MedCom USA Joins With Vital Terminal Management Services To Provide Expanded Deployment And Training For The MedCom System

SCOTTSDALE, Ariz., Nov. 8 /PRNewswire-FirstCall/ -- MedCom USA, Inc. (BULLETIN BOARD: EMED) , a leading provider of healthcare and financial transaction solutions for the healthcare industry, announced today that it has just completed an agreement with Vital Terminal Management Services(TM) (VTMS) to administer deployment and client tele-training for its MedCom System. VTMS is scheduled to begin providing services as early as January 2005.

The deployment and training arrangement is the first of a series of initiatives that will be developed between the two companies to meet increased orders generated by MedCom USA’s national sales and marketing campaign. With a broader, more national focus, it is important for MedCom USA to rapidly expand quality services offered to its medical provider clients. VTMS will help meet this objective through its services and expertise in terminal management.

According to MedCom executive Bruce Weitzberg, “We need a strategic partner who will be able to help us take advantage of the increase in demand for our MedCom System. VTMS can provide us with an infrastructure that can efficiently handle deployment and training services for thousands of point-of-sale (POS) terminals per month -- taking our business capabilities to the next level. VTMS will enable us to free up our resources to continue the national sales and marketing expansion.”

Craig Hicks, vice president of sales and marketing for VTMS states that, “VTMS will enable MedCom to efficiently and effectively provide deployment and training services. We are experienced with large volume, point-of-sale (POS) terminal deployments and are equipped to successfully support MedCom’s growth in the healthcare marketplace. We are excited about this new partnership and look forward to expanding our relationship with MedCom as their business grows.”

About MedCom USA, Inc.

MedCom USA, Inc. (BULLETIN BOARD: EMED) provides innovative solutions for electronically processing transactions within the healthcare industry. The company’s healthcare business unit, MedCard, provides a terminal-based service package and a compatible Web Portal add-on for physicians, clinics, hospitals and dentists that include the following services: Patient Eligibility, 100% Paperless Claims Processing, Electronic Referrals, Patient Easy Pay, Credit/Debit Cards, Check Guarantee and Accounts Receivable Financing. The MedCom USA Internet address is http://www.medcard.com/.

About Vital Terminal Management Services

Vital Terminal Management Services(TM) (VTMS) is a leading provider of terminal management services. VTMS offers a full range of services, from equipment sales and inventory management to merchant training, deployment and ongoing support. These comprehensive services get merchants up and running quickly, while delivering world-class service and support. With focused expertise, state-of-the-art technology and a partnership approach, VTMS helps lower costs and risk, increase revenue and enhance merchant relationships. As a wholly owned subsidiary of Vital Processing Services(R) (Vital(R)), VTMS offers clients the strength, resources and economies of scale of one of the largest electronic transaction processors in North America. Vital is a joint venture of Visa(R) U.S.A. and TSYS(R) . Additional information regarding Vital and VTMS can be found at http://www.vitalps.com/.

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, +1-515-276-1180,kbarghols@medcard.com