Real-time
Two-way sync
Changes in NextGen Healthcare or Twenty CRM instantly reflect in both systems. No stale data, no manual imports.
Business productivity ⇄ CRM
NextGen Healthcare to Twenty CRM integration — real-time, two-way sync
Keep NextGen Healthcare and Twenty CRM 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
Case study
Migrated from Mulesoft
Case study
Migrated from Celigo
Migrated from Heroku Connect
Migrated from Matillion
Case study
Migrated from Fivetran
Case study
Migrated from Celigo
Why teams connect NextGen Healthcare and Twenty CRM
Sync what happens in NextGen Healthcare with the customer records in Twenty CRM, in real time and in both directions.
The CRM is supposed to be the record of every customer relationship, but customer-relevant information also accumulates in the other tools a team runs. Whatever NextGen Healthcare holds or produces that touches a customer, whether conversations, payments, replies, enriched data, or notes, the CRM only benefits if it arrives without someone copying it over.
Stacksync connects Lab Results, Insurance / Coverage, Charges & Billing, Patients in NextGen Healthcare to Notes, Custom Objects, Attachments, Workspace Members in Twenty CRM with bi-directional, real-time sync. Activity and record changes in NextGen Healthcare update the matching contact or account in Twenty CRM, and CRM data flows the other way wherever NextGen Healthcare can store and use it.
Common use cases
- Feed referral data into intake workflows so new patients are registered without rekeying.
- Sync patient demographics into a CRM for engagement and intake workflows.
- Run a continuous sync from a legacy CRM into Twenty during a migration so both systems stay usable through cutover.
- Two-way sync of People and Companies between Twenty and a production Postgres database so engineers can query CRM data with SQL.
Where NextGen Healthcare supplies contact or company data
Enriched fields land directly on records in Twenty CRM, and refreshes keep them from going stale.
Where NextGen Healthcare processes payments
Charges, refunds, and subscription changes appear on the account in Twenty CRM, so revenue context lives with the relationship.
Where NextGen Healthcare can store CRM context: fields kept current
Owner, lifecycle stage, or account details from Twenty CRM sync into NextGen Healthcare, so people working there have the context without switching tools.
What you can sync between NextGen Healthcare and Twenty CRM
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 | Twenty CRM objects | |
|---|---|---|
| Lab Results Result data read for patient-facing portals and analytics. | People Individual contact records with emails, phones, and company links; a core target for contact syncs. | |
| Insurance / Coverage Payer and eligibility data reconciled with billing and clearinghouse systems. | Companies Account-level records that group people and opportunities. | |
| Charges & Billing Practice-management financial data synced for revenue-cycle analytics. | Opportunities Deal records tracked through pipeline stages, synced for forecasting. | |
| Patients Demographic records synced to CRMs and engagement tools for outreach and intake. | Tasks To-dos linked to people, companies, or deals. | |
| Appointments Schedule data read and written for reminders, self-scheduling, and capacity reporting. | Notes Free-form notes attached to records, useful for mirroring activity from other tools. | |
| Encounters Visit records landed in analytics stores for utilization and quality reporting. | Custom Objects User-defined objects created in Twenty's data model settings, addressable through the same APIs as standard objects. |
What ships with NextGen Healthcare ⇄ Twenty CRM
Connect NextGen Healthcare and Twenty CRM for flexible, real-time data sync.
Real-time sync, workflow automation, event queues, EDI, and monitoring, for every NextGen Healthcare–Twenty CRM connection.
No-code + pro-code
Workflow automation
Trigger automated workflows whenever NextGen Healthcare or Twenty CRM 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 Twenty CRM record.
Observability
Monitoring
Track your NextGen Healthcare ⇄ Twenty CRM 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 Twenty CRM.
How the NextGen Healthcare and Twenty CRM 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.
Twenty CRM
- Integration surface
- GraphQL and REST APIs
- Authentication
- API key
- Change detection
- Webhooks on record create, update, and delete events, or polling on record update timestamps
- Capabilities
- read · write · webhooks
- Rate limits
- Subject to the platform's API rate limits; self-hosted deployments control their own limits.
How it works
How to connect NextGen Healthcare to Twenty CRM — 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 NextGen Healthcare and Twenty CRM with each platform's native method — OAuth, API keys, or service accounts — plus secure options like SSH tunneling, IP whitelisting, and VPC peering.
NextGen Healthcare
connected
Twenty CRM
connected
OAuth 2.0SSH tunnelSSL certificateVPC peering - 02
Choose tables
Pick the NextGen Healthcare and Twenty CRM 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 · NextGen Healthcare ⇄ Twenty CRMCustomers 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.
NextGen Healthcare Twenty CRMCompany company_name textEmail email textAmount amount numericCreated created_at timestamp
FAQ
NextGen Healthcare and Twenty CRM integration FAQ
-
Yes. Stacksync provides a managed, real-time two-way integration between NextGen Healthcare and Twenty CRM: authenticate both systems, choose the objects to sync (such as NextGen Healthcare's Lab Results and Insurance / Coverage), map fields visually, and changes propagate both ways in milliseconds — no code required.
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Change detection on NextGen Healthcare: Polling, typically filtering on last-updated timestamps; no general-purpose webhook surface. On Twenty CRM: Webhooks on record create, update, and delete events, or polling on record update timestamps. 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 NextGen Healthcare side: Lab Results, Insurance / Coverage, Charges & Billing, Patients, plus custom fields where NextGen Healthcare exposes them. On the Twenty CRM side: Notes, Custom Objects, Attachments, Workspace Members. 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 NextGen Healthcare and Twenty CRM: Where NextGen Healthcare supplies contact or company data; Where NextGen Healthcare processes payments; Where NextGen Healthcare can store CRM context: fields kept current. Enriched fields land directly on records in Twenty CRM, and refreshes keep them from going stale.
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NextGen Healthcare: REST API, including FHIR-based endpoints published through NextGen's developer API program. Authentication: OAuth 2.0. Twenty CRM: GraphQL and REST APIs. Authentication: API key. Stacksync manages authentication, retries, and rate limits on both sides.
SECURITY
Security teams love 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 386 integrations available for NextGen Healthcare and Twenty CRM.
Popular · 8 of 386
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NextGen Healthcare ⇄ Affinity -
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No integrations match .
