Shanghai Healthcare Security Bureau has formulated relatively complex payment rules for medical consumables, most medical institutions currently determine, set medical insurance payment methods for medical consumables using manual approaches. With the increasingly sophisticated requirements of medical insurance supervision, manual approaches can no longer meet the management needs of medical institutions. By studying the links between the catalogue of medical consumables, medical insurance payment rules, establishing databases, the paper designs logical judgment rules to explore core algorithms suitable for informatization development, providing a design basis for the establishment of an intelligent audit system for medical consumables medical insurance payment settings