Security Digest · Vulnerability record · Known exploited
CVE-2023-43208: NextGen Healthcare Mirth Connect Deserialization of Untrusted Data Vulnerability
Exploited in the wild (CISA KEV). NextGen Healthcare Mirth Connect before version 4.4.1 is vulnerable to unauthenticated remote code execution.
CISA KEV · added 2024-05-20 CVSS 9.8 Critical EPSS 82.7% · p99.7
Should you act?
Exploited: patch now if you run it
CISA has confirmed exploitation in the wild. This signal is computed from CISA KEV, EPSS and CVSS data; it is not an editorial verdict.
- Yes, if you run NextGen Healthcare Mirth Connect. CISA added this CVE to its Known Exploited Vulnerabilities catalog on 2024-05-20, which means there is reliable evidence of exploitation in the wild. US federal agencies must remediate by 2024-06-10; treat that as the outer limit, not the target. CISA also lists it as known to be used in ransomware campaigns.
- EPSS 82.7%, percentile 99.7: FIRST’s model estimates a 82.7% chance of exploitation activity in the next 30 days, higher than 99.7% of all scored CVEs (very high). EPSS is a probability, not a verdict.
- Remotely reachable with no login and no user interaction. If the vulnerable service is exposed to the internet, prioritize it.
What it is
NextGen Healthcare Mirth Connect before version 4.4.1 is vulnerable to unauthenticated remote code execution. Note that this vulnerability is caused by the incomplete patch of CVE-2023-37679.
CISA’s summary
NextGen Healthcare Mirth Connect contains a deserialization of untrusted data vulnerability that allows for unauthenticated remote code execution via a specially crafted request.
Weakness type: CWE-78, CWE-502.
Product: NextGen Healthcare Mirth Connect · Assigned by: mitre · Published: 2023-10-26
Affected and fixed versions
| Vendor | Product | Affected versions (per CVE record) |
|---|---|---|
| n/a | n/a | see vendor advisory |
Severity scores
| Scored by | CVSS | Score | Vector |
|---|---|---|---|
| CISA-ADP | 3.1 | 9.8 Critical | CVSS:3.1/AV:N/AC:L/PR:N/UI:N/S:U/C:H/I:H/A:H |
- Attack vector: network (remotely reachable)
- Attack complexity: low
- Privileges required: none (no login)
- User interaction: none
- Scope: unchanged
CVSS measures how bad a flaw is if exploited, not how likely exploitation is. Read it next to the exploitation data below.
Exploitation and urgency
- CISA KEV: added 2024-05-20; federal due date 2024-06-10. Known ransomware use: Known.
- CISA required action: Apply mitigations per vendor instructions or discontinue use of the product if mitigations are unavailable.
- CISA SSVC assessment: exploitation active, automatable yes, technical impact total.
- FIRST EPSS (model of 2026-10-21): 82.71% probability of exploitation activity in the next 30 days; percentile 99.7.
Timeline
- — CVE record published by mitre
- — Added to CISA’s Known Exploited Vulnerabilities catalog
- — CISA remediation deadline for US federal agencies
- — CVE record last updated
Sources and references
Original sources first. Version and fix details should always be confirmed against the vendor or project advisory.
Vendor and project advisories, patches
- Listed in CISA KEV notes (github.com) github.com
Vulnerability records
- CVE.org record CVE-2023-43208 cve.org
- NVD entry CVE-2023-43208 nvd.nist.gov
Government
Other references from the CVE record and advisory
- horizon3.ai horizon3.ai
- packetstormsecurity.com packetstormsecurity.com
All exploited NextGen Healthcare vulnerabilities · Today’s Security Digest