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Security and identity ⇄ Business productivity

Azure Active Directory to NextGen Healthcare integration — real-time, two-way sync

Keep Azure Active Directory and NextGen Healthcare in sync without custom scripts. Cut weeks of integration work, eliminate silent data drift, and give your team a single, reliable source of truth.

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Adopted by fast-scaling companies moving mission-critical data in real time

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Why teams connect Azure Active Directory and NextGen Healthcare

Keep the users, groups, and profile details that NextGen Healthcare and Azure Active Directory share consistent in real time, so who can work in NextGen Healthcare always matches who your directory in Azure Active Directory says belongs there.

Azure Active Directory is where a company records who its people are: their accounts, the groups and roles they hold, and the attributes attached to each one. NextGen Healthcare is where a slice of those same people do their work, as agents, members, or seats, and every one of them needs a matching account with the right access. When a directory and a productivity tool are maintained by hand, someone added, moved, or offboarded in one becomes a stale entry in the other within the hour.

Stacksync syncs Encounters, Providers, Clinical Documents, Medications & Allergies in NextGen Healthcare with Applications, Service principals, Directory roles, Devices in Azure Active Directory bi-directionally and in real time. A user created, renamed, moved between groups, or deactivated in either system updates the matching record in the other within seconds, with field-level mapping and conflict resolution in place of CSV uploads and nightly IT batch jobs.

That matters most at the edges of employment. When both systems agree on who has an account, which groups they belong to, and whether they are still active, granting access on day one and revoking it on the last day stops being a manual checklist that trails the directory.

Common use cases

  • 01 Keep provider directories consistent between the EHR, the website, and scheduling tools.
  • 02 Feed referral data into intake workflows so new patients are registered without rekeying.
  • 03 Sync manager, department, and jobTitle from an HRIS back onto Entra ID User attributes to keep dynamic groups and Conditional Access accurate.
  • 04 Replicate Groups and their Members into a Postgres warehouse for access reviews and entitlement reporting.

Common sync patterns

Close access when someone leaves

When a user is disabled or removed in Azure Active Directory, their account in NextGen Healthcare is deactivated in step, so offboarding shuts down access everywhere instead of leaving a live login behind.

Keep profile attributes current

A person's name, email, department, manager, or phone number corrected in either system updates the other, so the productivity tool shows the same details the directory holds of record.

Mirror group and role membership

Moving a user between groups or roles in Azure Active Directory updates their team, permission set, or seat in NextGen Healthcare, so what someone can do reflects where they sit in the directory.

What you can sync between Azure Active Directory and NextGen Healthcare

Representative objects on each side — any object or custom field can map to any target. Schemas are auto-detected; types are converted between the two systems.

Azure Active Directory objects NextGen Healthcare objects How this pairing syncs
Users /users in Microsoft Graph; synced two-way — profile attributes, accountEnabled, and assignedLicenses are read out while provisioning writes (create, update, disable, delete) are pushed back. Encounters Visit records landed in analytics stores for utilization and quality reporting. Users is specific to Azure Active Directory and Encounters to NextGen Healthcare — each maps to any object or custom field on the other side.
Groups /groups covering security and Microsoft 365 groups; created, updated, and deleted through Graph, and read into warehouses for entitlement reporting. Providers Clinician and location directories kept consistent across scheduling and web systems. Groups is specific to Azure Active Directory and Providers to NextGen Healthcare — each maps to any object or custom field on the other side.
Group memberships Member and owner relationships on /groups/{id}/members; added and removed via the $ref endpoint and tracked for changes with delta query on $select=members. Clinical Documents Notes and attachments exchanged with referral and document-management workflows. Group memberships is specific to Azure Active Directory and Clinical Documents to NextGen Healthcare — each maps to any object or custom field on the other side.
Applications App registrations under /applications; usually read into a database or CMDB for app ownership and credential-expiry tracking. Medications & Allergies Clinical list data read via standardized FHIR resources for care coordination. Applications is specific to Azure Active Directory and Medications & Allergies to NextGen Healthcare — each maps to any object or custom field on the other side.
Service principals /servicePrincipals (enterprise apps) plus appRoleAssignments; read for app inventory and access-posture reporting. Lab Results Result data read for patient-facing portals and analytics. Service principals is specific to Azure Active Directory and Lab Results to NextGen Healthcare — each maps to any object or custom field on the other side.
Directory roles /directoryRoles and roleManagement assignments; read for privileged-access reviews, with role-assignment writes where the granted scopes permit. Insurance / Coverage Payer and eligibility data reconciled with billing and clearinghouse systems. Directory roles is specific to Azure Active Directory and Insurance / Coverage to NextGen Healthcare — each maps to any object or custom field on the other side.

How changes propagate between Azure Active Directory and NextGen Healthcare

Each direction of the sync is driven by what the source system can signal and what the destination accepts — detection, delivery, and expected latency below.

Azure Active Directory NextGen Healthcare Sub-second propagation

DetectionAzure Active Directory notifies Stacksync of record changes through webhook events. Microsoft Graph delta query (deltaLink tokens returning only changed users and groups, with @removed deletions) paired with change-notification.

DeliveryEach detected change is written to NextGen Healthcare through its API, with automatic retries and rate-limit backoff.

NextGen Healthcare Azure Active Directory Interval-based propagation

DetectionStacksync polls NextGen Healthcare for changes on an incremental schedule, reading only records changed since the previous pass. Polling, typically filtering on last-updated timestamps.

DeliveryEach detected change is written to Azure Active Directory through its API, with automatic retries and rate-limit backoff.

Rate-limit considerations

  • Azure Active Directory: Resource-unit throttling: roughly 8,000 ResourceUnits per 10 seconds per app for reads on tenants over 500 users, writes near 3,000 requests per 2.5 minutes; 429 responses include a Retry-After header.
  • NextGen Healthcare: Subject to the platform's API rate limits and healthcare data-access agreements.
What ships with Azure Active Directory ⇄ NextGen Healthcare

Connect Azure Active Directory and NextGen Healthcare for flexible, real-time data sync.

Real-time sync, workflow automation, event queues, EDI, and monitoring, for every Azure Active Directory–NextGen Healthcare connection.

Real-time

Two-way sync

Changes in Azure Active Directory or NextGen Healthcare instantly reflect in both systems. No stale data, no manual imports.

No-code + pro-code

Workflow automation

Trigger automated workflows whenever Azure Active Directory or NextGen Healthcare data changes, update records, fire webhooks, or kick off sequences without brittle API scripts.

At scale

Event queues

Handle millions of events per minute without losing a single Azure Active Directory or NextGen Healthcare record.

Observability

Monitoring

Track your Azure Active Directory ⇄ NextGen Healthcare sync health, view errors, and replay failed events in one click.

Trading partners

EDI

Transform legacy EDI complexity into simple database interactions between Azure Active Directory and NextGen Healthcare.

How the Azure Active Directory and NextGen Healthcare connectors work

Azure Active Directory

Integration surface
Microsoft Graph REST API (v1.0)
Authentication
OAuth 2.0 via the Microsoft identity platform using an Entra ID app registration; app-only (client credentials) or delegated flows, with directory scopes such as User.ReadWrite.All and Group.ReadWrite.All requiring tenant admin consent
Change detection
Microsoft Graph delta query (deltaLink tokens returning only changed users and groups, with @removed deletions) paired with change-notification webhook subscriptions for near-real-time push
Capabilities
read · write · webhooks
Rate limits
Resource-unit throttling: roughly 8,000 ResourceUnits per 10 seconds per app for reads on tenants over 500 users, writes near 3,000 requests per 2.5 minutes; 429 responses include a Retry-After header

NextGen Healthcare

Integration surface
REST API, including FHIR-based endpoints published through NextGen's developer API program
Authentication
OAuth 2.0
Change detection
Polling, typically filtering on last-updated timestamps; no general-purpose webhook surface
Capabilities
read · write
Rate limits
Subject to the platform's API rate limits and healthcare data-access agreements.
How it works

How to connect Azure Active Directory to NextGen Healthcare — three steps, no code

Configure and sync within minutes, no code. Whether you sync 50k or 100M+ records, Stacksync handles the queues, infra, and plumbing. Integrations are non-invasive and need zero setup on your systems.

  1. 01

    Connect your apps

    Authenticate Azure Active Directory and NextGen Healthcare with each platform's native method — OAuth, API keys, or service accounts — plus secure options like SSH tunneling, IP whitelisting, and VPC peering.

    • OAuth 2.0
    • SSH tunnel
    • VPC peering
    Azure Active Directory connected
    NextGen Healthcare connected
    OAuth 2.0
    SSH tunnel
    SSL certificate
    VPC peering
  2. 02

    Choose tables

    Pick the Azure Active Directory and NextGen Healthcare objects to sync — Stacksync auto-detects both schemas, including custom fields where the platform exposes them. Sync to existing tables, or let Stacksync create new ones with ideal data types.

    • Standard objects
    • Custom objects
    • Auto-schema
    objects · Azure Active Directory ⇄ NextGen Healthcare
    Customers 12,480
    Sales Orders 8,213
    Invoices 5,902
    Items 1,344
  3. 03

    Map fields

    Fields map automatically even when names and types differ. Stacksync handles transformation and type casting for you, zero configuration required.

    • Auto-map
    • Type casting
    • Transforms
    Azure Active Directory NextGen Healthcare
    Company company_name text
    Email email text
    Amount amount numeric
    Created created_at timestamp
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FAQ

Azure Active Directory and NextGen Healthcare integration FAQ

SECURITY

Security teams trust Stacksync

As a data company, we understand the importance of keeping your data secure. Stacksync is built with security best practices to keep your data safe at every layer, and is DPF-certified for US, EU, UK and CH data transfers.

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SSO & SCIM

Let your users access Stacksync from your centralized user management systems. Works with Okta, Azure, Google SSO and more.

Alerts

Immediately get alerted about record syncing issues over email, Slack, PagerDuty and WhatsApp. Resolve issues from a centralized dashboard with retry and revert options.

Secure connection options

Securely connects to your systems with:

OAuth 2 SSH Tunnelling SSL certificates IP Whitelisting VPN gateway VPC peering and more

Related integrations

Every pair below is a real-time, two-way sync. Search all 368 integrations available for Azure Active Directory and NextGen Healthcare.

Popular · 8 of 368
All Azure Active Directory integrations All NextGen Healthcare integrations Browse all integrations
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