NextGen Healthcare Mirth Connect Deserialization of Untrusted Data Vulnerability
NextGen Healthcare · Mirth Connect
A deserialization of untrusted data flaw in NextGen Healthcare's Mirth Connect, in versions before 4.4.1, stems from an incomplete patch of an earlier issue. An unauthenticated remote attacker with network access can trigger remote code execution, requiring no credentials, no user interaction, and no special configuration.
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.
- Exploited
- Yes, in CISA KEV
- Reports
- 0
- Tactics
- 2/15
How an attack unfolds
Based on MITRE ATT&CKA public catalogue of the techniques attackers use, maintained by MITRE. Patchfirst uses it to describe what attackers do with a vulnerability. mappings. Select a step to see the evidence.Exploitation timelineDated milestones for a CVE: when it was disclosed, when exploit code became public, when exploitation was confirmed, and when threat reports named it.
First seen exploited 4 months after disclosure. Public exploit code (Metasploit) was available 1 day before disclosure.
- Public exploit codeMetasploit1 day before
- Disclosedday 0
- First seen exploitedVulnCheck KEV evidence+4 mo
- Added to CISA KEVknown ransomware use; EU database agrees+7 mo
CISA KEV listing is when exploitation was confirmed, not necessarily the first attack.
Patch historyEarlier and later CVEs in the same code, in date order. It shows when a fix was bypassed or incomplete and which version finally fixed it.
See the family treeA fix was bypassed or incomplete once over 3 months.
Same bug familyLinked by evidence that a fix failed or the same code was patched again. Oldest first.
incomplete fixHigh
Why these are linked: Link confidenceHow strong the evidence is that two CVEs are related. High: stated in the CVE text or linked in an advisory, or the same code was patched one release apart. Medium: the same code, or a version step plus a similar description. Low: similar description only.
- Stated in the CVE text
Note that this vulnerability is caused by the incomplete patch of CVE-2023-37679.
This CVECVE-2023-43208NextGen Healthcare Mirth Connect Deserialization of Untrusted…26 Oct 2023KEV- Stated in the CVE text
MITRE ATT&CKA public catalogue of the techniques attackers use, maintained by MITRE. Patchfirst uses it to describe what attackers do with a vulnerability. techniques
2 TechniqueOne specific attacker behaviour in MITRE ATT&CK, such as T1190 “Exploit Public-Facing Application”. IDs with a dot, like T1059.004, are sub-techniques., grouped by TacticThe attacker’s goal at a stage of an attack in MITRE ATT&CK, such as Initial Access or Persistence. Each technique belongs to one or more tactics. in kill-chain order, 2 cited passages 2Initial AccessTA0001
Unauthenticated remote exploitation of public-facing application
is vulnerable to unauthenticated remote code execution
ExecutionTA0002
Remote code execution yields command interpreter access
is vulnerable to unauthenticated remote code execution
Detection
0 rules for this CVE · 244 general rules for its techniquesRules for this CVE
0Sigma ruleAn open, vendor-neutral detection rule for log data. Security teams convert Sigma rules into searches for their own SIEM. that reference CVE-2023-43208 directly.CVE-specific rules are not available in this build. Search SigmaHQ ↗
General rules for this CVE’s techniques
These detect the technique in general, not this specific vulnerability.
Exploit Public-Facing ApplicationT1190149 general rules
- Arcadyan Router Exploitationscriticaltest
- Citrix ADS Exploitation CVE-2020-8193 CVE-2020-8195criticaltest
- Citrix Netscaler Attack CVE-2019-19781criticaltest
- Confluence Exploitation CVE-2019-3398criticaltest
- CVE-2010-5278 Exploitation Attemptcriticaltest
- CVE-2020-0688 Exchange Exploitation via Web Logcriticaltest
- CVE-2020-10148 SolarWinds Orion API Auth Bypasscriticaltest
- CVE-2020-5902 F5 BIG-IP Exploitation Attemptcriticaltest
Command and Scripting InterpreterT105995 general rules
- HackTool - Sliver C2 Implant Activity Patterncriticaltest
- Lazarus Group Activitycriticaltest
- REvil Kaseya Incident Malware Patternscriticaltest
- Turla Group Lateral Movementcriticaltest
- Windows Defender AMSI Trigger Detectedhighstable
- Windows Defender Threat Detectedhighstable
- Abusable DLL Potential Sideloading From Suspicious Locationhightest
- Add Insecure Download Source To Wingethightest
Sigma rules © SigmaHQ, Detection Rule License 1.1; linked, not reproduced.
What security researchers reported
Not named in any threat report yetAlso mentioned in 50 community threat pulses (AlienVault OTX)
Weaker evidencePulses are indicator collections that anyone can publish. A mention is not confirmation of exploitation.
- Actively_Exploited_Kev | Oct 30, 202629 Oct 2026
- Actively_Exploited_Kev | Oct 29, 202628 Oct 2026
- Actively_Exploited_Kev | Oct 28, 202627 Oct 2026
- Actively_Exploited_Kev | Oct 27, 202626 Oct 2026
- Actively_Exploited_Kev | Oct 24, 202623 Oct 2026
- Actively_Exploited_Kev | Oct 23, 202622 Oct 2026
- 44 more on OTX