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License Agreement - SmithKline Beecham Clinical Laboratories Inc. and ActaMed Corp.

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                                 LICENSE AGREEMENT
                                         
                                      between
                                         
                   SMITHKLINE BEECHAM CLINICAL LABORATORIES, INC.
                                         
                                        and
                                         
                                ACTAMED CORPORATION




                                  December 31, 1997



<PAGE>

                                 TABLE OF CONTENTS

<TABLE>
<CAPTION>

                                                                           PAGE
                                                                           ----
<S>                                                                        <C>
ARTICLE 1 - DEFINITIONS. . . . . . . . . . . . . . . . . . . . . . . . . . . 1

    1.1     ActaLab Software . . . . . . . . . . . . . . . . . . . . . . . . 1
    1.2     Affiliate. . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
    1.3     Confidential Information . . . . . . . . . . . . . . . . . . . . 2
    1.4     Derivative Work. . . . . . . . . . . . . . . . . . . . . . . . . 2
    1.5     Documentation. . . . . . . . . . . . . . . . . . . . . . . . . . 2
    1.6     Exclusive Developments . . . . . . . . . . . . . . . . . . . . . 2
    1.7     Health Care Field. . . . . . . . . . . . . . . . . . . . . . . . 2
    1.8     Information Services . . . . . . . . . . . . . . . . . . . . . . 3
    1.9     Object Code. . . . . . . . . . . . . . . . . . . . . . . . . . . 3
    1.10    Other Lab. . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
    1.11    ProviderLink . . . . . . . . . . . . . . . . . . . . . . . . . . 3
    1.12    [*]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
    1.13    Providers. . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
    1.14    Related Entity . . . . . . . . . . . . . . . . . . . . . . . . . 3
    1.15    SBCL Software. . . . . . . . . . . . . . . . . . . . . . . . . . 3
    1.16    SBCL Trademark . . . . . . . . . . . . . . . . . . . . . . . . . 3
    1.17    SCAN Agreements. . . . . . . . . . . . . . . . . . . . . . . . . 3
    1.18    SCAN Developments. . . . . . . . . . . . . . . . . . . . . . . . 4
    1.19    Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
    1.20    Source Code. . . . . . . . . . . . . . . . . . . . . . . . . . . 4
    1.21    Specifications . . . . . . . . . . . . . . . . . . . . . . . . . 4
    1.22    Territory. . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
    1.23    Third Party Software . . . . . . . . . . . . . . . . . . . . . . 4
    1.24    Trigger Date . . . . . . . . . . . . . . . . . . . . . . . . . . 4

ARTICLE 2 - LICENSE GRANTS; RELATED PROVISIONS . . . . . . . . . . . . . . . 4

    2.1     SCAN Development License . . . . . . . . . . . . . . . . . . . . 4
    2.2     ActaLab Development License. . . . . . . . . . . . . . . . . . . 5
    2.3     Conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
    2.4     Technology Transfer. . . . . . . . . . . . . . . . . . . . . . . 6
    2.5     Royalties. . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

ARTICLE 3 - SCAN DEVELOPMENTS OWNERSHIP; RELATED PROVISIONS. . . . . . . . . 6

    3.1     Ownership. . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
    3.2     Limitations. . . . . . . . . . . . . . . . . . . . . . . . . . . 7

ARTICLE 4 - LICENSE BACK . . . . . . . . . . . . . . . . . . . . . . . . . . 8

    4.1     License Grant. . . . . . . . . . . . . . . . . . . . . . . . . . 8
    4.2     Term of License. . . . . . . . . . . . . . . . . . . . . . . . . 8


[*] CERTAIN INFORMATION IN THIS EXHIBIT HAS BEEN OMITTED AND FILED SEPARATELY
WITH THE COMMISSION.  CONFIDENTIAL TREATMENT HAS BEEN REQUESTED WITH RESPECT
TO THE OMITTED PORTIONS.

                                       -i-
<PAGE>

<S>                                                                         <C>
    4.3     Sublicenses. . . . . . . . . . . . . . . . . . . . . . . . . . . 8
    4.4     Usage Fees . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
    4.5     ActaLab Software Escrow. . . . . . . . . . . . . . . . . . . . . 9

ARTICLE 5 - MARKINGS . . . . . . . . . . . . . . . . . . . . . . . . . . . .10

    5.1     By ActaMed . . . . . . . . . . . . . . . . . . . . . . . . . . .10
    5.2     By SBCL. . . . . . . . . . . . . . . . . . . . . . . . . . . . .11

ARTICLE 6 - DEVELOPMENT AGREEMENT AMENDMENTS . . . . . . . . . . . . . . . .11

ARTICLE 7 - WARRANTIES . . . . . . . . . . . . . . . . . . . . . . . . . . .11

    7.1     Warranty of Title and Noninfringement. . . . . . . . . . . . . .11
    7.2     Authorization. . . . . . . . . . . . . . . . . . . . . . . . . .12
    7.3     Disclaimers. . . . . . . . . . . . . . . . . . . . . . . . . . .12

ARTICLE 8 - INDEMNITY. . . . . . . . . . . . . . . . . . . . . . . . . . . .12

    8.1     General. . . . . . . . . . . . . . . . . . . . . . . . . . . . .12
    8.2     Services . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
    8.3     Infringement . . . . . . . . . . . . . . . . . . . . . . . . . .13
    8.4     Claims Notice. . . . . . . . . . . . . . . . . . . . . . . . . .13
    8.5     Procedures Involving Non-Third Party Claims. . . . . . . . . . .13
    8.6     Procedures Involving Third Party Claims. . . . . . . . . . . . .14
    8.7     No Release for Fraud . . . . . . . . . . . . . . . . . . . . . .15
    8.8     Payment. . . . . . . . . . . . . . . . . . . . . . . . . . . . .15
    8.9     Survival . . . . . . . . . . . . . . . . . . . . . . . . . . . .15

ARTICLE 9 - LIMITATION OF LIABILITY. . . . . . . . . . . . . . . . . . . . .16

ARTICLE 10 - CONFIDENTIALITY . . . . . . . . . . . . . . . . . . . . . . . .16

ARTICLE 11 - ASSIGNMENT. . . . . . . . . . . . . . . . . . . . . . . . . . .16

    11.1    By SBCL. . . . . . . . . . . . . . . . . . . . . . . . . . . . .16
    11.2    By ActaMed . . . . . . . . . . . . . . . . . . . . . . . . . . .17
    11.3    Other. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17

ARTICLE 12 - DISPUTE RESOLUTION. . . . . . . . . . . . . . . . . . . . . . .17

    12.1    Informal Dispute Resolution. . . . . . . . . . . . . . . . . . .17
    12.2    Arbitration. . . . . . . . . . . . . . . . . . . . . . . . . . .18
    12.3    Immediate Injunctive Relief. . . . . . . . . . . . . . . . . . .19
    12.4    Jurisdiction . . . . . . . . . . . . . . . . . . . . . . . . . .19
    12.5    Continued Performance; Continuation of Licenses. . . . . . . . .19

ARTICLE 13 - MISCELLANEOUS . . . . . . . . . . . . . . . . . . . . . . . . .20

    13.1    Further Assurances . . . . . . . . . . . . . . . . . . . . . . .20
    13.2    Integration. . . . . . . . . . . . . . . . . . . . . . . . . . .20

                                       -ii-
<PAGE>

<S>                                                                         <C>
    13.3    Force Majeure. . . . . . . . . . . . . . . . . . . . . . . . . .20
    13.4    No Agency. . . . . . . . . . . . . . . . . . . . . . . . . . . .20
    13.5    No Waiver. . . . . . . . . . . . . . . . . . . . . . . . . . . .20
    13.6    Severability . . . . . . . . . . . . . . . . . . . . . . . . . .21
    13.7    Notices. . . . . . . . . . . . . . . . . . . . . . . . . . . . .21
    13.8    Governing Law; Interpretation. . . . . . . . . . . . . . . . . .21

</TABLE>

                                         
                                     SCHEDULES

               Schedule A          SBCL Software

               Schedule B          Amendments to Development Agreement










                                       -iii-
<PAGE>
                          CONFIDENTIAL TREATMENT REQUESTED


                                  LICENSE AGREEMENT

          THIS LICENSE AGREEMENT ("License Agreement") dated December 31, 1997
(the "Effective Date") is by and between SMITHKLINE BEECHAM CLINICAL
LABORATORIES, INC., a Delaware corporation ("SBCL") and ACTAMED CORPORATION, a
Georgia corporation ("ActaMed").

          WHEREAS, SBCL and ActaMed have entered into an Assets Purchase
Agreement dated of even date herewith (the "Purchase Agreement") pursuant to
which ActaMed has agreed to purchase certain assets owned by SBCL and used to
provide certain services to health care service providers;

          WHEREAS, the Purchase Agreement contemplates that the parties will
enter into a license agreement substantially on the terms set forth herein, as
well as a Services Agreement (the "Services Agreement") pursuant to which
ActaMed shall provide certain services to SBCL and to health care service
providers;

          WHEREAS, SBCL and ActaMed have previously entered into a Development
Agreement dated October 31, 1997 (the "Development Agreement") pursuant to which
ActaMed agreed to perform certain development services; and

          WHEREAS, the parties desire to amend the provisions of the Development
Agreement pursuant to which SBCL authorized ActaMed to use SBCL software and
related materials in the performance of work under the Development Agreement,
and pursuant to which the parties allocated ownership of deliverables created
under the Development Agreement and intellectual property rights therein;

          NOW THEREFORE, in consideration of the foregoing premises and other
good and valuable consideration, the receipt and sufficiency of which are hereby
acknowledged, and intending to be legally bound, SBCL and ActaMed agree as
follows:

                             ARTICLE 1  - DEFINITIONS

1.1    "ACTALAB SOFTWARE" means (i) any updated, upgraded, corrected, modified,
       or enhanced version of ProviderLink created by or for ActaMed, and any
       Derivative Works made from ProviderLink by or for ActaMed, and any other
       Software owned and employed by ActaMed in providing Information Services
       or related services in accordance with the terms of the Services
       Agreement, in each case embodying, incorporating or practicing the SBCL
       Software or any portion thereof, (ii) any compiler or other program
       reasonably required to create Object Code from the Source Code of the
       foregoing or use any of the foregoing in the provision of Information
       Services, and (iii) any Documentation relating to any of the

<PAGE>

       foregoing created by or for ActaMed.  Without limiting the foregoing,
       "ActaLab Software" shall include [*] (as the term is defined in the
       Services Agreement).

1.2    "AFFILIATE" of an entity means a company or other person controlling,
       controlled by or under common control with such entity.

1.3    "CONFIDENTIAL INFORMATION" means any and all proprietary information
       disclosed or made available by a party hereto to the other party
       pursuant to this License Agreement, whether in written, oral, magnetic,
       photographic, optical or other form and whether now existing or
       hereafter created, including, without limitation, all trade secrets,
       know-how, information systems, technology, data, computer programs,
       processes, methods, operational procedures, plans, strategies or
       results, and other information of a similar nature that is not generally
       disclosed by such party to the public.  Without limiting the foregoing,
       ActaMed's Confidential Information shall include the Source Code and
       Documentation for the ProviderLink Software and ActaLab Software, and
       SBCL's Confidential Information shall include the Source Code and
       Documentation for the SBCL Software and the SCAN Developments.
       Confidential Information shall not include any information which (a) is
       proven by written evidence to have been in the receiving party's
       possession prior to disclosure by the other party; (b) is received from
       a third party having the right to disclose such information; (c) is or
       hereafter becomes public knowledge through no act or fault of the
       receiving party; or (d) is proven by written evidence to have been
       independently developed by the receiving party without access to the
       Confidential Information of the other party.

1.4    "DERIVATIVE WORK" means a work that is based upon one or more
       preexisting works, such as a revision, modification, translation,
       abridgment, condensation, expansion, or any other form in which such
       preexisting works may be recast, transformed, translated or adapted, and
       that, if prepared without authorization of the owner of the copyright in
       such preexisting work, would constitute a copyright infringement. 

1.5    "DOCUMENTATION" means manuals (e.g., user, utility reference and
       language reference) and other written materials that relate to
       particular Software, including materials useful for the operation of the
       Software by a user (collectively, "USER DOCUMENTATION"), and information
       (e.g., data flows, data structures, control logic, flow diagrams, and
       principles of operation) useful for design, modification and maintenance
       of the Source Code by a programmer (collectively, "PROGRAMMER
       DOCUMENTATION").

1.6    "EXCLUSIVE DEVELOPMENTS" shall have the meaning ascribed to it by
       Section V.E of the Services Agreement.

1.7    "HEALTH CARE FIELD" means the provision of electronic data interchange
       technology relating to patients, patient-related services or the
       practice of medicine, to Providers, Healthcare Payors and Healthcare
       Administrators.  "Healthcare Payor," for the purposes of this
       definition, means any person or entity that pays for the provision of
       healthcare services,


[*] CERTAIN INFORMATION IN THIS EXHIBIT HAS BEEN OMITTED AND FILED SEPARATELY
WITH THE COMMISSION.  CONFIDENTIAL TREATMENT HAS BEEN REQUESTED WITH RESPECT
TO THE OMITTED PORTIONS.

                                       -2-
<PAGE>

       including without limitation employers, insurance companies,
       regional healthcare alliances, and federal, state and local
       governmental agencies.  "Healthcare Administrator" means those
       entities engaged in the administration of healthcare services,
       including without limitation managed care companies, utilization
       review companies and third party administrators. Notwithstanding
       the foregoing, "Health Care Field" shall exclude services relating
       to or provided to [*].

1.8    "INFORMATION SERVICES" means the transmission of orders for laboratory
       tests and/or laboratory test results and reports.

1.9    "OBJECT CODE" means the form of Software resulting from the translation
       or processing of the Source Code by a computer into machine language or
       intermediate code in a form that is not convenient to human
       understanding but which is appropriate for execution or interpretation
       by a computer, together with related User Documentation.

1.10   "OTHER LAB" shall have the meaning ascribed to it by the Services
       Agreement.

1.11   "PROVIDERLINK" means the ActaMed proprietary Software known as
       ProviderLink as it exists on the Effective Date, together with any
       updates, upgrades, enhancements, modifications or Derivative Works made
       thereto or therefrom by or for ActaMed other than under the licenses
       granted by this License Agreement, and the Specifications and
       Documentation relating to and of the foregoing prepared by or for
       ActaMed.

1.12   [*].

1.13   "PROVIDERS" means physicians, clinics, hospitals and other providers of
       clinical health care services other than [*].

1.14   "RELATED ENTITY" means an entity that is engaged in the laboratory
       testing business and in which SBCL or an SBCL affiliate has a legal or
       beneficial ownership of ten percent (10%) or more.

1.15   "SBCL SOFTWARE" means the Software described in Schedule A hereto.
       "SBCL Software" shall in no event be construed to include [*] or Third
       Party Software.

1.16   "SBCL TRADEMARK" means SBCL's trade names, logos, trademarks, trade
       devices, product names and/or service marks.

1.17   "SCAN AGREEMENTS" means the Development Agreement, Purchase Agreement,
       Services Agreement and this License Agreement.


[*] CERTAIN INFORMATION IN THIS EXHIBIT HAS BEEN OMITTED AND FILED SEPARATELY
WITH THE COMMISSION.  CONFIDENTIAL TREATMENT HAS BEEN REQUESTED WITH RESPECT
TO THE OMITTED PORTIONS.

                                       -3-
<PAGE>

1.18   "SCAN DEVELOPMENTS" means (i) any updated, upgraded, corrected,
       modified, or enhanced version of the SBCL Software created by or for
       ActaMed under the rights granted by this License Agreement, and (ii) any
       Documentation relating to any of the foregoing created by or for
       ActaMed, provided, that SCAN Developments shall in no event be construed
       to include the ActaLab Software. 

1.19   "SOFTWARE" means computer programming code consisting of Object Code
       and/or Source Code and/or associated procedural code, as applicable,
       including updates and revisions thereto.

1.20   "SOURCE CODE" means program instructions and codes written by humans
       with the intention that the instructions and codes be compiled and
       interpreted by a computer, including all existing commentary,
       explanations, control procedures, record layouts for all files and
       program listings-source codes, design documentation, user manuals,
       programmers' guides, system guides, current compilation instructions,
       and all other User Documentation and Programmer Documentation.

1.21   "SPECIFICATIONS" means a description of the design, operating
       procedures, performance, functions and other requirements for Software.

1.22   "TERRITORY" means the United States of America, including all
       territories and possessions thereof.

1.23   "THIRD PARTY SOFTWARE" means Software that SBCL prior to the Effective
       Date licensed from third parties for use in delivery of automated order
       entry and results reporting services, including without limitation
       Software known as [*] and [*].

1.24   "TRIGGER DATE" shall have the meaning ascribed to it by Section 4.4.1
       hereof.

                  ARTICLE 2 - LICENSE GRANTS; RELATED PROVISIONS

2.1    SCAN DEVELOPMENT LICENSE.  Subject to the terms and conditions of this
       License Agreement, SBCL hereby grants ActaMed a perpetual, irrevocable,
       nonexclusive, non-transferable (except as otherwise expressly set forth
       herein) right and license in the Health Care Field in the Territory to:

       2.1.1   possess and use the SBCL Software to update, upgrade, enhance,
               modify and create Derivative Works from the SBCL Software and
               otherwise create SCAN Developments; and

       2.1.2   possess and use, update, upgrade, enhance, modify and create
               Derivative Works from the SBCL Software, SCAN Developments and
               ActaLab Software;


[*] CERTAIN INFORMATION IN THIS EXHIBIT HAS BEEN OMITTED AND FILED SEPARATELY
WITH THE COMMISSION.  CONFIDENTIAL TREATMENT HAS BEEN REQUESTED WITH RESPECT
TO THE OMITTED PORTIONS.

                                       -4-
<PAGE>

       2.1.3   possess and use the SBCL Software and SCAN Developments for the
               purposes of performing ActaMed's obligations under the SCAN
               Agreements; and

       2.1.4   possess and use the SCAN Developments for the purpose of
               providing Information Services in support of the laboratory
               testing services offered by Other Labs only to the extent such
               SCAN Developments do not constitute Exclusive Developments under
               the Service Agreement.

       The foregoing license shall include the right to (i) sublicense the SBCL
       Software and/or SCAN Developments to one or more contractors performing
       the activities described in Sections 2.1.1 or 2.1.2 hereof for ActaMed's
       benefit and for ActaMed's account, and (ii) sublicense Providers, [*]
       and Other Labs to use the Object Code version of the SBCL Software
       and/or the SCAN Developments as ActaMed reasonably determines necessary
       or appropriate in connection with its provision of the services
       contemplated by Section 2.1.3, in each case provided that each
       sublicensee executes a written agreement (x) prohibiting such
       sublicensee from disclosing SBCL Confidential Information or using the
       same other than as contemplated by this Section 2.1, and (y) precluding
       the sublicensee or any of its employees or agents from gaining or
       holding any right or interest in the SBCL Software.

2.2    ACTALAB DEVELOPMENT LICENSE

       2.2.1   GRANT.  Subject to the terms and conditions of this License
               Agreement, SBCL hereby grants ActaMed a perpetual, irrevocable,
               nonexclusive, non-transferable (except as otherwise expressly set
               forth herein) right and license to possess and use the SBCL
               Software to update, upgrade, enhance, modify and create
               Derivative Works from ProviderLink and otherwise create ActaLab
               Software pursuant to the Development Agreement and otherwise.
               The license granted by this Section 2.2.1 shall survive the
               termination of this License Agreement.

       2.2.2   OWNERSHIP.  Ownership of Deliverables (as defined by the
               Development Agreement) relative to the ActaLab Software shall be
               governed by Section 5 of the Development Agreement, as amended.
               Ownership of all other ActaLab Software and all intellectual
               property rights therein (including but not limited to copyrights
               and all renewals and extensions thereof) shall vest in ActaMed,
               except that nothing in this Agreement shall be construed to
               transfer to ActaMed, or otherwise divest SBCL of SBCL's ownership
               of, the SBCL Software or SCAN Developments or the patents,
               copyrights, trade secrets and other intellectual property rights
               therein.  ActaMed shall own the ActaLab Software Exclusive
               Developments.

2.3    CONDITIONS. 

       2.3.1   As a material inducement for SBCL's grant of the licenses
               contemplated by this Agreement and the amendments to the
               Development Agreement contemplated by


[*] CERTAIN INFORMATION IN THIS EXHIBIT HAS BEEN OMITTED AND FILED SEPARATELY
WITH THE COMMISSION.  CONFIDENTIAL TREATMENT HAS BEEN REQUESTED WITH RESPECT
TO THE OMITTED PORTIONS.

                                       -5-
<PAGE>

               Article 6 of this Agreement, ActaMed hereby covenants and
               agrees that, except as SBCL may authorize in writing, ActaMed
               (and any sublicensee of ActaMed) shall use the ActaLab
               Software solely within the Territory and solely in the Health
               Care Field.

       2.3.2   ActaMed further covenants and agrees that, except as SBCL may
               otherwise agree in writing, ActaMed shall not use or license the
               use of the ActaLab Software Exclusive Developments for the
               benefit of any party other than in support of SBCL's laboratory
               testing services.

2.4    TECHNOLOGY TRANSFER.  SBCL, within thirty (30) days following the
       Effective Date, shall provide ActaMed with one copy of all currently
       existing SBCL Software not previously provided in connection with the
       Development Agreement or otherwise.  Thereafter, during the term of the
       Services Agreement, SBCL shall promptly provide ActaMed with such
       updates, upgrades and enhancements to the SBCL Software as SBCL, in its
       sole discretion, may make or have made during the term of the Services
       Agreement.

2.5    ROYALTIES. 

       2.5.1   If ActaMed uses the SBCL Software, SCAN Developments or ActaLab
               Software in the provision of Information Services to [*] ActaMed
               shall agree to pay SBCL a royalty equal to [*] of Royalty
               Revenues for the Royalty Period applicable to such [*].  "Royalty
               Revenues," for these purposes, means the [*] ActaMed collects for
               such Information Services.  The "Royalty Period," with respect to
               Software or services provided in support of a given [*] means
               the [*] period commencing on the date [*].

       2.5.2   The royalties accruing pursuant to this Section 2.4 shall be
               payable on a [*] basis, and shall be due within [*] days
               following the end of the [*] in which they accrue.  Each such
               royalty payment shall be accompanied by a report showing, by each
               [*] the total Royalty Revenue collected during the applicable
               [*] and the royalty amount due in respect of such Royalty
               Revenue.

            ARTICLE 3 - SCAN DEVELOPMENTS OWNERSHIP; RELATED PROVISIONS

3.1    OWNERSHIP. 

       3.1.1   Subject to the provisions of Section 3.2 hereof, SBCL, as between
               ActaMed and SBCL, shall have sole and exclusive ownership in and
               title to the SBCL Software and SCAN Developments, including all
               intellectual property rights therein.  Without limiting the
               foregoing, the SCAN Developments shall be "works made for hire"
               for


[*] CERTAIN INFORMATION IN THIS EXHIBIT HAS BEEN OMITTED AND FILED SEPARATELY
WITH THE COMMISSION.  CONFIDENTIAL TREATMENT HAS BEEN REQUESTED WITH RESPECT
TO THE OMITTED PORTIONS.

                                       -6-
<PAGE>

               the benefit of SBCL.  To the extent that any of the SCAN
               Developments, by operation of law, may not be works made for
               hire, or to the extent ActaMed otherwise would retain any rights
               in the SCAN Developments, ActaMed, subject to the provisions of
               Section 3.2.2 hereof, hereby assigns to SBCL the ownership of any
               patent or copyright in the SCAN Developments and SBCL shall have
               the right to obtain and hold in its own name copyrights, patents,
               registrations and similar protections which may be available with
               respect to the SCAN Developments.

       3.1.2   Nothing in this Agreement shall be construed to transfer to SBCL,
               or otherwise divest ActaMed of ActaMed's ownership of,
               ProviderLink, the ActaLab Software or the patents, copyrights,
               trade secrets and other intellectual property rights therein,
               provided, that, subject to the provisions of Section 3.2.1
               hereof, ActaMed hereby grants SBCL a perpetual, nonexclusive,
               royalty-free license (with right of sublicense) under such
               intellectual property rights to use, possess, update, upgrade,
               enhance, modify, reproduce, market, distribute and sell the SCAN
               Developments.

       3.1.3   ActaMed shall provide SBCL with the Source Code for the SCAN
               Developments on or before the first release of the same to a
               commercial customer or the use of the same in providing a
               commercial service (the "Release Date") and, thereafter, on or
               before the Release Date of any updates, upgrades, enhancements or
               modifications thereto and, in any event, [*] during the term of
               the Services Agreement (including any renewal terms thereof).

3.2    LIMITATIONS. 

       3.2.1   SBCL covenants and agrees that, prior to the expiration or
               termination of the Services Agreement, it shall not use, or
               sublicense any other party to use, the SCAN Developments except
               (i) in the Territory solely for the purpose of performing
               Information Services in support of the laboratory testing
               services offered [*] that has not been transferred to ActaMed
               pursuant to the Purchase Agreement, and (ii) outside of the
               Territory.  In the event SBCL uses the SCAN Developments to
               provide Information Services in support of [*] within the
               Territory, SBCL shall pay ActaMed a usage fee to be negotiated by
               the parties, such usage fee to be determined in accordance with
               the provisions, and during the term, of the Services Agreement.

       3.2.2   Except to the extent such SCAN Developments constitute Exclusive
               Developments, nothing in this Agreement shall be construed to (i)
               grant SBCL or any other party ownership of such portions of the
               SCAN Developments as are devoted solely to the process of
               checking patient eligibility for third party payor benefits or
               reimbursement, or claim status checking (collectively,
               "Eligibility Services"), or (ii) grant SBCL any right or license
               to use the SCAN Developments for the purposes of performing or
               providing Eligibility Services, except that SBCL shall not be
               required to delete or


[*] CERTAIN INFORMATION IN THIS EXHIBIT HAS BEEN OMITTED AND FILED SEPARATELY
WITH THE COMMISSION.  CONFIDENTIAL TREATMENT HAS BEEN REQUESTED WITH RESPECT
TO THE OMITTED PORTIONS.

                                       -7-

<PAGE>

               remove the Eligibility Code from the SCAN Developments prior
               to exercising the rights and licenses granted by this Article
               3.

                               ARTICLE 4 - LICENSE BACK

4.1    LICENSE GRANT.  Subject to the provisions of this Article 4, ActaMed
       hereby grants SBCL an irrevocable, nonexclusive, non-transferable
       (except as expressly set forth herein) right and license in the
       Territory in the Health Care Field to:

       4.1.1   possess and use the ActaLab Software to create [*] and update,
               upgrade, modify, enhance and create Derivative Works from [*]
               (such Derivative Works being referred to herein as the [*]) as
               SBCL reasonably determines necessary to perform Information
               Services in support of laboratory test services offered by SBCL
               and/or Related Entities, including without limitation to ensure
               compliance with laws and regulations applicable to the business
               of SBCL and Related Entities, PROVIDED, that SBCL covenants and
               agrees that it shall not exercise the licenses granted by this
               Section 4.1.1 prior to the earlier of [*] (the "Trigger Date");
               and

       4.1.2   possess and use [*] and [*] for internal business purposes of
               SBCL and Related Entities, including without limitation the
               provision of Information Services to Providers in support of
               their respective laboratory testing services, PROVIDED, that
               SBCL covenants and agrees that it shall not exercise the licenses
               granted by this Section 4.1.2 prior to the date on which the
               Services Agreement expires as a result of ActaMed's notice of
               nonrenewal or the date on which the Services Agreement terminates
               for ActaMed's breach, as applicable.

4.2    TERM OF LICENSE.  The licenses granted by this Article 4 shall expire on
       the second anniversary of the date on which SBCL first uses ActaLabSB on
       a commercial basis in support of SBCLs laboratory testing services.

4.3    SUBLICENSES.  The licenses granted by Section 4.1 shall include the
       right to (a) sublicense the ActaLab Software, and [*] to one or more
       contractors performing any of the foregoing for the benefit and account
       of SBCL or a Related Entity, and (b) sublicense Providers to use the
       Object Code version of [*] as reasonably may be required to provide the
       services contemplated by Section 4.1.2, in each case provided that each
       sublicensee executes a written agreement (x) prohibiting such sublicensee
       from disclosing ActaMed Confidential Information or using the same other
       than as contemplated


[*] CERTAIN INFORMATION IN THIS EXHIBIT HAS BEEN OMITTED AND FILED SEPARATELY
WITH THE COMMISSION.  CONFIDENTIAL TREATMENT HAS BEEN REQUESTED WITH RESPECT
TO THE OMITTED PORTIONS.

                                       -8-
<PAGE>

       by this Article 4, and (y) precluding the sublicensee or any of
       its employees or agents from gaining or holding any right or
       interest in the ActaLab Software.

4.4    USAGE FEES.

       4.4.1   SBCL, in addition to the other consideration contemplated by the
               SCAN Agreements, agrees to pay, as a royalty, a Usage Fee on each
               Royalty Transaction.  For the purposes of this Section 4.4.1:

                 (i)  "Royalty Transaction" means a Requisition (as defined in
                      the Services Agreement) entered [*] (pursuant to Sections
                      XII.E.1.b or XII.E.3.c. of the Services Agreement) to or
                      for a site other than one of the Permitted Number of
                      sites.

                (ii)  "Usage Fee" means the lesser of (i) [*] per Requisition
                      and [*] of the Transaction Fee then prevailing under
                      Article IV of the Services Agreement or (ii) [*] of an
                      amount competitive with the market for Information
                      Services, such amount [*] to be calculated in accordance
                      with the principles established by Section IV of the
                      Services Agreement.

               (iii)  "Permitted Number" means [*] the number of sites [*] the
                      largest number of sites with respect to which [*].

       4.4.2   The royalties accruing pursuant to this Section 4.4 shall be
               payable on a [*] and shall be due within [*] days following the
               end of the [*] in which they accrue.  Each such royalty payment
               shall be accompanied by a report showing the manner in which the
               payment amount was calculated.

4.5    ACTALAB SOFTWARE ESCROW. 

       4.5.1   Promptly upon the execution of this License Agreement, ActaMed
               shall give written notice to Fort Knox Escrow Services, Inc.
               ("Fort Knox") instructing Fort Knox to add SBCL to the list of
               Licensees maintained pursuant to that certain Master Escrow
               Agreement dated February 20, 1995 (the "Escrow Agreement").
               ActaMed shall deposit the Source Code for all ActaLab Software in
               accordance with the terms of the Escrow Agreement on or before
               the first release of the same to a commercial customer or the use
               of the same in providing a commercial service (the "Release
               Date") and, thereafter, on or before the Release Date of any
               updates, upgrades,


[*] CERTAIN INFORMATION IN THIS EXHIBIT HAS BEEN OMITTED AND FILED SEPARATELY
WITH THE COMMISSION.  CONFIDENTIAL TREATMENT HAS BEEN REQUESTED WITH RESPECT
TO THE OMITTED PORTIONS.

                                       -9-
<PAGE>

               enhancements or modifications thereto and, in any event, no
               less often than once [*] during the term of the Services
               Agreement (including any renewal terms thereof). 
              
       4.5.2   ActaMed, within thirty (30) days of the date of this Agreement
               shall enter into an amendment to the Escrow Agreement with Fort
               Knox, reasonably acceptable to SBCL in form and substance, to the
               effect that Fort Knox, at SBCL's request and expense, agrees to
               inspect the deposit materials supplied by ActaMed for the purpose
               of confirming their identity and completeness.

       4.5.3   ActaMed, promptly upon SBCL's demand made at any time following
               the Trigger Date, shall notify Fort Knox in accordance with
               Section 4.1(a) of the Escrow Agreement to deliver the Source Code
               for the ActaLab Software to SBCL, which notice shall be
               accompanied by the fees specified in such Section 4.1(a). 

       4.5.4   ActaMed covenants and agrees to maintain the Escrow Agreement in
               full force and effect during the term of the Services Agreement,
               and acknowledges that its failure to do so will constitute a
               material breach of this License Agreement and the Services
               Agreement.

       4.5.5   ActaLab hereby appoints SBCL as its attorney in fact for the
               limited purpose of providing to Fort Knox the notices
               contemplated by this Section 4.4.1 and 4.4.3.

                                 ARTICLE 5 - MARKINGS

5.1    BY ACTAMED.  ActaMed shall reproduce SBCLs copyright notice on all SBCL
       Software and SCAN Developments in accordance with the practice
       prevailing in the software industry.  Subject to the foregoing sentence:

       5.1.1   ActaMed, on or before the date on which ActaMed switches any site
               from the SBCL gateway to the ActaMed gateway (as described in
               Section II.B of the Services Agreement), shall remove SBCL
               Trademarks from the sign-on screen for the ActaLab Software and
               SCAN Developments resident on the computer at such site, and from
               any other screens that might reasonably suggest that SBCL, rather
               than ActaMed, is the source of the Information Services provided
               using such Software; and

       5.1.2   ActaMed, with the reasonable assistance of SBCL's Distribution
               Service Representatives in accordance with Section II.B.4 of the
               Services Agreement, shall remove SBCL Trademarks from any
               equipment owned or controlled by ActaMed and located at a given
               site within three (3) months of the Transfer Date for such site,
               but in any event prior to the date on which ActaMed transfers
               ownership of such equipment to any other party.


[*] CERTAIN INFORMATION IN THIS EXHIBIT HAS BEEN OMITTED AND FILED SEPARATELY
WITH THE COMMISSION.  CONFIDENTIAL TREATMENT HAS BEEN REQUESTED WITH RESPECT
TO THE OMITTED PORTIONS.

                                       -10-
<PAGE>

5.2    BY SBCL.  SBCL shall reproduce ActaMeds copyright notice on all copies
       of the ActaLab Software in accordance with the practice prevailing in
       the software industry.

                     ARTICLE 6 - DEVELOPMENT AGREEMENT AMENDMENTS

The parties hereby agree to amend the Development Agreement as set forth in
Schedule B hereto.

                        ARTICLE 7 - WARRANTIES

7.1    WARRANTY OF TITLE AND NONINFRINGEMENT.

       7.1.1   ActaMed represents and warrants to SBCL that:

                 (i)  Unless ActaMed provides SBCL with advance written notice
                      to the contrary in accordance with Section 5.2(b) of the
                      Development Agreement, ActaMed is and will be the sole
                      author of all works used by ActaMed in preparing the
                      ActaLab Software and SCAN Developments;

                (ii)  ActaMed shall require all officers, employees,
                      contractors, representatives and agents who provide
                      services with respect to the ActaLab Software, SBCL
                      Software or SCAN Developments under the SCAN Agreements
                      to assign to ActaMed all intellectual property rights
                      created or arising therein;

               (iii)  Subject to the provisions of Section 7.1.2 hereof,
                      ActaMed has and will have full and sufficient right in
                      the ActaLab Software to grant the licenses and rights
                      contemplated by Article 4 of this License Agreement, free
                      and clear of any liens, claims or encumbrances;

                (iv)  Subject to the provisions of Section 7.1.2 hereof, the
                      terms and conditions set forth in Article 3 hereof are
                      sufficient to convey to SBCL all right, title and
                      interest in and to the SCAN Developments, and following
                      such conveyance neither ActaMed nor any third party shall
                      retain any right, title or interest in the SCAN
                      Developments other than the licenses expressly set forth
                      herein; and

                 (v)  Subject to the provisions of Section 7.1.2 hereof, none
                      of the ActaLab Software or SCAN Developments infringes
                      any patents, copyrights, trademarks, or other
                      intellectual property rights (including trade secrets),
                      privacy or similar rights of any third party, nor has any
                      claim of such infringement been threatened or asserted.

                                       -11-
<PAGE>

       7.1.2   SBCL represents and warrants to ActaMed that:

                 (i)  SBCL is the sole author of the SBCL Software;

                (ii)  SBCL has required all officers, employees, contractors,
                      representatives and agents who prior to the date of this
                      Agreement provided services with respect to the Software
                      to assign to SBCL all intellectual property rights
                      created or arising therein;

               (iii)  SBCL has and will have full and sufficient right in the
                      SBCL Software to grant the licenses and rights
                      contemplated by Article 2 of this License Agreement, free
                      and clear of any liens, claims or encumbrances; and

                (iv)  none of the SBCL Software provided to ActaMed by SBCL
                      hereunder infringes any patents, copyrights, trademarks,
                      or other intellectual property rights (including trade
                      secrets), privacy or similar rights of any third party,
                      nor has any claim of such infringement been threatened or
                      asserted.

7.2    AUTHORIZATION.  Each of ActaMed and SBCL represents and warrants that,
       as of the Effective Date of this License Agreement (i) it is duly
       authorized to enter into this License Agreement, and (ii) it is free of
       any obligation or restriction that would prevent it either from entering
       into or performing this License Agreement.

7.3    DISCLAIMERS.  THE FOREGOING WARRANTY IS IN LIEU OF ANY OTHER WARRANTY,
       EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO ANY IMPLIED WARRANTIES
       OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE WHICH ARE HEREBY
       SPECIFICALLY EXCLUDED AND DISCLAIMED.  WITHOUT LIMITING THE FOREGOING,
       (i) NOTHING IN THIS LICENSE AGREEMENT SHALL BE CONSTRUED TO EXPAND OR
       EXTEND THE WARRANTIES ACTAMED GRANTS IN THE OTHER SCAN AGREEMENTS WITH
       RESPECT TO THE ACTALAB SOFTWARE OR SCAN DEVELOPMENTS, AND (ii) SUBJECT
       TO SUCH WARRANTIES AND REPRESENTATIONS AS ARE CONTAINED IN THE OTHER
       SCAN AGREEMENTS, ACTAMED ACKNOWLEDGES THAT SBCL IS LICENSING THE SBCL
       SOFTWARE TO ACTAMED ON AN AS IS BASIS, AND HEREBY DISCLAIMS ANY
       WARRANTIES WITH RESPECT TO THE OPERATION THEREOF.

                                ARTICLE 8 - INDEMNITY

8.1    GENERAL. Each party hereto shall indemnify, defend and hold harmless the
       other party and its officers, employees, representatives and agents
       against any and all damages, losses, or expenses suffered or paid as a
       result of any claims, demands, suits, causes of action,

                                       -12-
<PAGE>

       proceedings, awards, judgments, and liabilities (including
       reasonable attorneys fees) incurred in litigation, arbitration
       or otherwise, assessed, incurred, or sustained (each, a Claim)
       with respect to or arising out of the breach by the
       Indemnifying Party of any representation, warranty, covenant
       or agreement made herein.

8.2    SERVICES.  ActaMed shall indemnify, defend and hold harmless SBCL and
       its officers, employees, representatives and agents against any Claim
       arising from or relating to ActaMeds provision of the ActaLab Software,
       SCAN Developments or any services, in each case in support of any Other
       Lab pursuant to this License Agreement.  SBCL shall indemnify, defend
       and hold harmless ActaMed and its officers, employees, representatives
       and agents against any Claim arising from or relating to SBCLs provision
       of the SCAN Developments or any services outside the Territory or to [*]
       as contemplated by Section 3.2 hereof.

8.3    INFRINGEMENT. 

       8.3.1   ActaMed, subject to the provisions of Section 8.3.2 hereof, shall
               indemnify, defend and hold harmless SBCL and the Related Entities
               and their respective officers, employees, representatives and
               agents against any Claim alleging the ActaLab Software or any
               SCAN Development infringes or constitutes misappropriation of any
               U.S. or foreign patent or any other U.S. or foreign proprietary
               right of a third party.

       8.3.2   SBCL shall indemnify, defend and hold harmless ActaMed and its
               Affiliates and their respective officers, employees,
               representatives and agents against any Claim alleging the SBCL
               Software infringes or constitutes misappropriation of any U.S. or
               foreign patent or any other U.S. or foreign proprietary right of
               a third party.

8.4    CLAIMS NOTICE.  A Claim shall be made by any entity or individual
       eligible for indemnification pursuant to this Article 8 (an Indemnitee)
       by delivery of a Claims Notice to the party owing a duty of
       indemnification under this Article 8 (the Indemnifying Party) requesting
       indemnification and specifying the basis on which indemnification is
       sought and the amount of asserted Losses (as defined in the Services
       Agreement) and, in the case of a Third Party Claim (as defined in the
       Services Agreement), containing (by attachment or otherwise) such other
       information as such Indemnitee shall have concerning such Third Party
       Claim. 

8.5    PROCEDURES INVOLVING NON-THIRD PARTY CLAIMS.  If the Claim involves a
       matter other than a Third Party Claim, the Indemnifying Party shall
       raise any objection to such Claim within a reasonable period of time by
       delivery of a written notice of such objection to such Indemnitee
       specifying in reasonable detail the basis for such objection.  If an
       objection is timely interposed by the Indemnifying Party, the
       Indemnifying Party and the Indemnitee shall cooperate in the compromise
       of the Claim or resolve any disagreement in accordance with Article 12
       hereof.


[*] CERTAIN INFORMATION IN THIS EXHIBIT HAS BEEN OMITTED AND FILED SEPARATELY
WITH THE COMMISSION.  CONFIDENTIAL TREATMENT HAS BEEN REQUESTED WITH RESPECT
TO THE OMITTED PORTIONS.

                                       -13-
<PAGE>

8.6    PROCEDURES INVOLVING THIRD PARTY CLAIMS.  The obligations and
       liabilities of the parties hereunder with respect to a Third Party Claim
       shall be subject to the following terms and conditions:

       8.6.1   The Indemnitee shall give the Indemnifying Party written notice
               of a Third Party Claim promptly after receipt by the Indemnitee
               of notice thereof, and the Indemnifying Party may undertake the
               defense, compromise and settlement thereof by representatives of
               its own choosing reasonably acceptable to the Indemnitee.  The
               failure of the Indemnitee to notify the Indemnifying Party of
               such claim shall not relieve the Indemnifying Party of any
               liability that they may have with respect to such claim except to
               the extent the Indemnifying Party demonstrates that the defense
               of such claim is prejudiced by such failure.  The assumption of
               the defense, compromise and settlement of any such Third Party
               Claim by the Indemnifying Party shall be an acknowledgment of the
               obligation of the Indemnifying Party to indemnify the Indemnitee
               with respect to such claim hereunder.  If the Indemnitee desires
               to participate in, but not control, any such defense, compromise
               and settlement, it may do so at its sole cost and expense.  If,
               however, the Indemnifying Party fails or refuses to undertake the
               defense of such Third Party Claim within ten (10) days after
               written notice of such claim has been given to the Indemnifying
               Party by the Indemnitee, the Indemnitee shall have the right to
               undertake the defense, compromise and settlement of such claim
               with counsel of its own choosing.  In the circumstances described
               in the preceding sentence, the Indemnitee shall, promptly upon
               its assumption of the defense of such claim, make a Claim as
               specified in Section 8.3 which shall be deemed a Claim that is
               not a Third Party Claim for the purposes of the procedures set
               forth herein.

       8.6.2   If, in the reasonable opinion of the Indemnitee, any Third Party
               Claim or the litigation or resolution thereof involves an issue
               or matter which could have a material adverse effect on the
               business, operations, assets, properties or prospects of the
               Indemnitee, the Indemnitee shall have the right to control the
               defense, compromise and settlement of such Third Party Claim
               undertaken by the Indemnifying Party, and the reasonable costs
               and expenses of the Indemnitee in connection therewith shall be
               included as part of the indemnification obligations of the
               Indemnifying Party hereunder.  If the Indemnitee shall elect to
               exercise such right, the Indemnifying Party shall have the right
               to participate in, but not control, the defense, compromise and
               settlement of such Third Party Claim at its sole cost and
               expense.

       8.6.3   No settlement of a Third Party Claim involving the asserted
               liability of the Indemnifying Party under this Article shall be
               made without the prior written consent by or on behalf of the
               Indemnifying Party, which consent shall not be unreasonably
               withheld or delayed.  If the Indemnifying Party assumes the
               defense of such a Third Party Claim, (1) no compromise or
               settlement thereof may be effected by the Indemnifying Party
               without the Indemnitee's consent unless (a) there is no finding
               or

                                       -14-
<PAGE>

               admission of any violation of law or any violation of the
               rights of any person and no effect on any other claim that may be
               made against the Indemnitee (b) the sole relief provided is
               monetary damages that are paid in full by the Indemnifying Party
               and (c) the compromise or settlement includes, as an
               unconditional term thereof, the giving by the claimant or the
               plaintiff to the Indemnitee of a release, in form and substance
               satisfactory to the Indemnitee, from all liability in respect of
               such Third Party Claim, and (2) the Indemnitee shall have no
               liability with respect to any compromise or settlement thereof
               effected without its consent.

8.7    NO RELEASE FOR FRAUD.  Nothing contained in this Agreement shall relieve
       or limit the liability of a party or any officer or director of such
       party from any Liability arising out of or resulting from common law
       fraud or intentional misrepresentation in connection with the
       transactions contemplated by this Agreement or in connection with the
       delivery of this Agreement.  Each ActaMed Indemnitee or SBCL Indemnitee,
       as the case may be, shall have a right to indemnification for any Loss
       incurred as the result of any common law fraud or intentional
       misrepresentation by SBCL or ActaMed, respectively, or any officer or
       director thereof.

8.8    PAYMENT. 

       8.8.1   If any party is required to make any payment under this Article
               8, such party shall promptly pay the Indemnified Party the amount
               so determined.  If there is a dispute as to the amount or manner
               of determination of any indemnity obligation owed under this
               Article 8, the Indemnifying Party shall nevertheless pay when due
               such portion, if any, of the obligation as shall not be subject
               to dispute.  The difference, if any, between the amount of the
               obligation ultimately determined as properly payable under this
               Article 8 and the portion, if any, theretofore paid shall bear
               interest as set forth in Section 8.8.3 hereof.

       8.8.2   Any items as to which an Indemnified Party is entitled to payment
               under this Article may be paid by set off against amounts payable
               to the Indemnifying Party to the extent that such amounts are
               sufficient to pay such items.

       8.8.3   If all or part of any indemnification obligation under this
               Agreement is not paid when due, then the Indemnifying Party shall
               pay the Indemnified Party interest on the unpaid principal amount
               of the obligation from the date the amount became due until
               payment in full, at the per annum rate of interest announced from
               time to time by NationsBank South, N.A., to be its "prime rate."

8.9    SURVIVAL.  The provisions of this Article 8 shall survive the
       termination of this License Agreement.

                                       -15-
<PAGE>

                         ARTICLE 9 - LIMITATION OF LIABILITY

NEITHER PARTY SHALL BE LIABLE TO THE OTHER PARTY IN TORT, CONTRACT OR OTHERWISE
FOR ANY LOST PROFITS, SPECIAL, INDIRECT, INCIDENTAL, PUNITIVE OR CONSEQUENTIAL
DAMAGES ARISING OUT OF, OR IN CONNECTION WITH THIS LICENSE AGREEMENT THAT THE
OTHER PARTY, OR ANY THIRD PARTY, MAY INCUR, EXPERIENCE OR CLAIM, EVEN IF THE
PARTY HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH CLAIM.

                             ARTICLE 10 - CONFIDENTIALITY

In the course of exercising this License Agreement each party will likely obtain
Confidential Information of the other party.  The parties agree to safeguard
against the unauthorized use and disclosure of any Confidential Information and
to use the same degree of care that each uses to protect its own information of
a similar nature, but in no event less than a reasonable degree of care under
the circumstances.  Neither party to this License Agreement will disclose the
other party's Confidential Information to any third person, except (i) with the
prior written consent of the other party; (ii) to the extent necessary to comply
with law or legal process, in which event the party making the disclosure will,
subject to applicable law, notify the other party as promptly as practicable
prior to making any disclosure and seek confidential treatment of the
information; (iii) to the extent necessary, as a part of its normal reporting or
review procedure to its parent company, or its auditors and attorneys on a
confidential basis; or (iv) in connection with the enforcement of the party's
rights hereunder or under any related agreements.  The parties hereto agree to
restrict disclosure of the Confidential Information solely to its employees or
others under its control who have a need to know the same in furtherance of the
purposes of this License Agreement and who have been directed and contractually
or legally restricted from disclosing the Confidential Information at least to
the degree required under this License Agreement.  Each party shall be liable to
the other for any breach of the covenants of confidentiality contained herein by
its agents or employees.  The provisions of this section shall survive the
expiration or termination of this License Agreement.

                               ARTICLE 11 - ASSIGNMENT

11.1   BY SBCL.  SBCL may assign all of its rights and obligations under this
       License Agreement or any license granted hereunder to any Affiliate, or
       to any corporation or other entity pursuant to a merger, consolidation,
       or other reorganization.  SBCL agrees to notify ActaMed of any such
       assignment, in writing, specifying the name and address of the other
       entity. 

                                       -16-
<PAGE>

11.2   BY ACTAMED.  ActaMed may assign all of its rights and obligations under
       this License Agreement or any license granted hereunder to any Affiliate
       or to any other corporation or other entity pursuant to a merger,
       consolidation, or other reorganization.  ActaMed agrees to notify SBCL
       at least thirty (30) days prior to the date of any such assignment, in
       writing, specifying the name and address of the assignee.
       Notwithstanding the foregoing:

                 (i)  Nothing in this License Agreement shall be construed to
                      authorize ActaMed to assign this License Agreement to any
                      assignee if such assignee or any Affiliate of the
                      assignee is engaged in the business of performing
                      laboratory services similar to those performed by SBCL as
                      of the date of the assignment, and

                (ii)  SBCL shall have the right to require ActaMed to void the
                      assignment if the assignee or any Affiliate of the
                      assignee enters the business of performing laboratory
                      services similar to those performed by SBCL as of the
                      date of this Agreement or the date of the assignment.

11.3   OTHER.  Except as expressly set forth in this Article 11 and except as
       the other party may consent in writing, neither party may assign or
       transfer this License Agreement or any right or obligation hereunder to
       any third party, and any attempt to do so in contravention of this
       Article 11 shall be void and shall have no force or effect. 

                          ARTICLE 12 - DISPUTE RESOLUTION

12.1   INFORMAL DISPUTE RESOLUTION. Any dispute between the parties arising out
       of or with respect to this License Agreement, either with respect to the
       interpretation of any provision of this Agreement or with respect to the
       performance by ActaMed or SBCL, shall be resolved as provided in this
       Article.

       12.1.1  Prior to the initiation of formal dispute resolution procedures,
               the parties shall first attempt to resolve their dispute
               informally, as follows:

                 (i)  The Representatives (as defined in the Services
                      Agreement) for each party shall meet for the purpose of
                      endeavoring to resolve such dispute.  They shall meet as
                      often as the parties reasonably deem necessary in order
                      to gather and furnish to the other all information with
                      respect to the matter in issue which the parties believe
                      to be appropriate and germane in connection with its
                      resolution.  The Representatives shall discuss the
                      problem and negotiate in good faith in an effort to
                      resolve the dispute without the necessity of any formal
                      proceeding.  During the course of negotiations, all
                      reasonable requests made by one party to another for
                      nonprivileged information, reasonably

                                       -17-

<PAGE>

                      related to this Agreement, shall be honored in order that
                      each of the parties may be fully advised of the other's
                      position.
                     
                (ii)  If, within fifteen (15) days after a matter has been
                      identified for resolution pursuant to this Article,
                      either of the Representatives concludes in good faith
                      that amicable resolution through continued negotiation in
                      this forum does not appear likely, the matter will be
                      escalated by formal written notification to the SBCL
                      President and the ActaMed President (both as defined in
                      the Services Agreement).  The parties will use their
                      respective best efforts to cause the SBCL President and
                      the ActaMed President to meet to attempt to resolve the
                      dispute.

               (iii)  Formal proceedings for the resolution of a dispute may
                      not be commenced until the earlier of:  (i) the date on
                      which the SBCL President and the ActaMed President
                      conclude in good faith that amicable resolution through
                      continued negotiation of the matter does not appear
                      likely; or (ii) thirty (30) days after the dispute has
                      been referred to the SBCL President and the ActaMed
                      President.

       12.1.2  The provisions of this Article 12 shall not be construed to
               prevent a party from instituting, and a party is authorized to
               institute, formal proceedings earlier to avoid the expiration of
               any applicable limitations period.

12.2   ARBITRATION.  If the parties are unable to resolve any controversy
       arising under this Agreement as contemplated by Section 12.1 and if such
       controversy is not subject to Section 12.3 or Section 12.4, then such
       controversy shall be submitted to mandatory and binding arbitration at
       the election of either Party (the Disputing Party) pursuant to the
       following conditions:

       12.2.1  The Disputing Party shall notify the AAA and the other Party in
               writing describing in reasonable detail the nature of the dispute
               (the "DISPUTE NOTICE").  The parties shall each select a neutral
               arbitrator in accordance with the rules of AAA and the two (2)
               arbitrators selected shall select a third neutral arbitrator.
               The three (3) arbitrators so selected are herein referred to as
               the "PANEL."

       12.2.2  The Panel shall allow reasonable discovery as permitted by the
               Federal Rules of Civil Procedure, to the extent consistent with
               the purpose of the arbitration.  The Panel shall have no power or
               authority to amend or disregard any provision of this Article 12.
               The arbitration hearing shall be commenced promptly and conducted
               expeditiously, with each of ActaMed and SBCL being allocated
               one-half of the time for the presentation of its case.  Unless
               otherwise agreed to by the parties, an arbitration hearing shall
               be conducted on consecutive days.

                                       -18-
<PAGE>

       12.2.3  Should any arbitrator refuse or be unable to proceed with
               arbitration proceedings as called for by this Section, such
               arbitrator shall be replaced by an arbitrator selected in
               accordance with the rules of the AAA and consistent with this
               Article 12.

       12.2.4  The Panel rendering judgment upon disputes between parties as
               provided in this Article 12 shall, after reaching judgment and
               award, prepare and distribute to the parties a writing describing
               the findings of fact and conclusions of law relevant to such
               judgment and award and containing an opinion setting forth the
               reasons for the giving or denial of any award.  The award of the
               arbitrator shall be final and binding on the parties, and
               judgment thereon may be entered in a court of competent
               jurisdiction.

       12.2.5  Arbitration hearings hereunder shall be held in Washington D.C.
               or another mutually agreeable location.

       12.2.6  The Panel shall be instructed that time is of the essence in the
               arbitration proceeding.  The Panel shall render its judgment or
               award within fifteen (15) days following the conclusion of the
               hearing.  Recognizing the express desire of the parties for an
               expeditious means of dispute resolution, the arbitrator shall
               limit or allow the parties to expand the scope of discovery as
               may be reasonable under the circumstances.

12.3   IMMEDIATE INJUNCTIVE RELIEF.  The nonbreaching party may file a pleading
       with a court seeking immediate injunctive relief in the event the other
       party commits a breach of the confidentiality obligations set forth in
       this Agreement, SBCL violates the limitations imposed by Section 3.2
       hereof, ActaMed violates the limitations imposed by Section 2.2 or 2.3
       hereof, or in the event a party makes a good faith determination that a
       breach of the terms of this Agreement by the other party is such that
       the damages to such party resulting from the breach will be so
       immediate, so large or severe, and so incapable of adequate redress
       after the fact that a temporary restraining order or other immediate
       injunctive relief is a necessary remedy.  If a party files a pleading
       with a court seeking immediate injunctive relief and this pleading is
       challenged by the other party and the injunctive relief sought is not
       awarded in substantial part (or in the event of a temporary restraining
       order is vacated upon challenge by the other party), the party filing
       the pleading seeking immediate injunctive relief shall pay all of the
       costs and attorneys fees of the party successfully challenging the
       pleading.

12.4   JURISDICTION.  ActaMed and SBCL each consent to venue in Philadelphia,
       Pennsylvania and to the nonexclusive jurisdiction of competent
       Pennsylvania state courts or federal courts located in Philadelphia for
       all litigation which may be brought, subject to the requirement for
       arbitration hereunder, with respect to the terms of, and the
       transactions and relationships contemplated by, this Agreement.

12.5   CONTINUED PERFORMANCE; CONTINUATION OF LICENSES.  Each party agrees to
       continue performing its obligations under this Agreement while any
       dispute is being resolved unless

                                       -19-
<PAGE>

       and until such obligations are terminated or expire in accordance with
       the provisions by the termination or expiration of this Agreement not
       in dispute.  Nothing in this Agreement shall be construed as altering
       the perpetual and irrevocable nature of the licenses granted by this
       Agreement or as authorizing any arbitrator or court in any way to
       enjoin or otherwise interfere with the proper exercise of such
       licenses by either party hereto.

                              ARTICLE 13 - MISCELLANEOUS

13.1   FURTHER ASSURANCES.  From time to time SBCL and ActaMed and their
       respective officers, employees, contractors, representatives and agents,
       shall confirm the provisions of this Agreement by execution and delivery
       of such assignments, confirmations or other written instruments as may
       be reasonably requested by the other party in order to vest each party
       with the rights mentioned in this Agreement.  ActaMed and SBCL shall
       obtain appropriate assignments, covenants and obligations from its
       officers, employees, representatives, agents and any contractors hired
       to carry out its obligations under the SCAN Agreements prior to their
       performance thereof to ensure SBCL or ActaMed, as the case may be, may
       own the rights specified in this Agreement.

13.2   INTEGRATION.  This License Agreement (including all of the Schedules
       hereto) supersedes all prior agreements and understandings between the
       parties with respect to the subject matter of this License Agreement,
       and is intended by the parties as the complete and exclusive statement
       of their agreement, and supersedes all prior understandings and
       agreements, whether oral or written, between the parties with respect to
       the same subject matter.

13.3   FORCE MAJEURE.  Each party shall be excused from delays in performing or
       from its failure to perform hereunder to the extent that such delays or
       failures result from causes beyond the reasonable control of such party;
       PROVIDED that, in order to be excused from delay or failure to perform,
       such party must act diligently to remedy the cause of such delay or
       failure.

13.4   NO AGENCY.  Each party hereto, is acting solely as an independent
       contractor.  In no way is either party to be construed as the agent or
       to be acting as the agent of the other party in any respect.  Each party
       has the sole obligation to supervise, manage, contract, direct, procure,
       perform, or cause to be performed all work to be carried out by such
       party under any SCAN Agreement.

13.5   NO WAIVER.  No delay or omission by either party to exercise any right
       arising upon any noncompliance with, or breach of, any covenant,
       condition or agreement to be performed by the other party shall impair
       any such right or be construed to be a waiver thereof.  A waiver by
       either of the parties hereto of any noncompliance with, or breach of,
       any covenant, condition or agreement to be performed by the other
       party must be in writing and signed by both parties. No waiver of any
       right upon any one occurrence of noncompliance or breach

                                -20-

<PAGE>

       shall be construed to be a waiver of any succeeding noncompliance or
       breach.  Unless stated otherwise, all remedies provided for in this
       License Agreement shall be cumulative and in addition to and not in
       lieu of any other remedies available to either party at law, in
       equity, or otherwise.

13.6   SEVERABILITY.  If any term, covenant, condition or provision of this
       License Agreement or the application thereof to any circumstance shall
       be invalid or unenforceable to any extent, the remaining terms,
       covenants, conditions and provisions of this License Agreement shall not
       be affected thereby and each remaining term, covenant, condition and
       provision of this License Agreement shall be valid and enforceable to
       the fullest extent permitted by law.  If any provision of this License
       Agreement is so broad as to be unenforceable, such provision shall be
       interpreted to be only as broad as is enforceable.

13.7   NOTICES.  If one party is required or desires to give notice to the
       other, such notice shall be deemed given if mailed by U.S. mail, first
       class, postage prepaid, or via a nationally recognized overnight
       carrier, with all freight charges prepaid, and addressed as follows (or
       as subsequently noticed to the other party):

       If to SBCL:            SmithKline Beecham Clinical Laboratories, Inc.
                              1201 S. Collegeville Road
                              Collegeville, PA 19426
                              ATTN: [*]

       If to ActaMed:         ActaMed Corporation
                              7000 Central Parkway Suite 600
                              Atlanta, GA 30328
                              ATTN: MIKE HOOVER

13.8   GOVERNING LAW; INTERPRETATION.  This License Agreement shall be
       construed, interpreted and enforced under the laws of the Commonwealth
       of Pennsylvania, excluding its provisions regarding conflicts of law.
       The section and subsection headings used herein are for reference and
       convenience only, and shall not enter into the interpretation hereof.


[*] CERTAIN INFORMATION IN THIS EXHIBIT HAS BEEN OMITTED AND FILED SEPARATELY
WITH THE COMMISSION.  CONFIDENTIAL TREATMENT HAS BEEN REQUESTED WITH RESPECT
TO THE OMITTED PORTIONS.

                                       -21-
<PAGE>


       IN WITNESS WHEREOF, the parties have caused this License Agreement to be
executed on the date set forth below.


SMITHKLINE BEECHAM CLINICAL          ACTAMED CORPORATION

LABORATORIES, INC.                                 

BY:  /s/ John B. Okkerse, Jr.          BY:  /s/ Michael K. Hoover
   ---------------------------            -------------------------
NAME:  John B. Okkerse, Jr.            NAME:  Michael K. Hoover
   ---------------------------            -------------------------
TITLE:  President                      TITLE:  President
   ---------------------------            -------------------------
DATE:  12-31-97                        DATE:  12-31-97
   ---------------------------            -------------------------










<PAGE>

                                     SCHEDULE A

                                   SBCL SOFTWARE

-      SBCL proprietary Software known as [*] (including without limitation
       the [*]) and [*].

-      Download programs and routines and other SBCL proprietary Software
       reasonably required to perform Information Services as SBCL is
       performing them as of the date of the License Agreement.

-      Documentation owned by SBCL and related to any of the foregoing.

-      Specifications owned and possessed by SBCL with respect to the
       foregoing.

-      Such Specifications for the Software known as [*] and [*] as SBCL
       determines reasonably necessary for the SBCL Software, SCAN Developments
       and ActaLab Software [*] and [*].

-      Such updates, upgrades, corrections, modifications, and enhancements to
       any of the foregoing created during the term of the Services Agreement.

-      All patents, patent applications, copyrights, trade secrets, know-how,
       information and other intellectual property rights that are currently
       owned or controlled by SBCL and that are embodied or practiced in the
       foregoing.


[*] CERTAIN INFORMATION IN THIS EXHIBIT HAS BEEN OMITTED AND FILED SEPARATELY
WITH THE COMMISSION.  CONFIDENTIAL TREATMENT HAS BEEN REQUESTED WITH RESPECT
TO THE OMITTED PORTIONS.

<PAGE>


                                 SCHEDULE B

                     AMENDMENTS TO DEVELOPMENT AGREEMENT
                                         
SBCL and ActaMed hereby agree this    day of December, 1997, to amend their
Development Agreement October 31, 1997, as set forth herein as of the effective
dates set forth herein.

       1.      Effective as of the date of the Development Agreement, Article I
of the Development Agreement is hereby amended to include the following
additional or revised definitions:

               "ActaLab Software" has the meaning ascribed to it by the License
       Agreement.

               "Deliverable" means all Software, Documentation and other
       materials developed by ActaMed under this Agreement and described in a
       Statement of Work.

               "License Agreement" means that certain License Agreement between
       SBCL and ActaMed dated December 22, 1997.

               "SBCL Software" has the meaning ascribed to it by the License
       Agreement.

               "SOW No. 1" shall mean the Statement of Work dated October 31,
       1997.

       2.      The second "Whereas" clause is hereby deleted.

       3.      The fourth "Whereas" clause is hereby revised to delete the words
"to SBCL."

       4.      Section 5.1(a) of the Development Agreement is hereby revised as
of the date of the Development Agreement to read as follows:

                      (a)     The parties hereby acknowledge and agree that:

                              (i)    The Deliverables under SOW No. 1 do not
       [*] the SBCL Software, but instead [*] which will be used in conjunction
       with and/or will be integrated into ActaMed's ProviderLink software. 
       All Deliverables (including but not limited to, the ActaLab Software)
       under SOW No. 1, and all intellectual property rights (including but not
       limited to copyrights and all renewals and extensions thereof) in such
       Deliverables, shall be [*].  Subject to the provisions of Section
       5(a)(iv) hereof, SBCL hereby grants, transfers and assigns all of its
       right, title and interest in such Deliverables, including patents,
       copyrights, trade secrets and other intellectual property developed or
       acquired in the course of creating such Deliverables, to ActaMed and
       ActaMed shall have the right to obtain and hold in its own name
       copyrights,


[*] CERTAIN INFORMATION IN THIS EXHIBIT HAS BEEN OMITTED AND FILED SEPARATELY
WITH THE COMMISSION.  CONFIDENTIAL TREATMENT HAS BEEN REQUESTED WITH RESPECT
TO THE OMITTED PORTIONS.

<PAGE>

       patents, registrations and similar protections which may be available
       with respect to such Deliverables.
      
                              (ii)   The parties contemplate that additional
       SOWs may be entered into from time to time for the purpose of enhancing,
       modifying or upgrading the ActaLab Software (an "ActaLab SOW").  All
       Deliverables under an ActaLab SOW and all intellectual property rights
       (including but not limited to copyrights and all renewals and extensions
       thereof) in such Deliverables, shall be [*].  Subject to the provisions
       of Section 5(a)(iv) hereof, SBCL hereby grants, transfers and assigns all
       of its right, title and interest in such Deliverables, including patents,
       copyrights, trade secrets and other intellectual property developed or
       acquired in the course of creating such Deliverables, to ActaMed and
       ActaMed shall have the right to obtain and hold in its own name
       copyrights, patents, registrations and similar protections which may be
       available with respect to such Deliverables.

                              (iii)  The parties contemplate that additional
       SOWs may be entered into from time to time for the purpose of enhancing,
       modifying or upgrading the SBCL Software (a "SCAN Development SOW").
       Ownership of any Deliverables under a SCAN Development SOW, and
       ownership of any intellectual property rights therein (including but not
       limited to copyrights and all renewals and extensions thereof), shall be
       governed in all respects by Article 3 of the License Agreement.  Subject
       to the provisions of Section 5(a)(iv) hereof, ActaMed hereby grants,
       transfers and assigns all of its right, title and interest in such
       Deliverables, including patents, copyrights, trade secrets and other
       intellectual property developed or acquired in the course of creating
       such Deliverables, to SBCL.

                              (iv)   Nothing in this Section 5(a) shall be
       construed to transfer to ActaMed, or otherwise divest SBCL of SBCL's
       ownership of, the SBCL Software and, subject to the licenses granted by
       the License Agreement, SBCL (as between SBCL and ActaMed) shall be the
       sole owner of the patents, copyrights, trade secrets and other
       intellectual property rights therein.  Nothing in this Section 5(a)
       shall be construed to transfer to SBCL, or otherwise divest ActaMed of
       ActaMed's ownership of, any software or work of authorship owned by
       ActaMed as of the effective date of the Development Agreement and,
       subject to the licenses granted by the License Agreement, ActaMed (as
       between SBCL and ActaMed) shall be the sole owner of  any patent,
       copyright, trade secret right or other intellectual property right
       therein. 

                              (v)    Any Statement of Work, by mutual agreement
of the parties, may include limitations and restrictions on ActaMed's use of the
applicable Deliverables in support of laboratory testing services of commercial
laboratories other than SBCL.

       6.      Sections 5.1(d) and (e) and Section 5.2(a) as of the date of this
Amendment are hereby deleted from the Development Agreement.


[*] CERTAIN INFORMATION IN THIS EXHIBIT HAS BEEN OMITTED AND FILED SEPARATELY
WITH THE COMMISSION.  CONFIDENTIAL TREATMENT HAS BEEN REQUESTED WITH RESPECT
TO THE OMITTED PORTIONS.

<PAGE>

       7.      In the event of conflict between the Development Agreement and
the License Agreement, the License Agreement shall control.

       9.      Except as expressly set forth herein, the Development Agreement
shall continue in full force and effect as originally executed by the parties.

       10.     Nothing in this Agreement shall be construed to modify or change
in any respect the ownership and use rights with respect to Exclusive
Developments (as defined in the Services Agreement between SBCL and ActaMed
dated the date hereof) pursuant to the License Agreement and Section V of said
Services Agreement.

               In witness whereof, the parties have caused this Amendment to be
signed this        day of December, 1997.


SMITHKLINE BEECHAM CLINICAL          ACTAMED CORPORATION

LABORATORIES, INC.

BY:   /s/                            BY: /s/                         
   ----------------------------         ---------------------------

NAME: John B. Okkersee Jr.           NAME: Michael K. Hoover
     --------------------------           -------------------------


TITLE: President                     TITLE: President
      -------------------------            ------------------------


DATE:                                DATE:                              
     --------------------------           -------------------------