Custodian of records

Employee who is legally responsible and has charge and custody of the care and handling for all the patient’s medical records in a hospital facility or physician’s medical practice. Electronically stored information has four levels of custodianship such as primary or direct custodian (e.g., staff nurse), data owner or steward (e.g., radiologist, pathologist, accountant), business associate and third party (e.g., claims clearinghouse, Internet service provider), and official record and system custodian (e.g., health information management department). Also called custodian.

Custody and Control

Public liability policies often exclude liability for damage to property in the insured’s custody and control but the exclusion may require modification or deletion, e.g., in the case of insured who provide car parks or cloakrooms.

Custody and control exclusion

Public liability policy exclusion, of property in the care, custody or control of the insured. The property concerned is ‘bailment’ property insurable by the bailor under a first party insurances or by bailees’ modified liability policies, e.g. hotel proprietors. In any event the general exclusion is overridden in respect of: (a) the effects of directors, employees and visitors, including their vehicles and contents; (b) premises (including contents) temporarily occupied by the insured for work purposes; (c) leased or rented premises; (d) third party property at premises, etc., other than the insured’s premises. See OWN PROPERTY EXCLUSION.

Customary fee

1. Amount that a physician usually charges the majority of his or her patients. 2. Either the average fee charged for a specific procedure by all comparable physicians in the same geographical area or the 90th percentile of all the fees charged for a specific procedure by comparable physicians in the same geographical area.