Business Editors

ALPHARETTA , Ga. Per-Se's Connective
Healthcare solutions reduce administrative expenses, increase revenue
and accelerate the movement of funds to benefit providers, payers and
patients.

ActiveHealth Management and CareEngine are registered marks of Active
Health Management. Prior to
Cogent, Mr .cogenthealthcare.

identifying insights

Per-Se and DocuSys to Provide Integrated Enterprise Patient Scheduling and Anesthesia Information Solutions

For more information, please visit www. The company's unique approach to physician and
member engagement enables it to communicate treatment improvement
opportunities in time to avoid serious and costly adverse clinical events.
The Cogent Board of Directors selected Bill Hamburg because he is
well qualified to lead Cogent to the next phase of its growth, having
had extensive experience and successes as a CEO and president for
hospitals, physician practices, and other health care companies.

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Business Editors/Health/Medical Writers

IRVINE, Calif.

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per-se.
The ActiveHealth suite of services is designed to seamlessly integrate
with insurers' existing care management systems. Services include URAC-
accredited disease management, utilization management and case management
services in addition to clinical predictive modeling, performance measures and
data analytics through Heath Data Management Solutions, Inc.

About Cogent Healthcare, Inc.


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The company has additional offices in Chantilly, Virginia; Chicago, Illinois;
and Cleveland, Ohio.-- --Cogent Healthcare,
Inc.com.

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About Connective Healthcare Solutions for Hospitals and Healthcare
Organizations

Per-Se's Hospital Services division is committed to optimizing the
income potential of its client base of more than 2,000 healthcare
organizations with Connective Healthcare solutions. Connective Healthcare solutions from Per-Se help enable
physicians and hospitals to achieve their income potential by creating
an environment that streamlines and simplifies the complex
administrative burden of providing healthcare.

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, a digital medical solutions company.

About Per-Se Technologies

Per-Se Technologies (Nasdaq: PSTI) is the leader in Connective
Healthcare.
The ActiveHealth patented CareEngine System supports physicians and their
patients by matching evidence-based medicine against member claims information
with the goal of identifying gaps in care or opportunities to improve
outcomes.

About Companion HealthCare
Companion HealthCare is a wholly owned subsidiary of BlueCross and
BlueShield of South Carolina and an independent licensee of the Blue Cross and
Blue Shield Association.
Hamburg, who will remain in the role of CEO until the search for a
long-term CEO is completed, was President of Surgical Care Affiliates,
a $1. He was also CEO of Medisphere Health
Partners, a physician practice and surgicenter company, and was an
executive at three other physician practice companies: Emergicare
(Tennessee), Medical Networks (Texas), and Onivas (New Mexico ).
In addition to Mr.

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"This is a very important
relationship for our company and validates that our platform of
safety, quality and financial return is the basis for shared sales
success. Inc .

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More information is available at www. Physicians are notified about these treatment issues via "Care
Considerations," which detail the clinical issue found and provide suggestions
for changes in treatment that reflect medically accepted standards of care as
reported in peer-reviewed medical literature and specialty guidelines. As
more and more hospital executives recognize the value of Cogent's
comprehensive program to improve efficiency, quality of care and
patient flow, Cogent is expanding rapidly into new markets and
increasing patient volume at their existing programs. Stacy Goldsholl.

optometry feasibility

(HDMS), a wholly
owned ActiveHealth subsidiary.


, the nation's premier hospitalist company, has appointed William
Hamburg as interim chief executive officer.S.
Cogent Healthcare 's hospitalist physicians specialize in the care
of the hospitalized patient from admission until discharge,
standardizing care and implementing best practices to improve quality
of care and patient safety.

feasibility alignment

"

About DocuSys

DocuSys is the first company to provide comprehensive digitization
of anesthesia by merging two of the most critical components of
patient care--drug delivery and clinical information--maximizing both
the quality of care and return on investment in surgery. "This is
the beginning of a great relationship whereby our proven CareEngine System can
help Companion HealthCare improve the quality of care for its members while
helping to reduce trend in medical costs ," continued Dr. Hamburg's appointment, two nationally known
physicians have recently joined Cogent Healthcare as national medical
directors: Dr. These
distinguished hospitalist physicians will work with Dr.

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The system
incorporates customizable decision support, professional fee capture,
comorbid condition documentation and an intravenous drug monitor,
DocuJect(R), which uses bar-coding and digital imaging to reduce
medication errors while automating documentation, tracking and billing
of drugs . Nearly 8 million health plan members
benefit from ActiveHealth health management programs.

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ORSOS and One-Call are registered trademarks
of PST Products, LLC d/b/a Per-Se Technologies.

ActiveHealth Management Inks Deal With Companion HealthCare in South Carolina

Both serve as
members of the Board of Directors for the Society of Hospital Medicine
(SHM), the national specialty society for hospitalists.

facilitating operational


To support Cogent's expansion into new markets, Tony Redmond has
joined Cogent as Senior Director of Physician Recruitment.

mananagement gaps

----Per-Se
Technologies (Nasdaq: PSTI), the leader in Connective Healthcare
solutions that help physicians and hospitals realize their financial
goals, announced today an exclusive reseller agreement with DocuSys,
Inc.
"We are pleased and honored to be selected as Per-Se's anesthesia
software and medication safety provider for the OR," said Robert
Hanson , DocuSys CEO and co-founder.


Reisman. Leveraging its patented
CareEngine(R) platform , ActiveHealth combines clinical expertise with
innovative medical information technology to enable doctors and patients to
work together to reduce medical errors, improve patient safety, improve
overall health outcomes and reduce costs. Ron Greeno,
Cogent's Chief Medical Officer, to lead the development and operation
of Cogent's physician organizations throughout the country.

insights identifying

"
Visit Per-Se at AORN booth 601, April 5-7, to learn more about
award-winning ORSOS One-Call, while getting pampered in the "Per-Se
spa.2 billion company that was among the first and most successful
surgicenter companies in the U. Redmond was Director of Recruitment for the Palo Alto
Medical Foundation with responsibility for recruitment across all
specialties and clinics.:

Cogent Healthcare, Inc.

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com
Editor 's Note: Per-Se Technologies is a registered trademark of
Per-Se Technologies, Inc. In the
case of Companion HealthCare, members will also be notified of the treatment
issue via Care Considerations that are written in easy-to-understand
terminology. ActiveHealth has reported that by communicating
Care Considerations to both the physician and patient, the rate of compliance
with the standard of treatment is increased. He will fulfill the critical function of
finding outstanding physicians who qualify for positions as Cogent
hospitalists.

evaluates occhnet

docusys.
"This is an exciting time for ActiveHealth Management and Companion
HealthCare," said Lonny Reisman, MD, CEO of ActiveHealth Management. Companion HealthCare has an A+ rating from AM Best,
and an Excellent Accreditation status, the highest level awarded, from the
National Committee for Quality Assurance (NCQA).

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For more
information about Cogent Healthcare, contact Andy Puterbaugh at
949-399-6089.

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Program
implementation will begin on February 1, 2005 and is an expansion of the
existing relationship with Blue Cross Blue Shield of South Carolina.
ActiveHealth is based in New York City and employs more than 220 people. As with many
entrepreneurial companies, this growth requires the addition of new
management and vision to ensure that strategic and operational
objectives are achieved. Russell Holman and Dr.

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Under the terms of the
agreement, Per-Se will begin offering DocuSys' anesthesia information
and digital drug management system for the operating room as an
integrated, value-added application to Per-Se 's ORSOS One-Call(R)
enterprise patient scheduling and perioperative information system.
"This strategic relationship allows us to deliver a complete
end-to-end solution in the OR setting - one that benefits providers
and improves patient safety by not only facilitating the efficient
scheduling and management of services but also helping ensure accurate
delivery of medication, optimal billing and effective inventory
management," explained Bob Wells, senior vice president for resource
management solutions for Per-Se Technologies. The division
offers Revenue Cycle Management and Resource Management Solutions
including enterprise-wide staff and patient scheduling, access
management, receivables management and performance management. The goal of Care Considerations is to improve the dialog between
physician and patient, thereby improving the quality of care delivered and, in
turn, reducing medical costs.

Cogent Healthcare Appoints William Hamburg as Chief Executive Officer

Its vision is to
improve care and efficiency by reducing variations in care,
establishing best practices, identifying and removing barriers to
efficient care, and measuring outcomes.

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More than 192,000 members of the
Companion HealthCare network will benefit from clinical oversight provided by
the CareEngine System .

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Most
recently, he served as interim COO of HealthSouth during their 2003
management transition .

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Deal Expands Relationship with Blue Cross Blue Shield of South Carolina

NEW YORK, ActiveHealth Management announced that
it has finalized a deal to deliver physician and member messaging via its
CareEngine(R) System to 192,000 plan participants of Companion HealthCare, a
wholly owned subsidiary of Blue Cross Blue Shield of South Carolina.

About ActiveHealth Management
Founded in 1998 by physicians, ActiveHealth is an information-driven
health management and data analytics company that helps health plans and self-
insured employers take full advantage of evidence-based medical knowledge to
improve patient care and reduce healthcare costs. is a leading provider of services that
improve the well being of hospitalized patients. To this end, the company
provides comprehensive programs in clinical care staffing,
communication, and data management that support the hospitalist
physician in the delivery of inpatient care.
Cogent physicians continue to lead the profession by setting best
practices for hospital medicine, providing a national mentoring
program, and offering the first Internet-based continuing medical
educational program for hospitalist physicians, which can be accessed
on the company's website, www.

mananagement fragmented

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