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CVE-2023-43208

KEVRansomware UseNextGen Healthcare Mirth Connect Deserialization of Untrusted Data Vulnerability

NextGen Healthcare Mirth Connect contains a deserialization of untrusted data vulnerability that allows for unauthenticated remote code execution via a specially crafted request.

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.

CVSS 3.1 vectorCVSS:3.1/AV:N/AC:L/PR:N/UI:N/S:U/C:H/I:H/A:H
PublishedOct 26, 2023
Last modifiedJun 17, 2026
Added to KEVMay 20, 2024
Remediation dueJun 10, 2024
    98
    Risk assessment · Critical

    Actively exploited and used by ransomware crews. Patch immediately.

    Exploitation
    Confirmed in the wild (CISA KEV)
    Federal remediation deadline
    Overdue by 870 days
    Ransomware
    Used in known ransomware campaigns
    CVSS
    9.8 CRITICAL
    EPSS (30-day exploit probability)
    85.4% · top 1% of all CVEs
    Weakness
    CWE-78
    Attack vector
    Network, remotely reachable
    Preconditions
    No privileges and no user interaction
    1. 1.Apply mitigations per vendor instructions or discontinue use of the product if mitigations are unavailable.
    2. 2.Treat as emergency change: patch or isolate internet-facing instances first.
    3. 3.Review exposure: confirm which instances are reachable from the internet and restrict access until patched.
    4. 4.Hunt for compromise: review logs for the disclosure window, not just from the patch date.
    5. 5.Verify offline/immutable backups and segment the affected systems. This flaw is used for ransomware initial access.

    Assessment is derived automatically from the live signals above; verify against your own asset inventory.