# CVE-2023-43208: NextGen Healthcare Mirth Connect Deserialization of Untrusted Data Vulnerability

- Exploited (CISA KEV): yes, added 2024-05-20, known ransomware use
- Published: 2023-10-26
- CVSS: 9.8 CRITICAL (v3.1)
- EPSS: 85.9% (100th percentile)
- CWE: CWE-502

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.

## Edge WAF coverage (claimed by vendors, not measured)

| Vendor | Status | First rule | Days after publication |
|---|---|---|---|
| Cloudflare | Before feed history | — | — |
| AWS | No public claim | — | — |
| Microsoft Azure | No public claim | — | — |
| Google Cloud | Before feed history | — | — |
| Fastly | Before feed history | — | — |
| F5 | No public claim | — | — |
| Akamai | No public source | — | — |
| OWASP CRS | No public claim | — | — |

## Our test (measured)

- OWASP Core Rule Set 4.25.0, paranoia level 1, anomaly threshold 5, default CRS settings: partial (1 of 2 requests blocked), template CVE-2023-43208, 2026-11-02
- OWASP Core Rule Set 4.25.0, paranoia level 2, anomaly threshold 5, default CRS settings: partial (1 of 2 requests blocked), template CVE-2023-43208, 2026-11-02

"No public claim" means no vendor statement names this CVE; "Before feed history" means the CVE is older than the vendor feed. In both cases generic rules may still block it.

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