MedCom USA Finishes 2004 With A Tremendous Year Of Infrastructure And Services Building

SCOTTSDALE, Ariz., Dec. 22 /PRNewswire-FirstCall/ -- MedCom USA, Inc. (BULLETIN BOARD: EMED) , a leading provider of HIPAA compliant healthcare and financial transaction solutions for the healthcare industry, has used 2004 to expand its reach and capacity as well as to build an infrastructure to handle expanded growth in 2005.

Mr. Bill Williams, President and CEO, MedCom USA stated, "The calendar year 2004 has continued the phenomenal accomplishments of MedCom USA, Inc. We have reached numerous milestones that provide us with a strong infrastructure for exponential growth in 2005.

   *  Our hospital system growth has expanded from 20 to 32 with a number of
      additional hospital systems currently in testing and evaluation phase.
      We have added a high level sales executive to work exclusively with
      hospitals and large clinics.

   *  We have developed a new Web-Portal add-on to work in conjunction with
      the Hypercom T-7 Plus terminal that will allow providers to utilize
      batch benefit verification and batch claims submission as well as
      interface with any practice management system.  The first accounts
      utilizing this platform will start in January 2005.  This expands the
      sales opportunities for larger practices, clinics and hospitals.

   *  MedCom USA has created and introduced a Dentalcare / Financial
      Transaction terminal that will provide real-time benefit verification
      for dental insurance.  This gives the company the opportunity to reach
      the 120,000 Dentists, Orthodontists and Oral Providers currently
      active in the U.S.A.

   *  The MedCom USA Real-Time Payer list will exceed 400 in early 2005,
      giving us the largest payer dictionary for a POS device in the United
      States.

   *  We have expanded our territories and launched an initiative in Puerto
      Rico opening up a new market of over 10,000 healthcare providers this
      December.

   *  We have expanded our internal sales staff over 150% to include
      specialists in Hospital markets, ISO management and telemarketing
      sales.

   *  We have expanded our ISO relationships, adding almost a dozen new
      groups with over a hundred sales people including new groups with
      expertise in the Healthcare industry in a number of new territories
      that include Georgia, Kansas, South Carolina, North Carolina,
      Tennessee, Michigan, Iowa, Illinois, Maryland and Arizona.

   *  We have engaged Vital Terminal Management Systems(TM), VTMS(TM) (a
      wholly owned subsidiary of Vital(R) Processing Services, a joint
      venture of TSYS and VISA) to handle deployment and tele-training.
      VTMS(TM) is capable of deploying tens of thousands of terminals in a
      timely and efficient manner.

   *  We have incorporated systems for mastery based training and
      installation for all new sales people and installers.

   *  We have expanded our marketing initiatives to include major national
      trade publications, trade shows, industry associations, direct
      response and telemarketing campaigns.

   *  We have launched a new interactive website re-branded under
      MedComUSA.com that gives the MedCom USA community updated real-time
      information and support as well as general information about the
      services and capabilities of the company and products.

Mr. Williams continues, "With these building blocks in place and additional structural plans to be incorporated, we look forward to being well positioned to continue to grow the company in the upcoming year. With the increase in patient responsibility, Healthcare Reimbursement Account (HSAs), Flexible Spending Accounts (FSAs) and other Healthcare financial developments as well as the increased need for implementation of electronic healthcare transactions we are in a perfect position to provide support and solutions to the nation's healthcare providers."

About MedCom USA

MedCom USA, Inc. (EMED) provides innovative solutions for electronically processing HIPAA compliant transactions within the healthcare industry. MedCom USA provides a terminal based service package and a compatible Web Portal add-on for physicians, clinics and hospitals and dentists that include the following services: Patient Eligibility, 100% Paperless Claims Processing, Electronic Referrals, Patient Easy Pay, Credit/Debit Cards, Check Guarantee, Accounts Receivable Financing. http://www.medcomusa.com/.

About HIPAA

Health Insurance Portability and Accountability Act of 1996 that requires health providers and health plans to adopt standards for electronic administrative and financial transactions.

Certain matters discussed within this press release are forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Although MedCom USA, Inc. management believes the expectations reflected in such forward-looking statements are based on reasonable assumptions; it can give no assurance that its expectations will be attained. Factors that could cause actual results to differ materially from expectations include industry, competitive and technological changes; risks associated with international operations and foreign currency fluctuations; the composition, timing and size of orders from and shipments to major customers; inventory obsolescence; market acceptance of new products and other risks detailed from time to time in MedCom USA, Inc.'s SEC reports, including the company's most recent 10-K and subsequent 10Q-s.

MedCom USA, Inc.

CONTACT: Kent Barghols of MedCom USA, Inc., +1-515-276-1180,BARGHOLSB@MSN.COM

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