EXHIBIT 10.43

                                 FIRST AMENDMENT
                             TO MEDAPHIS CORPORATION
                NON-EMPLOYEE DIRECTOR DEFERRED STOCK CREDIT PLAN

         THIS FIRST AMENDMENT ("First Amendment") to the Medaphis Corporation
Non-Employee Director Deferred Stock Credit Plan (the "Stock Credit Plan") is
made and executed this 6th day of December, 2001, to be effective as of May 2,
2002.

         WHEREAS, Per-Se Technologies, Inc., a Delaware corporation formerly
known as Medaphis Corporation (the "Company"), has previously adopted the Stock
Credit Plan; and

         WHEREAS, the Board of Directors of the Company has duly authorized an
amendment of the Stock Credit Plan to change the name to the Per-Se
Technologies, Inc. Non-Employee Director Stock Credit Plan and to permit the
rollover of plan account balances to the newly-adopted Per-Se Technologies, Inc.
Deferred Stock Unit Plan.

         NOW, THEREFORE, pursuant to a resolution of the Board of Directors of
the Company dated December 6, 2001, in accordance with Section X of the Stock
Credit Plan, the Stock Credit Plan is hereby amended as follows.

         1.       CHANGE OF PLAN NAME. Section I. M. of the Stock Credit Plan is
hereby deleted in its entirety and replaced by the following:

                  "M.      "Plan" means the Per-Se Technologies, Inc.
         Non-Employee Director Deferred Stock Credit Plan."

         2.       ROLLOVER OF ACCOUNT BALANCES. A new Section 6.4 is hereby
added to the Stock Credit Plan to read as follows:

                  "6.4     Effective as of October 1, 2001, and subject to the
         approval of the stockholders of the Company at the 2002 Annual Meeting
         of Stockholders, the Board of Directors of the Company adopted the
         Per-Se Technologies, Inc. Deferred Stock Unit Plan (the "Stock Unit
         Plan"), in which non-employee directors of the Company and certain
         selected key employees are permitted to defer compensation in the form
         of deferred "stock units" each of which is deemed to be equivalent to
         one share of Common Stock. At a designated future date selected by the
         participant, the stock units accumulated in the participant's account
         under the Stock Unit Plan will be distributed in the form of Company
         Stock and will be taxable to the participant at that time based on the
         fair market value of the Common Stock. Notwithstanding anything to the
         contrary herein, if a Member elects to participate in the Stock Unit
         Plan, his entire Account balance under this Stock Credit Plan as of
         that date will automatically rollover to an account for such Member
         under the Stock Unit Plan (the "Rollover Account"). In that case, the
         hypothetical number of shares of Common Stock credited to his account
         under this Stock Credit Plan as of that date will be converted to stock




         units on a one-for-one basis and credited to his Rollover Account under
         the Stock Unit Plan. The Member's most recent election under this Stock
         Credit Plan as to the date for payment and method of payment (single
         distribution or installments) shall continue to apply with respect to
         his Rollover Account under the Stock Unit Plan unless changed by the
         Member in accordance with the Stock Unit Plan. From and after such
         rollover event, the Member shall cease to be eligible to participate in
         this Stock Credit Plan."

         3.       EFFECT OF AMENDMENT. Except as specifically amended by this
First Amendment, the Stock Credit Plan shall remain in full force and effect as
prior to this First Amendment.

         IN WITNESS WHEREOF, the Company has caused this First Amendment to be
duly executed as of the date first above written.



ATTEST:                                PER-SE TECHNOLOGIES, INC.



/s/ PAUL J. QUINER                     By: /s/ PHILIP M. PEAD
---------------------------               --------------------------------------
Paul J. Quiner                            Philip M. Pead
Secretary                                 President and Chief Executive Officer


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