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["（A）"]
["   調整総額内訳表（市町村別）"]
[]
[]
[]
["サービス提供月","  　　年  　月","  　　年  　月","  　　年  　月","  　　年  　月","合　計"]
[null,"保険請求額（調整前）","保険請求額（調整前）","保険請求額（調整前）","保険請求額（調整前）"]
["保険者名","保険請求額（調整後）","保険請求額（調整後）","保険請求額（調整後）","保険請求額（調整後）"]
[null,"調整額（差額）","調整額（差額）","調整額（差額）","調整額（差額）"]
["北斗市"]
{"$rows_empty":8}
["合計"]

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["（B）"]
["   調整額計画表（市町村別）"]
[]
[]
[]
["処理月","  　　年　   月",null,"  　　年　   月",null,"  　　年　   月",null,"  　　年　   月",null,"合計"]
[]
["市町村名","件数","金額","件数","金額","件数","金額","件数","金額","件数","金額"]
[]
["北斗市"]
{"$rows_empty":8}
["合計"]

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["（C）"]
["調 整 額 処 理 内 訳 表"]
["（　　　　 　　 年 　 月　過誤処理表）"]
["市町村番号",12369]
["市町村","北斗市"]
["被保険者番号","氏　　名","介護度","サービス提供月","明細様式","請求取下げ額","請求取下げ額","再請求額","再請求額","相殺額","相殺額","相殺額合計"]
[{"$nulls":5},"(介護報酬）","（食費・居住費）","(介護報酬）","（食費・居住費）","(介護報酬）","（食費・居住費）"]
{"$rows_empty":20}
["合　　　計",null,null,"件"]