Real-time
Two-way sync
Changes in eClinicalWorks or Ramp instantly reflect in both systems. No stale data, no manual imports.
Business productivity ⇄ Accounting and finance
eClinicalWorks to Ramp integration — real-time, two-way sync
Keep eClinicalWorks and Ramp in sync without custom scripts. Cut weeks of integration work, eliminate silent data drift, and give your team a single, reliable source of truth.
- SOC 2 and 6 other compliance frameworks
- POC with real engineers in minutes
Adopted by fast-scaling companies moving mission-critical data in real time
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Migrated from MuleSoft
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Migrated from Celigo
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Migrated from Fivetran
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Migrated from Celigo
Why teams connect eClinicalWorks and Ramp
Connect the financial records in Ramp with the work happening in eClinicalWorks, so both stay current without exports or copy-paste.
Ramp holds the financial truth: who the customers are, what they were billed, what they paid. eClinicalWorks is where part of the day-to-day work happens, and that work often involves the same customers and transactions. Without a live connection, the two drift apart, and people end up answering questions from stale copies.
Stacksync keeps Funds (Spend Controls), General Ledger Accounts, Transactions, Cards in Ramp and Appointments, Encounters, Practitioners, Observations in eClinicalWorks in sync, bi-directionally and in real time. Whatever records eClinicalWorks keeps and whatever events it produces, the overlap with Ramp is mapped field by field, and a change on either side shows up on the other within seconds.
There is no middleware to build, no API rate limits to babysit, and no nightly job that leaves the morning running on yesterday's data.
Common use cases
- 01 Read Reimbursements into a finance database for cross-entity expense reporting and reconciliation without manual CSV exports.
- 02 Two-way sync Transactions and their accounting codings with a Postgres warehouse so finance analyzes spend in SQL and pushes GL categories and memos back to Ramp.
- 03 Keep provider directories consistent between eClinicalWorks and scheduling or marketing systems.
- 04 Push referral or intake data captured in external forms into the EHR via HL7 interfaces.
Common sync patterns
Where eClinicalWorks collects payments or triggers charges: events land in Ramp
Payment and charge activity flows into Ramp as it happens, so the books reflect reality without manual reconciliation.
Where eClinicalWorks tracks people or companies: one identity
A customer's details updated in either system update the other, so finance and the rest of the business stop maintaining two versions of the same customer.
Where eClinicalWorks handles customer conversations: billing context in view
Front-line teams see invoice and payment status from Ramp next to the customer they are helping, without logging into the finance system.
What you can sync between eClinicalWorks and Ramp
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.
| eClinicalWorks objects | Ramp objects | How this pairing syncs | |
|---|---|---|---|
| Immunizations Vaccination history exposed for registries and patient apps. | Cards Physical and virtual card records; created and managed through the API to provision or suspend cardholder spend. | Immunizations is specific to eClinicalWorks and Cards to Ramp — each maps to any object or custom field on the other side. | |
| Documents Clinical notes and attachments referenced from the chart. | Users Employee and cardholder records; invited, updated, and deactivated, commonly synced from an HRIS or identity provider. | Documents is specific to eClinicalWorks and Users to Ramp — each maps to any object or custom field on the other side. | |
| Diagnostic reports Structured result reports grouping observations for a study or panel. | Departments Org groupings for cost-center and GL allocation; pushed from an ERP/HRIS and referenced by cards and transactions. | Diagnostic reports is specific to eClinicalWorks and Departments to Ramp — each maps to any object or custom field on the other side. | |
| Patients Demographic records exposed via FHIR Patient resources and HL7 ADT feeds; the anchor for all clinical syncs. | Reimbursements Out-of-pocket expense claims; read for reporting and marked ready-to-sync then synced to the ERP. | Patients is specific to eClinicalWorks and Reimbursements to Ramp — each maps to any object or custom field on the other side. | |
| Appointments Scheduling records available via FHIR and HL7 SIU messages, synced for reminders and outreach. | Bills Accounts-payable bills; created, updated, approved, and paid, then posted ready-to-sync and synced to accounting. | Appointments is specific to eClinicalWorks and Bills to Ramp — each maps to any object or custom field on the other side. | |
| Encounters Visit records tying diagnoses, providers, and billing context together. | Vendors Supplier records under the accounting namespace; uploaded and updated for AP matching and payments. | Encounters is specific to eClinicalWorks and Vendors to Ramp — each maps to any object or custom field on the other side. |
How changes propagate between eClinicalWorks and Ramp
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.
eClinicalWorks Ramp Interval-based propagation
DetectionStacksync polls eClinicalWorks for changes on an incremental schedule, reading only records changed since the previous pass. HL7 interface feeds push event messages as they occur.
DeliveryEach detected change is written to Ramp through its API, with automatic retries and rate-limit backoff.
Ramp eClinicalWorks Sub-second propagation
DetectionRamp notifies Stacksync of record changes through webhook events. Signed webhooks (HMAC-SHA256 X-Ramp-Signature) for bill, transaction, reimbursement, vendor, and user events.
DeliveryEach detected change is written to eClinicalWorks through its API, with automatic retries and rate-limit backoff.
Rate-limit considerations
- eClinicalWorks: Subject to the platform's API rate limits and interface throughput agreements.
- Ramp: 200 requests per 10-second rolling window per source IP; exceeding it returns 429 Too Many Requests, and requests running over 60 seconds return 504. Results use keyset pagination (follow the page.next URL / start cursor); higher limits can be requested from support.
What ships with eClinicalWorks ⇄ Ramp
Connect eClinicalWorks and Ramp for flexible, real-time data sync.
Real-time sync, workflow automation, event queues, EDI, and monitoring, for every eClinicalWorks–Ramp connection.
No-code + pro-code
Workflow automation
Trigger automated workflows whenever eClinicalWorks or Ramp 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 eClinicalWorks or Ramp record.
Observability
Monitoring
Track your eClinicalWorks ⇄ Ramp sync health, view errors, and replay failed events in one click.
Trading partners
EDI
Transform legacy EDI complexity into simple database interactions between eClinicalWorks and Ramp.
How the eClinicalWorks and Ramp connectors work
eClinicalWorks
- Integration surface
- FHIR R4 REST API plus HL7 v2 interfaces (ADT, SIU, ORU) through an interface engine
- Authentication
- OAuth 2.0 / SMART on FHIR for the FHIR API; site-configured credentials for HL7 interface connections
- Change detection
- HL7 interface feeds push event messages as they occur; the FHIR API is polled
- Capabilities
- read · write
- Rate limits
- Subject to the platform's API rate limits and interface throughput agreements
Ramp
- Integration surface
- REST API (Developer API v1)
- Authentication
- OAuth 2.0: exchange client_id/client_secret (HTTP Basic) at api.ramp.com/developer/v1/token for scoped bearer tokens; client_credentials grant for server-to-server and authorization_code for user-delegated access; scopes follow resource:permission (e.g. transactions:read, bills:write, accounting:write).
- Change detection
- Signed webhooks (HMAC-SHA256 X-Ramp-Signature) for bill, transaction, reimbursement, vendor, and user events; otherwise poll incrementally (synced_after on transactions, from_created_at on bills) with keyset pagination, or read the audit-logs/events feed.
- Capabilities
- read · write · webhooks
- Rate limits
- 200 requests per 10-second rolling window per source IP; exceeding it returns 429 Too Many Requests, and requests running over 60 seconds return 504. Results use keyset pagination (follow the page.next URL / start cursor); higher limits can be requested from support.
How it works
How to connect eClinicalWorks to Ramp — 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.
- 01
Connect your apps
Authenticate eClinicalWorks and Ramp with each platform's native method — OAuth, API keys, or service accounts — plus secure options like SSH tunneling, IP whitelisting, and VPC peering.
eClinicalWorks
connected
Ramp
connected
OAuth 2.0SSH tunnelSSL certificateVPC peering - 02
Choose tables
Pick the eClinicalWorks and Ramp 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.
objects · eClinicalWorks ⇄ RampCustomers 12,480Sales Orders 8,213Invoices 5,902Items 1,344 - 03
Map fields
Fields map automatically even when names and types differ. Stacksync handles transformation and type casting for you, zero configuration required.
eClinicalWorks RampCompany company_name textEmail email textAmount amount numericCreated created_at timestamp
FAQ
eClinicalWorks and Ramp integration FAQ
-
Yes. Stacksync provides a managed, real-time two-way integration between eClinicalWorks and Ramp: authenticate both systems, choose the objects to sync (such as eClinicalWorks's Immunizations and Documents), map fields visually, and changes propagate both ways in milliseconds — no code required.
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Yes — Stacksync ships production-grade connectors for both eClinicalWorks and Ramp. The connectors handle authentication, schema detection, rate limits, and retries; you configure the sync, and Stacksync operates it.
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Change detection on eClinicalWorks: HL7 interface feeds push event messages as they occur; the FHIR API is polled. On Ramp: Signed webhooks (HMAC-SHA256 X-Ramp-Signature) for bill, transaction, reimbursement, vendor, and user events; otherwise poll incrementally (synced_after on transactions, from_created_at on bills) with keyset pagination, or read the audit-logs/events feed. Each detected change propagates to the other side in milliseconds, with field-level conflict resolution and an inspectable event log.
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On the Ramp side: Funds (Spend Controls), General Ledger Accounts, Transactions, Cards, plus custom fields where Ramp exposes them. On the eClinicalWorks side: Appointments, Encounters, Practitioners, Observations. Stacksync auto-detects both schemas and converts types between the two systems.
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Yes. Each object mapping can be bidirectional or restricted to a single direction (both systems accept writes). Read-only mirrors, one-way pushes, and full two-way sync can be mixed in the same integration.
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Common patterns for eClinicalWorks and Ramp: Where eClinicalWorks collects payments or triggers charges: events land in Ramp; Where eClinicalWorks tracks people or companies: one identity; Where eClinicalWorks handles customer conversations: billing context in view. Payment and charge activity flows into Ramp as it happens, so the books reflect reality without manual reconciliation.
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.
SOC 2 Type II
ISO 27001
HIPAA BAA
GDPR
CCPA
CSA STAR
DPF US-EU-UK-CH
→ SECURITY WITH BENEFITS
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:
Related integrations
Every pair below is a real-time, two-way sync. Search all 434 integrations available for eClinicalWorks and Ramp.
Popular · 7 of 434
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eClinicalWorks ⇄ Bill -
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Ramp ⇄ Slack -
Ramp ⇄ Agiloft
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