CVE-2023-43208

Exp

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.

Published: 2023-10-26 Last update: 2025-10-31 Assigner: [email protected] Source: [email protected]
NVD Status：Analyzed，CVE State: published
View at NVD, CVE.org, EUVD

CVE-2023-43208 is rated Critical Active Threat (94.1/100): CVSS Critical severity, with high exploitation likelihood (EPSS 82.71%, 100th percentile). CISA KEV confirms active exploitation (added 2024-05-20) affecting NextGen Healthcare / Mirth Connect. a weakness (CWE-502) Unauthenticated remote administrative access may be possible. The CISA remediation deadline has passed—treat as an emergency patch priority.

Risk is dynamic; we continuously reassess and refresh what is shown on this page as upstream context changes.

CISA KEV Record for CVE-2023-43208

Name: NextGen Healthcare Mirth Connect Deserialization of Untrusted Data Vulnerability · CISA KEV detail

Exploit added: 2024-05-20

Action due: 2024-06-10

Required action: Apply mitigations per vendor instructions or discontinue use of the product if mitigations are unavailable.

Public exploit references (Exploit-DB) for CVE-2023-43208

EDB-ID Source Kind Published Link
— nvd_ref exploit_tag Exploit-DB ↗
— nvd_ref exploit_tag Exploit-DB ↗

Exploit prediction scoring system (EPSS) score for CVE-2023-43208

EPSS lead: Daily EPSS estimates relative likelihood of exploitation; percentile ranks this CVE among scored vulnerabilities (higher = more severe relative rank).

# Date Old EPSS score New EPSS score Delta (New - Old)
1 2026-06-15 94.42% 82.71% -11.71%
2 2025-11-21 94.32% 94.42% +0.10%
3 2025-11-18 — 94.32% —

Full EPSS history (30 records total)

Common vulnerability scoring system (CVSS) metrics for CVE-2023-43208

CVSS metrics for this CVE.

Base score Version Severity Vector Exploitability Impact Score source
9.8 3.1 CRITICAL
CVSS:3.1/AV:N/AC:L/PR:N/UI:N/S:U/C:H/I:H/A:H Click to expand
Attack vector (AV:N)
Could be attacked over the internet or any normal routed network—not just someone sitting at the machine.
Attack complexity (AC:L)
Once they can reach the bug, pulling it off is straightforward—no weird race conditions or rare setup.
Privileges required (PR:N)
No account or special rights needed—anonymous or random user is enough.
User interaction (UI:N)
Nobody has to click “OK” or open a trap file; it can work without a victim helping.
Scope (S:U)
Damage stays in the same “trust bubble” as the broken component—no big spill into unrelated systems.
Confidentiality (C:H)
Serious risk that confidential data gets exposed in a big way.
Integrity (I:H)
They could widely tamper with or forge data—trust in the data is badly hurt.
Availability (A:H)
Could take the service down hard or make it unusable for people who depend on it.
 3.9 5.9 [email protected]
9.8 3.1 CRITICAL
CVSS:3.1/AV:N/AC:L/PR:N/UI:N/S:U/C:H/I:H/A:H Click to expand
Attack vector (AV:N)
Could be attacked over the internet or any normal routed network—not just someone sitting at the machine.
Attack complexity (AC:L)
Once they can reach the bug, pulling it off is straightforward—no weird race conditions or rare setup.
Privileges required (PR:N)
No account or special rights needed—anonymous or random user is enough.
User interaction (UI:N)
Nobody has to click “OK” or open a trap file; it can work without a victim helping.
Scope (S:U)
Damage stays in the same “trust bubble” as the broken component—no big spill into unrelated systems.
Confidentiality (C:H)
Serious risk that confidential data gets exposed in a big way.
Integrity (I:H)
They could widely tamper with or forge data—trust in the data is badly hurt.
Availability (A:H)
Could take the service down hard or make it unusable for people who depend on it.
 3.9 5.9 134c704f-9b21-4f2e-91b3-4a467353bcc0

Weakness enumeration for CVE-2023-43208

Affected software / configurations for CVE-2023-43208

Vendor Product Version Raw CPE
nextgen mirth_connect < 4.4.1 cpe:2.3:a:nextgen:mirth_connect:*:*:*:*:*:*:*:*

References for CVE-2023-43208

cvelogic Threat Intelligence