect to this
Agreement may be brought in any state or federal court of competent jurisdiction
in the State of New York and, by Pledgor's

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execution and delivery of this Agreement, Pledgor accepts, for himself and in
connection with his properties, generally and unconditionally, the nonexclusive
jurisdiction of the aforesaid courts, and irrevocably agrees to be bound by any
final judgment rendered thereby in connection with this Agreement from which no
appeal has been taken or is available. Pledgor irrevocably consents to the
service of process of any of the aforementioned courts in any such action or
proceedings by the mailing of copies thereof by registered or certified mail,
postage prepaid, to Pledgor's notice address specified in Section 10 hereof,
such service to become effective five (5) business days after such mailing.
Pledgor irrevocably waives (a) trial by jury in any action or proceeding with
respect to this Agreement and (b) any objection (including, without limitation,
any objection to the laying of venue or based on the grounds of forum non
conveniens) which Pledgor may now or hereafter have the bringing of any such
action or proceeding with respect to this Agreement in any jurisdiction set
forth above. Nothing herein shall affect the right to serve process in any other
manner permitted by law or shall limit the right of ACP to bring proceedings
against Pledgor in the courts of any other jurisdiction.

            13. Severability. In the event that any provision of this Agreement
shall be determined to be superseded, invalid or otherwise unenforceable
pursuant to applicable law, such determination shall not affect the validity of
the balance of this Agreement, and the remaining provisions of this Agreement
shall be enforced as if the invalid provision were deleted.

            14. Termination; Counterparts. This Agreement shall continue in full
force and effect until all of the Obligations shall have been paid and
satisfied. Section headings used herein are for convenience only and shall not
affect the meaning or construction of any of the provisions hereof. This
Agreement may be executed in any number of counterparts with the same effect as
if the signatures thereto and hereto were upon the same instrument.

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            IN WITNESS WHEREOF, the undersigned has caused this Agreement to be
duly executed and delivered as of the date first above written.

                                                   ____________________________
                                                       William F. Miller III

ACCEPTED AND AGREED:

ACCELERATED CLAIMS PROCESSING, INC.

By_____________________________________

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                                                               Exhibit 10.17(iv)
                                                                       EXHIBIT A

                                 PROMISSORY NOTE
                               DUE JANUARY 9, 2003

$721,875                                                      New York, New York
                                                                January 10, 2001

            FOR VALUE RECEIVED, the undersigned, William F. Miller III (herein
called the "Borrower"), hereby promises to pay to ACCELERATED CLAIMS PROCESSING,
INC., a Delaware corporation (the "Company"), the principal sum of Seven Hundred
Twenty-One Thousand Eight Hundred Seventy-Five Dollars ($721,875) in two equal
annual installments, commencing January 9, 2002 with interest (computed on the
basis of a 360-day year of twelve 30-day months) on the unpaid principal amount
hereof at a per-annum rate equal to 6.5% (representing the Company's current
borrowing rate of the one year LIBOR rate plus 1 1/8%), from the date hereof,
payable annually, commencing January 9, 2002, until the principal amount hereof
shall have become due and payable, whether by acceleration, prepayment or
otherwise.

            All payments of principal and interest on this Note shall be made at
the offices of the Company at 401 Park Avenue South, New York, New York, in such
coin or currency of the United States of America as at the time of payment shall
be legal tender for payment of public and private debts. Regardless of any
provision contained in this Note, the holder of this Note shall not be entitled
to receive, collect or apply, as interest, or on principal if the Note is not
paid when due, any amount which in the aggregate would exceed the maximum rate
of interest permitted to be charged by applicable law.

            1. Events of Default. In case of the happening of any of the
following events (herein sometimes called "Events of Default"):

            (a) if default shall be made in the due and punctual payment of any
      installment of principal or interest on this Note when and as such
      interest installment shall become due and payable, and such default shall
      have continued unremedied for a period of five business days;

            (b) if Borrower shall (i) apply for or consent to the appointment
      of, or the taking or possession by, a receiver, custodian, trustee or
      liquidator of himself or of all or a substantial part of his property,
      (ii) admit in writing his inability, or be generally unable, to pay his
      debts as such debts become due, (iii) make a general assignment for the
      benefit of his creditors, (iv) commence a voluntary case under the United
      States Bankruptcy Code or any other Federal or state bankruptcy,
      insolvency or similar law (as now or hereafter in effect), (v) file a
      petition seeking to take advantage of any other law relating
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      to bankruptcy, insolvency, reorganization, winding-up, or composition or
      adjustment of debts, or (vi) fail to controvert in a timely or appropriate
      manner, or acquiesce in writing to, any petition filed against him in an
      involuntary case under the United States Bankruptcy Code or any other
      Federal or state bankruptcy, insolvency or similar law; or

            (c) if a proceeding or case shall be commenced in any court of
      competent jurisdiction, seeking (i) the composition or readjustment of
      debts of Borrower, (ii) the appointment of a trustee, receiver, custodian,
      liquidator or the like of Borrower under any law relating to bankruptcy,
      insolvency, or composition or adjustment of debts, without the consent of
      Borrower, and such proceeding or case shall continue undismissed, or an
      order, judgment or decree approving or ordering any of the foregoing shall
      be entered and continue unstayed and in effect, for a period of 30 days,
      or an order for relief against Borrower shall be entered in an involuntary
      case under the United States Code or any other Federal or state
      bankruptcy, insolvency or similar law (as now or hereafter in effect);

then, and in every such event and at any time thereafter during the continuance
of such event, the holder of this Note may by written notice to Borrower,
declare this Note to be forthwith due and payable, whereupon this Note shall
become, forthwith due and payable, both as to principal and interest, without
presentment, demand, protest or other notice of any kind, all of which are
hereby expressly waived.

            2. Consent to Jurisdiction; Waiver of Trial by Jury. As part of the
consideration for the financial accommodation extended to Borrower by the
Company, Borrower consents to the jurisdiction of any local, state or Federal
court located within the State of New York, and waives personal service of any
and all process upon Borrower, and consents that all such service of process be
made by registered mail directed to the undersigned at the address stated herein
and service so made shall be deemed to be completed three (3) days after the
same shall have been posted as aforesaid. Borrower waives trial by jury and
waives any objection to venue of any action instituted hereunder and consents to
the granting of such legal or equitable relief as is deemed appropriate by the
court.

            3. Waiver of Presentment, etc. Borrower hereby waives presentment,
demand for payment, protest and notice of protest, notice of dishonor and all
other notices in connection with the delivery, acceptance, performance or
enforcement of this Note, assents to any extension or postponement of the time
of payment or any other indulgence, and/or to the addition or release of any
other party or person primarily or secondarily liable.

            4. Security; Full Recourse. This Note is secured by a pledge of
certain Pledged Collateral as said term is defined in that certain Pledge
Agreement, dated the date hereof, between Borrower and the Company. Borrower
acknowledges that the Company shall

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have full recourse against Borrower and all of his properties and assets (in
addition to the Pledged Collateral) for satisfaction of any and all obligations
of Borrower hereunder.

            5. Amendments; Governing Law. This Note may not be modified or
amended in any respect except in writing. This Note shall be governed by, and
construed in accordance, with the laws of the State of New York, without regard
to its conflicts of law rules.

            IN WITNESS WHEREOF, has caused this Note to be signed in his name as
of the day and year first above written.

                                              __________________________________
                                                   William F. Miller III

ACCEPTED AND AGREED:

ACCELERATED CLAIMS PROCESSING, INC.

By_______________________________________

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