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Business productivity ⇄ Accounting and finance

NextGen Healthcare to Ramp integration — real-time, two-way sync

Keep NextGen Healthcare 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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Why teams connect NextGen Healthcare and Ramp

Connect the financial records in Ramp with the work happening in NextGen Healthcare, 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. NextGen Healthcare 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 Departments, Reimbursements, Bills, Vendors in Ramp and Insurance / Coverage, Charges & Billing, Patients, Appointments in NextGen Healthcare in sync, bi-directionally and in real time. Whatever records NextGen Healthcare 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 Mirror Bills and their approval and payment state into an AP or ERP system, marking each one ready-to-sync then synced to keep both ledgers reconciled.
  • 02 Read Reimbursements into a finance database for cross-entity expense reporting and reconciliation without manual CSV exports.
  • 03 Feed referral data into intake workflows so new patients are registered without rekeying.
  • 04 Sync patient demographics into a CRM for engagement and intake workflows.

Common sync patterns

Where NextGen Healthcare 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.

Where NextGen Healthcare 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 NextGen Healthcare 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.

What you can sync between NextGen Healthcare 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.

NextGen Healthcare objects Ramp objects How this pairing syncs
Appointments Schedule data read and written for reminders, self-scheduling, and capacity reporting. Bills Accounts-payable bills; created, updated, approved, and paid, then posted ready-to-sync and synced to accounting. Appointments is specific to NextGen Healthcare and Bills to Ramp — each maps to any object or custom field on the other side.
Encounters Visit records landed in analytics stores for utilization and quality reporting. Vendors Supplier records under the accounting namespace; uploaded and updated for AP matching and payments. Encounters is specific to NextGen Healthcare and Vendors to Ramp — each maps to any object or custom field on the other side.
Providers Clinician and location directories kept consistent across scheduling and web systems. Funds (Spend Controls) Spend controls governing card usage; read and created via the funds API to enforce budgets per user, department, or program. Providers is specific to NextGen Healthcare and Funds (Spend Controls) to Ramp — each maps to any object or custom field on the other side.
Clinical Documents Notes and attachments exchanged with referral and document-management workflows. General Ledger Accounts Chart-of-accounts entries uploaded from the ERP; accounting codings are posted back against transactions and bills. Clinical Documents is specific to NextGen Healthcare and General Ledger Accounts to Ramp — each maps to any object or custom field on the other side.
Medications & Allergies Clinical list data read via standardized FHIR resources for care coordination. Transactions Card purchase records with merchant, amount, and state; read for spend/GL sync and written back via accounting codings and sync status. Medications & Allergies is specific to NextGen Healthcare and Transactions to Ramp — each maps to any object or custom field on the other side.
Lab Results Result data read for patient-facing portals and analytics. Cards Physical and virtual card records; created and managed through the API to provision or suspend cardholder spend. Lab Results is specific to NextGen Healthcare and Cards to Ramp — each maps to any object or custom field on the other side.

How changes propagate between NextGen Healthcare 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.

NextGen Healthcare Ramp 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 Ramp through its API, with automatic retries and rate-limit backoff.

Ramp NextGen Healthcare 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 NextGen Healthcare through its API, with automatic retries and rate-limit backoff.

Rate-limit considerations

  • NextGen Healthcare: Subject to the platform's API rate limits and healthcare data-access 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 NextGen Healthcare ⇄ Ramp

Connect NextGen Healthcare and Ramp for flexible, real-time data sync.

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

Real-time

Two-way sync

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

No-code + pro-code

Workflow automation

Trigger automated workflows whenever NextGen Healthcare 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 NextGen Healthcare or Ramp record.

Observability

Monitoring

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

Trading partners

EDI

Transform legacy EDI complexity into simple database interactions between NextGen Healthcare and Ramp.

How the NextGen Healthcare and Ramp connectors work

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.

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.
Ramp setup guide
How it works

How to connect NextGen Healthcare 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.

  1. 01

    Connect your apps

    Authenticate NextGen Healthcare 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.

    • OAuth 2.0
    • SSH tunnel
    • VPC peering
    NextGen Healthcare connected
    Ramp connected
    OAuth 2.0
    SSH tunnel
    SSL certificate
    VPC peering
  2. 02

    Choose tables

    Pick the NextGen Healthcare 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.

    • Standard objects
    • Custom objects
    • Auto-schema
    objects · NextGen Healthcare ⇄ Ramp
    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
    NextGen Healthcare Ramp
    Company company_name text
    Email email text
    Amount amount numeric
    Created created_at timestamp
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FAQ

NextGen Healthcare and Ramp 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.

Learn more about security
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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:

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 365 integrations available for NextGen Healthcare and Ramp.

Popular · 6 of 365
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