<DOCUMENT>
<TYPE>EX-21
<SEQUENCE>8
<FILENAME>g74880ex21.txt
<DESCRIPTION>SUBSIDIARIES OF REGISTRANT
<TEXT>
<PAGE>

                                                                      EXHIBIT 21

                           SUBSIDIARIES OF REGISTRANT

<TABLE>
<CAPTION>
                                                                      STATE OF INCORPORATION
SUBSIDIARY                                                                OR ORGANIZATION
----------                                                            ----------------------
<S>                                                                   <C>
Health Data Services, Inc.*                                                     Ohio

IIH, LLC                                                                        Delaware

Imonics Corporation                                                             Georgia

Knowledgeable Healthcare Solutions, Inc.*                                       Alabama

Patient Account Management Services, Inc.*                                      Ohio

Per-Se Transaction Services, Inc.*                                              Indiana

PST Products, Inc.*                                                             California

PST Services, Inc.*                                                             Georgia
</TABLE>

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

*        Each of these subsidiaries also does business under the name
         "Per-Se Technologies."


</TEXT>
</DOCUMENT>