CVE-2026-11990 — KiviCare <= 4.4.0 - Missing Authorization to Unauthenticated Payment Bypass and Appointment Status Manipulation via /payment-success REST Endpoint
The KiviCare – Clinic & Patient Management System (EHR) plugin for WordPress is vulnerable to authorization bypass in all versions up to, and including, 4.4.0. This is due to the plugin not properly verifying that a user is authorized to perform an action. This makes it possible for unauthenticated attackers to mark arbitrary pending appointments as Confirmed and forge an associated completed payment record in wp_kc_payments_appointment_mappings using an attacker-supplied payment ID, bypassing payment entirely. This exploit is achievable on a default installation because the gateway resolution logic returns all registered gateways regardless of admin-enabled status, making the manual (KCPayLater) gateway always selectable.
Who exploits it and how urgent it is
A 0–100 score combining confirmed exploitation, ransomware and APT use, public exploits, EPSS and severity.
How the score was calculated
- Technical severity (medium)+3
- Automatable exploitation (SSVC)+3
The score orders the patch queue; it does not replace your asset context (internet exposure, criticality, compensating controls).
Triage
Is it exploited, how likely is exploitation, what does it touch, and how severe do the sources call it.
CISA SSVC assessment CISA
Three decision points CISA publishes for the CVEs it assesses (SSVC 2.0.3). A stakeholder decision, not a severity score.
Remediation
Fixes and mitigations documented by the sources — linked to the original advisory.
No fix documented by the sources we poll. That does not mean none exists: check the vendor advisory.
First 24 hours
Ordered from the record’s own fields — exposure first, because you cannot patch what you have not found. A rule-generated starting point.
- Identify exposed assets running the affected vendor/product/version combinations (Iqonicdesign KiviCare – Clinic & Patient Management System (EHR)).
- The attack is network-based and needs no privileges: restrict exposure (ACLs, VPN, WAF) until patched.
- No fix documented in the sources: reduce exposure and monitor the vendor advisory.
- Search available logs for exploit probes matching the vulnerability class (access control), errors and authentication anomalies.
Affected scope
Vendor, product and versions as the sources word them.
| Vendor | Product | Versions | Status | Source |
|---|---|---|---|---|
| Iqonicdesign | KiviCare – Clinic & Patient Management System (EHR) | ≤ 4.4.0 | Vulnerable | CVE Program (cve.org) e CISA ADP |
Attack characteristics
The CVSS vector, decoded. It describes the attack, not your exposure to it.
Every base score collected
Sources score independently and may disagree; each row says who scored it and under which version.
| Score | Version | Severity | Expl. | Impact | Scored by |
|---|---|---|---|---|---|
| 5.3 | CVSS 3.1 | Medium | 3.9 | 1.4 | security@wordfence.com via NIST National Vulnerability Database |
| 5.3 | CVSS 3.1 | Medium | — | — | Wordfence via CVE Program (cve.org) e CISA ADP |
CVSS:3.1/AV:N/AC:L/PR:N/UI:N/S:U/C:N/I:L/A:N (score shown at the top: security@wordfence.com) Weakness MITRE
Weakness class according to MITRE’s CWE catalog.
Detection
Read off the CVSS vector and the weakness class. Starting points, not tested rules.
- Prioritize edge telemetry for the network-reachable component (proxy, WAF, IDS/IPS).
- Audit administrative actions and access to resources outside each user’s normal pattern.
Timeline
What happened to this CVE, newest first.
- 2026
- Affected products added · iqonicdesign/kivicare – clinic & patient management system (ehr)
- SSVC assessment updated
- Record published
- CVSS changed · 5.3
- Source status changed · → Deferred
- Record created in this database
- CVE published
Source activity
Repeated readings are counted rather than listed.
- 1× Official description updated · Oct 15, 2026 – Oct 15, 2026
References
12 on the record
- plugins.trac.wordpress.org/browser/kivicare-clinic-management-system/tags/4.3.0/app/baseClasses/
- www.wordfence.com/threat-intel/vulnerabilities/id/efe4223a-5c1a-401e-a46b-0278e96d2d71
- plugins.trac.wordpress.org/browser/kivicare-clinic-management-system/tags/4.3.0/app/services/KCA
- plugins.trac.wordpress.org/browser/kivicare-clinic-management-system/tags/4.3.0/app/controllers/
- plugins.trac.wordpress.org/changeset
- plugins.trac.wordpress.org/browser/kivicare-clinic-management-system/tags/4.4.0/app/controllers/
- plugins.trac.wordpress.org/browser/kivicare-clinic-management-system/tags/4.4.0/app/baseClasses/
- plugins.trac.wordpress.org/browser/kivicare-clinic-management-system/tags/4.3.0/app/paymentGatew
- plugins.trac.wordpress.org/browser/kivicare-clinic-management-system/tags/4.4.0/app/controllers/
- plugins.trac.wordpress.org/browser/kivicare-clinic-management-system/tags/4.3.0/app/controllers/
- plugins.trac.wordpress.org/browser/kivicare-clinic-management-system/tags/4.4.0/app/paymentGatew
- plugins.trac.wordpress.org/browser/kivicare-clinic-management-system/tags/4.4.0/app/services/KCA
Elsewhere on this site
Related CVEs (same products)
- High CVE-2026-2991 KiviCare – Clinic & Patient Management System (EHR) <= 4.1.2 - Unauthenticated Authentication Bypass via Social Login Token Mar 18, 2026
- High CVE-2026-2992 KiviCare <= 4.1.2 - Missing Authorization to Unauthenticated Privilege Escalation via Setup Wizard Mar 18, 2026
- Medium CVE-2026-0927 KiviCare – Clinic & Patient Management System (EHR) <= 3.6.15 - Missing Authorization to Unauthenticated Limited Arbitrary File Upload Jan 23, 2026
Not in any source we poll
Listed rather than left blank: an empty field and an unmeasured one look identical on screen, and only one is a reason to look elsewhere.
- No FIRST EPSS score.
- No fixed version, patch or mitigation documented.
- No confirmed IOCs, IP addresses, domains, file hashes, or malware artifacts supplied.
- No organization-specific asset inventory, compensating-control status, or patch deployment evidence supplied.
- No exploit packet captures, log samples, or incident case IDs supplied.
Answered from this record
Text assembled only from the fields above — no additional claims.
What should defenders know first?
CVE-2026-11990 is "KiviCare <= 4.4.0 - Missing Authorization to Unauthenticated Payment Bypass and Appointment Status Manipulation via /payment-success REST Endpoint", rated Medium. It affects KiviCare – Clinic & Patient Management System (EHR) (Iqonicdesign); versions are in the scope table. It is not in CISA KEV, which does not rule out exploitation. CVSS 5.3 describes technical severity. First verify whether exposed or business-critical assets run the affected versions, apply vendor fixes or mitigations, and preserve logs for review.
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