The present invention relates to a medical insurance intelligent audit method. The method comprises the following steps: creating a rule base according to at least one violation determination rule; obtaining a medication instruction of a doctor, querying a drug product mapping relationship table, a medical treatment project mapping relationship table and/or a medical supplies mapping relationship table, and generating the prescription for medication; and matching in the rule base according to standard information in the prescription for medication, obtaining at least one target violation determination rule, and using the target violation determination rule to audit whether the prescription for the medication is correct. According to the technical scheme of the present invention, the effect of the medical intelligent audit monitoring can be improved, the phenomena of over-diagnosis and treatment, indiscriminate use of drugs, arbitrary charges, and the like can be avoided, service quality of hospitals can be improved, a harmonious relationship between doctors and patients can be improved, and a win-win situation for the economic and social benefits of the hospitals can be achieved.