. . . I will be replacing a ceiling fan for a customer that has only "two wire BX" circuits no ground. . . . I don't do too much residential.
I am not sure the OP knows what he has. He says that he has BX with no ground, than says this:
its the old style BX with no ground at all besides the tracer
His tracer could very well be the sheath bond wire and I believe this now makes the sheath a possible EGC.
I agree that the initial confusion and "heart of the question" lies with what is actually installed above the customer's ceiling fan. Start with the age of the dwelling. Consider the visible signs of the wiring at the dwelling (examine the exposed wiring were the framing is not covered, like at the service center, etc.) Is the ceiling fan location a new addition, or is it in the part of the dwelling unchanged since first constructed.
There is a wealth of information about the history that can be gathered in a matter of moments, just by looking. If, in looking, one sees things that are unfamiliar, more time is necessary. "Old style BX" is part of one wiring method, Armored Cable - Article 320 in the 2008 NEC. Armored Cable has a history back to the beginning of the 1900s and, when installed by the Code of the day, when part of an assembly that provided continuity to Grounding Electrode System, was considered a grounding means.
The Armored Cable sheath bond wire (perhaps the "tracer" the OP refers to?) was introduced in the 1950s and improved the performance of the armor as a grounding means. After the NEC of the '50s required the sheath bond wire, installing old style non-bond-wire AC in
new installations meant that the sheath could not be a grounding means.
The pre-'50s installations generally get grandfathered in as grounding means, unless there is local ordinance to the contrary.
Bottom line, I suspect, as Dennis has stated, the ground is already there, just connect to the box, which is the EGC (equipment grounding conductor) in a typical AC wiring method.
Now:
Don't forget AFCI protection 210.12(b)
If the 2011 NEC is in effect, this is a good reminder. If, as I suspect, the OP customer is under the 2008, then AFCI is not part of the discussion as this is an existing ceiling fan that is being replaced.
I am curious if the lighting outlet above the ceiling fan is rated for fan support? Or whether the support of the fan is side stepping the box by being directly hung on the framing? If the old original ceiling box was already replaced with a fan support listed assembly, was it done with the correct materials that maintains the armored cable EGC continuity?